Paranoia & Delusions

superhero_400pxDelusional disorder, (previously called paranoid disorder,) is a type of serious mental illness called a “psychosis in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, which are unshakable beliefs in something untrue.

People with delusional disorder experience non-bizarre delusions, which involve situations that could occur in real life, such as being followed, poisoned, deceived, conspired against, or loved from a distance. These delusions usually involve the misinterpretation of perceptions or experiences.

In reality, however, the situations are either not true at all or highly exaggerated.

People with delusional disorder often can continue to socialize and function normally, apart from the subject of their delusion, and generally do not behave in an obviously odd or in a bizarre manner. This is unlike people with other psychotic disorders, who also might have delusions as a symptom of their disorder. In some cases, however, people with delusional disorder might become so preoccupied with their delusions that their lives are disrupted.

Types of delusional disorder

There are different types of delusional disorder based on the main theme of the delusions experienced. The types of delusional disorder include:

  • Erotomanic — Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon.
  • Grandiose — A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery.
  • Jealous — A person with this type of delusional disorder believes that his or her spouse or sexual partner is unfaithful.
  • Persecutory — People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them. It is not uncommon for people with this type of delusional disorder to make repeated complaints to legal authorities.
  • Somatic — A person with this type of delusional disorder believes that he or she has a physical defect or medical problem.
  • Mixed — People with this type of delusional disorder have two or more of the types of delusions listed above.

Basic Principles

There are no systematic studies on treatment approaches and results in Delusional Disorder. The patient’s distrust and suspiciousness usually prevents any contact with a therapist.

Hospitalization

Hospitalization is indicated if a potential for danger is present; otherwise outpatient management is advisable. Unfortunately, involuntary hospitalization may increase distrust and resentment and increase the patient’s persecutory delusions.

Antipsychotic Drugs

Antipsychotic medication may be useful, particularly for accompanying anxiety, agitation, and psychosis. Because patients may be suspicious of medication, depot forms may be helpful. Although antipsychotics may have a good response, they are often only marginally effective for specific forms of Delusional Disorder.Other Therapies

Other treatments have been tried (electroconvulsive therapy, insulin shock therapy, and psychosurgery), but these approaches are not recommended.

 

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My Scapegoat

“And Aaron shall lay both his hands on the head of the live goat, and confess over it all the iniquities of the people of Israel, and all their transgressions, all their sins. And he shall put them on the head of the goat and send it away into the wilderness by the hand of a man who is in readiness.”

Leviticus 16:21

The ritual was profoundly simple. Every year two goats were brought into the Temple. Goat #1 was sacrificed for the sins of the high priest. Goat #2 was not killed, but became the “scapegoat.” The priest would lay his hands on its head, and the nation’s sins would be transmitted and then carried to the desert.

This ritual finds fulfillment in Jesus Christ, for He absorbs our sin and carries it away.

Scripture is clear on this. Maybe this might help. Back in the 1970s I remember sponges printed with a politician’s advertising his platform/promises. At first the sponge was paper thin. But when you added water it expanded into a full-size sponge.

For some weird reason that communicates what happened at the cross. Jesus received my sin, darkness, and iniquity. He absorbed it all, and I’m free. He is my scapegoat. He carries all of my dark darkness.

“Surely He has borne our griefs (sicknesses, weaknesses, and distresses) and carried our sorrows pains [of punishment], yet we [ignorantly] considered Him stricken, smitten, and afflicted by God [as if with leprosy].”

Isaiah 53:4, Amplified

Worshiping With a Knife

 by the Forward

In Genesis 22, we have the story of Abraham and Isaac on Mt. Moriah.

Abraham has tied up his son on an altar to offer him as a sacrifice in obedience to God’s direction (v. 2). This is faith being tested to the ultimate extreme. And Abraham shows us how faith really works.

“Then on the third day Abraham lifted his eyes and saw the place afar off. And Abraham said to his young men, “Stay here with the donkey; the lad and I will go yonder and worship, and we will come back to you.”

Genesis 22:4-5

This is the first time that  the word “worship” is used in the Bible.

It sets the singular tone for all the scriptures on this subject. I guess what is interesting is there were no musical instruments involved. There was just these needful things:

  • stones,
  • wood,
  • rope,
  • fire,
  • a knife,
  • and Isaac, (the would-be ‘lamb.’)

There was just a handmade altar, and a sharp knife.

In the end, Abraham raises his knife, and then suddenly, (to the relief of us all) he is stopped. His faith has withstood the test, and he has truly ‘worshiped.’

But the Angel of the Lord called to him from heaven and said, “Abraham, Abraham!” So he said, “Here I am.” And He said, “Do not lay your hand on the lad, or do anything to him; for now I know that you fear God, since you have not withheld your son, your only son, from Me.”

Gen. 22:11-12

Principle One: There really can’t be worship without sacrifice.

Recovering this truth concerning worship is critical. It seems we delegate ‘worship’ to a select few who are talented and gifted. We probably don’t do this deliberately, but sometimes we feel it makes a better presentation. We all want to look good, even as Christians.

Principle Two: The first worshiper didn’t use a guitar, but a knife.

This difference keeps the idea of sacrifice in its definition. There isn’t worship without sacrifice. The knife thrust that he was ready to wield wasn’t backed up by drums or piano. Yet Abraham understood worship every step to Moriah with the knife in his belt.

So, brothers and sisters, because of God’s mercies, I encourage you to present your bodies as a living sacrifice that is holy and pleasing to God. This is your appropriate priestly service.”

Romans 12:1

Ultimately, we must realize our sacrifice is the Lamb of God. It’s His blood on God’s altar for our sins. As believers, our faith firmly rests in this spiritual fact.

We of all people have cause to really worship.

And no sacrifice should be too great for Him who gave Himself for us.