Does Breivik suffer from DELUSIONAL DISORDER? (Grandiose - Persecutory Type)?
All symptoms and behaviors fit into this (relatively rare but very well recognised, well described, discrete - which is important for its clinical validity; and very interesting psychopathologically and also historically - Krepeline, Freud, etc.) syndrome quite nicely. If these diagnostic impressions are confirmed in further psychiatric evaluations and affirmed by the court, then Breivik definitely should not be considered legally responsible (although he is fit to proceed) for his crime and should be treated as an "insane" and mentally ill.
In addition to this, his habitus (square face and jaw, etc.) and quality of his emotional reactions (e.g. on questioning on Day 3 of the Trial) betray the signs of subtle yet visible organicity with some affective involvement. It would be surprising if his cognitive functioning and the results of neuropsychological testing are intact completely. The results of EEG, including sleep deprivation EEG, would be interesting to see; temporal lobes dysfunction is quite possible.
The results of projective tests could shed some light on the state of his emotional life.
Is it possible to influence or use for adverse purposes persons ill with Delusional Disorder, in other words, to "program" them? Yes, it is, if it is done skillfully and suggestions are incorporated into a subject's delusional system or if the delusions are shared.
Thus, a new vista of possibilities has opened, in the light of Day 3 of the Trial's revelatons of Breivik's connections with Serbian nationalists and history of his military or intelligence training in Belarus.
References and Links
The “Pseudocommando” Mass Murderer: A Blaze of Vainglory - Psychiatric Times
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By Robert I. Simon, Liza H. Gold
http://books.google.com.pr/books?id=zNuT2ZJvRvsC&lpg=PA97&ots=0t-mgO7z7L&dq=delusional%20disorder%20forensic%20psychiatry&pg=PA97#v=onepage&q=delusional%20disorder%20forensic%20psychiatry&f=false
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Delusional disorder, once termed paranoia, was an important diagnosis in the late nineteenth and early twentieth centuries. Only in 1987 was it reintroduced into modern psychiatric diagnosis after being incorporated with schizophrenia. This book provides a comprehensive review of delusional disorder for psychiatrists and other clinicians. Beginning with the emergence of the concept of delusional disorder, the book goes on to detail its manifold presentations, differential diagnosis and treatment. The author provides many instructive case histories, illustrating
delusional disorder
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delusional disorder Breivik - Google Search
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