title: [Sensitive delusion of reference, rivisitation of a concept:  clinical accounts on onset paranoid psychosis].
abstract: OBJECTIVE
  In this work it is discussed whether and how Kretchmer's psychopathological reflections about sensitive delusion of reference can offer a relevant interpretative key for clinicians who face cases of acute persecutory psychosis. It is argued the utility and topicality of those psychopathological concepts that aren't commonly investigated, especially in the evaluation and management of onset paranoid psychosis in an emergency ward.
  
  
  METHODS
  We provide clinical vignettes of two young patients, admitted in the emergency psychiatry ward, who represent a concrete example of the dynamic-affective comprehension of delusional elaboration, through its embodiment in the individual biographical development.
  
  
  RESULTS
  An interpretative key, based on this specific conceptual frame, seems to provide an integrated intervention tool that aims both to a causal comprehension and demolition of the delusional solution in onset psychotic cases.
  
  
  CONCLUSIONS
  The rediscovery of classical psychopathological concepts appears to be a necessary process, especially in the clinical management of onset psychotic disorders. Further and more accurate researches are, in any case, needed.
authors.affiliation: Dipartimento di Neurologia e Osichiatria, Sapienza Universita di Roma, Italy. mauro.pallagrosi@uniroma1.it
authors.forename: Mauro
authors.initials: M
authors.lastname: Pallagrosi
authors.forename: Michele
authors.initials: M
authors.lastname: Majorana
authors.forename: Cristiano
authors.initials: C
authors.lastname: Carlone
authors.forename: Isabella
authors.initials: I
authors.lastname: Marini
authors.forename: Liliana
authors.initials: L
authors.lastname: Todini
authors.forename: Laura
authors.initials: L
authors.lastname: Fonzi
authors.forename: Massimo
authors.initials: M
authors.lastname: Biondi
mesh_terms: D000328:Adult; D003702:Delusions / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D008297:Male; D010259:Paranoid Disorders / Q000175:diagnosis / Q000523:psychology