Persecutory delusion: Difference between revisions

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Persecutory delusions are a delusional condition in which the affected person believes they are being persecuted. Specifically, they have been defined as containing two central elements:^[1]

The individual thinks that harm is occurring, or is going to occur.
The individual thinks that the perceived persecutor has the intention to cause harm.

According to the DSM-IV-TR, persecutory delusions are the most common form of delusions in schizophrenia, where the person believes "he or she is being tormented, followed, tricked, spied on, or ridiculed."^[2] In the DSM-IV-TR, persecutory delusions are the main feature of the persecutory type of delusional disorder. When the focus is to remedy some injustice by legal action, they are sometimes called "querulous paranoia".^[3]

In cases where reporters of stalking behavior have been judged to be making false reports, a majority of them were judged to be delusional.^[4]^[5]

If the delusion results in imprisonment or involuntary commitment, the person may feel justified in this belief.

Treatment

Both first-generation antipsychotics and second-generation antipsychotics may be useful.^[6] Cognitive behavioral therapy has also been used.

References

^ Freeman, D. & Garety, P.A. (2004) Paranoia: The Psychology of Persecutory Delusions. Hove: PsychoIogy Press. Page 13. ISBN 1-84169-522-X
^ Diagnostic and statistical manual of mental disorders: DSM-IV. Washington, DC: American Psychiatric Association. 2000. p. 299. ISBN 0-89042-025-4.
^ Diagnostic and statistical manual of mental disorders: DSM-IV. Washington, DC: American Psychiatric Association. 2000. p. 325. ISBN 0-89042-025-4.
^ "After eight uncertain cases were excluded, the false reporting rate was judged to be 11.5%, with the majority of false victims suffering delusions (70%)." Attention: This template ({{cite doi}}) is deprecated. To cite the publication identified by doi:10.1177/0093854803259235, please use {{cite journal}} (if it was published in a bona fide academic journal, otherwise {{cite report}} with |doi=10.1177/0093854803259235 instead.
^ Attention: This template ({{cite doi}}) is deprecated. To cite the publication identified by doi:10.1891/1559-4343.10.3.163, please use {{cite journal}} (if it was published in a bona fide academic journal, otherwise {{cite report}} with |doi=10.1891/1559-4343.10.3.163 instead.
^ Garety, Philippa A.; Freeman, Daniel B.; Bentall, Richard P. (2008). Persecutory delusions: assessment, theory, and treatment. Oxford [Oxfordshire]: Oxford University Press. p. 313. ISBN 0-19-920631-7.{{cite book}}: CS1 maint: multiple names: authors list (link)

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[FreemanGarety2004-1] Freeman, D. & Garety, P.A. (2004) Paranoia: The Psychology of Persecutory Delusions. Hove: PsychoIogy Press. Page 13. ISBN 1-84169-522-X

[2] Diagnostic and statistical manual of mental disorders: DSM-IV. Washington, DC: American Psychiatric Association. 2000. p. 299. ISBN 0-89042-025-4.

[3] Diagnostic and statistical manual of mental disorders: DSM-IV. Washington, DC: American Psychiatric Association. 2000. p. 325. ISBN 0-89042-025-4.

[4] "After eight uncertain cases were excluded, the false reporting rate was judged to be 11.5%, with the majority of false victims suffering delusions (70%)." Attention: This template ({{cite doi}}) is deprecated. To cite the publication identified by doi:10.1177/0093854803259235, please use {{cite journal}} (if it was published in a bona fide academic journal, otherwise {{cite report}} with |doi=10.1177/0093854803259235 instead.

[5] Attention: This template ({{cite doi}}) is deprecated. To cite the publication identified by doi:10.1891/1559-4343.10.3.163, please use {{cite journal}} (if it was published in a bona fide academic journal, otherwise {{cite report}} with |doi=10.1891/1559-4343.10.3.163 instead.

[6] Garety, Philippa A.; Freeman, Daniel B.; Bentall, Richard P. (2008). Persecutory delusions: assessment, theory, and treatment. Oxford [Oxfordshire]: Oxford University Press. p. 313. ISBN 0-19-920631-7.{{cite book}}: CS1 maint: multiple names: authors list (link)

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 ==Treatment==
-Persecutory delusion can be treated with simple talk therapy, but they're often instead treated with medications for schizophrenia.{{Cn|date=June 2013}}  Both [[Typical_antipsychotic|first-generation antipsychotics]] and [[Atypical antipsychotic|second-generation antipsychotics]] may be useful.<ref>{{cite book |author=Garety, Philippa A.; Freeman, Daniel B.; Bentall, Richard P. |title=Persecutory delusions: assessment, theory, and treatment |publisher=Oxford University Press |location=Oxford [Oxfordshire] |year=2008 |pages=313 |isbn=0-19-920631-7 |oclc= |doi= |accessdate=}}</ref>  [[Cognitive behavioral therapy]] has also been used.
+Both [[Typical_antipsychotic|first-generation antipsychotics]] and [[Atypical antipsychotic|second-generation antipsychotics]] may be useful.<ref>{{cite book |author=Garety, Philippa A.; Freeman, Daniel B.; Bentall, Richard P. |title=Persecutory delusions: assessment, theory, and treatment |publisher=Oxford University Press |location=Oxford [Oxfordshire] |year=2008 |pages=313 |isbn=0-19-920631-7 |oclc= |doi= |accessdate=}}</ref>  [[Cognitive behavioral therapy]] has also been used.
 ==See also==