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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My intestines have been replaced by snakes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