摘要:AbstractPurpose of Study: Revealing the insidious debut of the psychotic symptoms over a period of three years and the productive pathology with its sudden debut.Hypothesis: The factors that influence diagnosis (Paranoid Schizophrenia with late debut) depend on: functioning based on delirious interpretations, the presence of automated mental syndrome.Research Methods: psychiatric interview, psychodynamic interview, life mapping, psychological evaluation, neuroimaging examination, investigating hormonal activity.Findings: The apparent debut at the age of 47, the lack of cognitive disorganization, the predominance of two or three delirious themes, compliance to treatment, the ability to form a therapeutically alliance are all positive signs.