Sensitive delusion of reference, ‘sensitiver Beziehungswahn’

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Abstract
Ten patients discharged with the diagnosis of ‘sensitiver Beziehungswahn’ were followed up 22–28 years after their discharge. In one case, the course of the illness indicates that the patient suffered from a manic‐depressive psychosis, and in two cases, this diagnosis was likely. In two cases the disorder seemed definitely to be schizophrenia. One case was presumably a transient paranoid reaction. One patient was likely to have suffered from hysteria or epilepsy, three cases remained uncertain. The study did not prove suitable in the evaluation of the validity of ‘sensitiver Beziehungswahn’ as a nosological entity, since at the time of diagnosis the patients only incompletely fulfilled the criteria set up by Kretschmer, but it throws light on the diagnostic practice and the tendency to a change between the classification into many independent disease entities and the subsequent inclusion into larger and fewer forms.

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