found that the primary sources of meaning derived from grandiose delusions were:Ĭomorbidity Schizophrenia Using a sample of over 13,000 nonclinical and almost 3000 clinical participants, Isham et al. For example, a person who believes they are a senior secret service agent gains a great sense of self-esteem and purpose from this belief, thus until this sense of self-esteem can be provided from elsewhere, it is best not to attempt modification. In many instances of grandiosity, it is suitable to go for a fractional rather than a total modification, which permits those elements of the delusion that are central for self-esteem to be preserved. As a result, it is essential to consider the consequences of removing the grandiose delusion on self-esteem when trying to modify the grandiose delusion in therapy. Grandiose delusions frequently serve a very positive function by sustaining or increasing their self-esteem. Grandiose and expansive delusions may also be part of fantastic hallucinosis in which all forms of hallucinations occur. Įxpansive delusions may be maintained by auditory hallucinations, which advise the patient that they are significant, or confabulations, when, for example, the patient gives a thorough description of their coronation or marriage to the king. Others are not as expansive and think they are skilled athletes or great inventors. Some patients believe they are God, the Queen of the United Kingdom, a president's son, a famous rock star, and some other examples. There are substantial differences in the degree of grandiosity linked with grandiose delusions in different patients. įor example, a patient who has fictitious beliefs about his or her power or authority may believe himself or herself to be a ruling monarch who deserves to be treated like royalty. ![]()
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