Paranoid disorders: family sources of the delusional system

Several family transactional patterns seem to play a critical rôle in the creation of the patient's paranoid constructions. A philosophy of life characterized by inflexible rules, irrational beliefs, distrust, apprehensive-ness and hate is prominent in a great number of families with paranoid patients. The family members typically intrude on each others' actions and feelings with mutual reinforcement of the paranoid ideas. Schreber's family appears to be a characteristic demonstration of the important implications of interactional transactions within the family in the genesis of a paranoid system.