The King of Grandiosity, Consistent
Posted in the Minneapolis Forum
#1 Jun 14, 2013
A delusion is a belief that is clearly false and that indicates an abnormality in the affected person's content of thought. The false belief is not accounted for by the person's cultural or religious background or his or her level of intelligence. The key feature of a delusion is the degree to which the person is convinced that the belief is true. A person with a delusion will hold firmly to the belief regardless of evidence to the contrary. Delusions can be difficult to distinguish from overvalued ideas, which are unreasonable ideas that a person holds, but the affected person has at least some level of doubt as to its truthfulness. A person with a delusion is absolutely convinced that the delusion is real.
Delusions are a symptom of either a medical, neurological, or mental disorder. Delusions may be present in any of the following mental disorders:
psychotic disorders, or disorders in which the affected person has a diminished or distorted sense of reality and cannot distinguish the real from the unreal, including schizophrenia , schizoaffective disorder , delusional disorder , schizophreniform disorder , shared psychotic disorder , brief psychotic disorder , and substance-induced psychotic disorder
major depressive disorder with psychotic features
Overvalued ideas may be present in anorexia nervosa , obsessive-compulsive disorder , body dysmorphic disorder , or hypochondriasis .
Delusions are categorized as either bizarre or non-bizarre and as either mood-congruent or mood-incongruent. A bizarre delusion is a delusion that is very strange and completely implausible for the person's culture; an example of a bizarre delusion would be that aliens have removed the affected person's brain . A non-bizarre delusion is one whose content is definitely mistaken, but is at least possible; an example may be that the affected person mistakenly believes that he or she is under constant police surveillance. A mood-congruent delusion is any delusion whose content is consistent with either a depressive or manic state; for example, a depressed person may believe that the world is ending, or a person in a manic state (a state in which the person feels compelled to take on new projects, has a lot of energy, and needs little sleep) believes that he or she has special talents or abilities, or is a famous person. A mood-incongruent delusion is any delusion whose content is not consistent with either a depressed or manic state or is mood-neutral. An example is a depressed person who believes that thoughts are being inserted into his or her mind from some outside force, person, or group of people, and these thoughts are not recognized as the person's own thoughts (called "thought insertion").
In addition to these categories, delusions are often categorized according to theme. Although delusions can have any theme, certain themes are more common.
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