he goes to the police station to report this. What kind of delusions is he suffering from?
a. Delusion of reference
b. Delusion of control
c. Delusion of guilt
d. Delusion of persecution
e. Delusion of grandeur
answer: E
- Delusions of persecution or paranoia – Belief that others — often a vague “they” — are out to get him or her. These persecutory delusions often involve bizarre ideas and plots (e.g. “Russians are trying to poison me with radioactive particles delivered through my tap water”).
- Delusions of reference – A neutral event is believed to have a special and personal meaning. For example, a person with schizophrenia might believe a billboard or a celebrity is sending a message meant specifically for them.
- Delusions of grandeur – Belief that one is a famous or important figure, such as Jesus Christ or Napolean. Alternately, delusions of grandeur may involve the belief that one has unusual powers that no one else has (e.g. the ability to fly).
- Delusions of control – Belief that one’s thoughts or actions are being controlled by outside, alien forces. Common delusions of control include thought broadcasting (“My private thoughts are being transmitted to others”), thought insertion (“Someone is planting thoughts in my head”), and thought withdrawal (“The CIA is robbing me of my thoughts”).
- Delusions of Jealousy (Othello syndrome) Patients possess the fixed belief that their spouse or partner has been unfaithful. Often patients try to collect evidence and/or attempt to restrict their partner’s activities.
- Erotomanic Delusions (De Clérambault syndrome) Patients present with the belief that some important person is secretly in love with them.
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