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Finding order within the disorder: a case study exploring the meaningfulness of delusions

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Publication details

JournalBJPsych bulletin
DateAccepted/In press - 11 Dec 2020
DatePublished (current) - 1 Apr 2022
Issue number2
Volume46
Number of pages7
Pages (from-to)109-115
Original languageEnglish

Abstract

Can delusions, in the context of psychosis, enhance a person's sense of meaningfulness? The case described here suggests that, in some circumstances, they can. This prompts further questions into the complexities of delusion as a lived phenomenon, with important implications for the clinical encounter. While assumptions of meaninglessness are often associated with concepts of 'disorder', 'harm' and 'dysfunction', we suggest that meaning can nonetheless be found within what is commonly taken to be incomprehensible or even meaningless. A phenomenological and value-based approach appears indispensable for clinicians facing the seemingly paradoxical coexistence of harmfulness and meaningfulness.

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© The Author(s), 2021

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