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A hallucination is a perception in the absence of an external stimulus that has the compelling sense of reality. [6] They are distinguishable from several related phenomena, such as dreaming (), which does not involve wakefulness; pseudohallucination, which does not mimic real perception, and is accurately perceived as unreal; illusion, which involves distorted or misinterpreted real ...
In rare instances, it can include delusions of immortality. [9] Syndrome of delusional companions is the belief that objects (such as soft toys) are sentient beings. [10] Clonal pluralization of the self, where a person believes there are multiple copies of themselves, identical both physically and psychologically, but physically separate and ...
In some instances, they may also experience distressing symptoms if they believe a god is inducing illness as punishment. The patient may refuse treatment based on religious speculation. In certain instances, one might believe that the delusions and hallucinations are a divine experience, and therefore deny medical treatment. [23]
Ideas of reference and delusions of reference describe the phenomenon of an individual experiencing innocuous events or mere coincidences [1] and believing they have strong personal significance. [2] It is "the notion that everything one perceives in the world relates to one's own destiny", usually in a negative and hostile manner.
Half of patients experience more than one kind of delusion. [2] Delusions occur without hallucinations in about one-half to two-thirds of patients with psychotic depression. [2] Hallucinations can be auditory, visual, olfactory (smell), or tactile (touch), and are congruent with delusional material. [2] Affect is sad, not flat.
For the diagnosis to be made, auditory and visual hallucinations cannot be prominent, though olfactory or tactile hallucinations related to the content of the delusion may be present. [8] The delusions cannot be due to the effects of a drug , medication , or general medical condition , and delusional disorder cannot be diagnosed in an ...
A delusion [a] is a fixed belief that is not amenable to change in light of conflicting evidence. [2] As a pathology, it is distinct from a belief based on false or incomplete information, confabulation, dogma, illusion, hallucination, or some other misleading effects of perception, as individuals with those beliefs are able to change or readjust their beliefs upon reviewing the evidence.
Paraphrenia is often associated with a physical change in the brain, such as a tumor, stroke, ventricular enlargement, or neurodegenerative process. [4] Research that reviewed the relationship between organic brain lesions and the development of delusions suggested that "brain lesions which lead to subcortical dysfunction could produce delusions when elaborated by an intact cortex".