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Delusional disorder, traditionally synonymous with paranoia, is a mental illness in which a person has delusions, but with no accompanying prominent hallucinations, thought disorder, mood disorder, or significant flattening of affect. [6] [7] Delusions are a specific symptom of psychosis.
Metacognitive training (MCT) is an approach for treating the symptoms of psychosis in schizophrenia, [1] especially delusions, [2] which has been adapted for other disorders such as depression, obsessive–compulsive disorder and borderline over the years (see below). It was developed by Steffen Moritz and Todd Woodward.
A delusion [a] is a false 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.
Auditory hallucinations have two essential components: audibility and alienation. [7] This differentiates it from thought insertion. While auditory hallucination does share the experience of alienation (patients cannot recognize that the thoughts they are having are self-generated), thought insertion lacks the audibility component (experiencing the thoughts as occurring outside of their mind ...
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 ...
Reality testing is the psychotherapeutic function by which the objective or real world and one's relationship to it are reflected on and evaluated by the observer. This process of distinguishing the internal world of thoughts and feelings from the external world is a technique commonly used in psychoanalysis and behavior therapy, and was originally devised by Sigmund Freud.
Hallucinations may command a person to do something potentially dangerous when combined with delusions. [19] So-called "minor hallucinations", such as extracampine hallucinations, or false perceptions of people or movement occurring outside of one's visual field, frequently occur in neurocognitive disorders, such as Parkinson's disease. [20]
The delusion can be found in various disorders, being more usual in psychotic disorders. Persecutory delusion is at the more severe end of the paranoia spectrum and can lead to multiple complications, from anxiety to suicidal ideation. Persecutory delusions have a high probability of being acted upon, for example not leaving the house due to ...