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Delusions PSYCHOTIC SYMPTOMS TYPOLOGY DEFINITION TYPE Persecutory delusions EXAMPLE Self or loved ones are being persecuted, watched or conspired against Thoughts, feelings or behaviours are being imposed or controlled by an external force Thoughts are being broadcast from one’s mind for others to hear Another person or object is inserting thoughts into one’s head Thoughts are being removed from one’s head by another person or object The person committed a terrible act or is responsible for some terrible event The appearance or part of one’s body is diseased or altered The person possesses great power, knowledge or talent, or that he or she is famous and powerful Events, objects or activities of other people have a particular and unusual significance A government agency is conspiring to catch me in a sting operation An alien has taken over my body and is controlling my behaviour My thoughts are being transmitted via the internet against my will My spouse is inserting blasphemous thoughts in my mind via the microwave A roommate is stealing all your thoughts while you sleep I have killed someone Auditory Hearing voices or sounds Tactile or somatic Gustatory Having sense perceptions Experiencing persistent or recurrent bad or unusual tastes Having unusual perceptions of smells Hearing single or multiple sounds, foreign or familiar; arguing, conversing, commenting, or commanding; music; strange or threatening noises Feeling electric-like tingling or burning sensations Tasting worms Delusions of being controlled Thought broadcasting Thought insertion Thought withdrawal Delusions of guilt or sin Somatic delusions Grandiose delusions Delusions of reference Hallucinations Olfactory My intestines have been replaced by snakes I am the leader of the country. I am Jesus Christ reincarnated The television commentator is mocking me Smelling cinnamon or something foul Disorganized thought form Loosening of associations Being incoherent Tangentiality Derailing without returning to original topic Circumstantiality Talking around a topic, being overly detailed or digressive Creating new, idiosyncratic words Persistently repeating words, ideas or subject matter Repeating the words of other people Losing thoughts mid-sentence, being unaware of speech disruption, being unable to recall topic of conversation Neologisms Preservation Echolalia Thought blocking Catatonic behavior Catatonic stupor Catatonic posturing Catatonic excitement Entering a motionless state, oblivious to external stimuli Holding bizarre body position for a long time and remaining oblivious to the outside world Displaying a state of constant agitation and excitability *Definitions of delusions only apply in the absence of related stimuli Speaking in “word “salad” (using words that have no connection or meaning) or clanging (using words of statements connected by sound, not by meaning) Moving to a new topic without finishing thoughts or sentences Relating every detail of the day when asked about dinner “fan-tatily-astic,” “helicopter parent” Always turning the discussion to cars Always repeating the question before answering Dropping a topic mid-sentence, pausing for a long time, then resuming with an unrelated topic Sitting, being unresponsive to stimuli for hours or days Holding arms in an out-stretched position for much longer than seems comfortable Running aimlessly around the room