MIND RUBRIC - delusion with types of delusion

Delusions are false beliefs, firmly held by the patient, even in the face of clear evidence that they are untrue.

1. MIND RUBRIC: DELUSION PRESENTED BY Dr Ragul S MD Part 1

2. OBJECTIVES: Definition, meaning, theme and comments Behavioural traits, attitude and characters Related words Types of delusions Verbal sentences Body language

3. Definition, meaning, and comments: The Diagnostic and Statistical Manual of Mental Disorders defines a delusion as:   A false belief based on incorrect inference about external reality that is firmly sustained despite what almost everybody else believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary. Delusions are false beliefs, firmly held by the patient, even in the face of clear evidence that they are untrue.  Delusion is false belief based upon a misinterpretation of reality. It is not, like a hallucination, a false sensory perception, or like an illusion, a distorted perception. 

4. Delusions vary in intensity, and are not uncommon among substance abusers, particularly those who use amphetamines, cocaine, and hallucinogens. Delusions occur frequently among individuals who have been diagnosed with Alzheimer’s disease, Huntington’s disease, or Schizophrenia, and during the manic stage of bipolar disorder. 

5. Behavioural traits, attitude and characters: T he person often lacks self-awareness Anger and violent behavior may be present if someone is experiencing persecutory, jealous or erotomanic delusions. People with delusional disorder may also develop  anxiety  and/or  depression as a result of the delusions. Irritability:  Feeling like others refuse to believe or unwilling to hear perspectives can lead to feelings of frustration. Antagonistic behaviour

6. Related words for Delusion Fantasy Mirage Pipe dream Misbelief Paranoia Oversight Misapprehension Phantom

7. Types of delusions Grandeur Persecutory delusions Delusion of reference Delusion of infidelity Delusion of self-accusation Nihilistic delusion Hypochondriacal delusion Religious delusion Delusion of poverty  Erotomania Mixed

8. Grandeur: A person with this type of delusional disorder has an over-inflated sense of worth, power, abilities, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery. Sometimes, the individual may actually believe that he or she is a famous person (for example, a rock star or Christ). More commonly, a person with this delusion believes he or she has accomplished some great achievement for which they have not received sufficient recognition.

9. Examples: DELUSIONS, great person, is (Kent’s Repertory) DELUSIONS, identity, errors of personal (Kent’s Repertory) DELUSIONS, God  he is, then he is devil (Complete Repertory) DELUSIONS, goose, that he is a (Kent’s Repertory) DELUSIONS, head belongs to another (Kent’s Repertory)

10. Persecutory delusions: These are the most common type of delusions and involve the theme of being followed, harassed, cheated, poisoned or drugged, conspired against, spied on, attacked, or obstructed in the pursuit of goals.

11. Examples: DELUSIONS, poisoned, thought he has been (Kent’s Repertory) DELUSIONS, injury injured, is being (Complete Repertory) DELUSIONS, injury injured, is being  surroundings, by his (Complete Repertory) DELUSIONS, insulted, thinks he is (Kent’s Repertory) DELUSIONS, persecuted, that he is (Kent’s Repertory)

12. Delusion of reference: The person believes that people, things, events, etc., refer to him in a special way. He believes that even strangers in the street are looking at him and are talking about him, or items in the radio or newspapers are referring to him.

13. Examples: DELUSIONS, rowdies, brawlers, will break in when she is alone (Complete Repertory) DELUSIONS, watched, that she is being (Kent’s Repertory) DELUSIONS, sees, thinks someone else sees for him (Kent’s Repertory)

14. Delusion of Infidelity: A person with this type of delusional disorder falsely believes that his or her spouse or lover is having an affair and believes that his or her sexual partner is unfaithful. The patient may follow the partner; check text messages, emails, phone calls etc. in an attempt to find “evidence” of the infidelity. Example: DELUSIONS, wife faithless, is Will run away from him (Kent’s Repertory)

15. Delusion of self-accusation: This is a false feeling of remorse or guilt of delusional intensity. For example, a person may believe that he or she has committed some horrible crime and should be punished severely. Another example is a person who is convinced that he or she is responsible for some disaster (such as fire, flood, or earthquake) with which there can be no possible connection.

16. Examples: DELUSIONS, crime committed, he had(complete Repertory) DELUSIONS, crime about to committed a (Kent’s Repertory) DELUSIONS, criminal, that he is a (Kent’s Repertory) DELUSIONS, wrong , fancies he has done (Kent’s Repertory) DELUSIONS, wrong he has done (complete Repertory)

17. Nihilistic delusion: A delusion whose theme centers on the non-existence of self or parts of self, others, or the world. A person with this type of delusion may have the false belief that the world is ending. Examples: DELUSIONS, belong to her own family, does not (Kent’s Repertory) DELUSIONS, deserted, forsaken (Kent’s Repertory) DELUSIONS, devils he is a, that (Complete Repertory)

18. Hypochondriacal delusion: A person with this type of delusional disorder believes that he or she has a physical defect or medical problem. Usually the false belief is that the body is somehow diseased, abnormal, or changed. An example of a somatic delusion would be a person who believes that his or her body is infested with parasites.

19. Examples: DELUSIONS, sick he is (Complete Repertory) DELUSIONS, sick, imagines himself (Kent’s Repertory) DELUSIONS, liver disease, he will have (Complete Repertory) DELUSIONS, disease  incurable, has (Complete Repertory) DELUSIONS, health, he has ruined his (Kent’s Repertory) DELUSIONS, heart diseases, is going to have, and die (Kent’s Repertory)

20. Religious delusion: Any delusion with a religious or spiritual content. These may be combined with other delusions, such as grandiose delusions (the belief that the affected person is a god or chosen to act as a god). Examples: DELUSIONS,  God that he is in communication with (Kent’s Repertory) DELUSIONS, God  presence of God, that he is in the (Complete Repertory) DELUSIONS, heaven, is in (Kent’s Repertory) DELUSIONS, Christ, thinks himself to be (Kent’s Repertory)

21. Delusion of poverty: The person strongly believes that he is financially incapacitated. Example: DELUSIONS, poor, he is (complete Repertory) DELUSIONS, thinks he is poor (Kent’s Repertory) FEAR , poverty (Kent’s Repertory) FEAR, failure, of, in business (Kent’s Repertory)

22. Erotomania: A delusion in which one believes that another person, usually someone of higher status, is in love with him or her. It is common for individuals with this type of delusion to attempt to contact the desired person (through phone calls, letters, gifts, and sometimes stalking).

23. Delulu : T he term delulu is used to refer to individuals who were in a  parasocial relationship  with celebrities and had hopes of meeting them someday. The term was often also used by users in the context of joking about being deluded themselves. I t referred to individuals who harbored unrealistic hopes of meeting a celebrity of whom they were a fan, indicating a parasocial relationship characterized by delusional beliefs.