delusion

Literal belief endorsement

Record the proposition, its referents, and whether the person endorses it literally, tentatively, or figuratively.

1. What does the person say is happening, in their own words? definition
2. Do they mean this as a fact, a possibility, a metaphor, or an imagined scenario? boundary

Belief, thought, and perception distinction

Record whether the account concerns an endorsed explanation, an unwanted thought, a perception, or a combination, without forcing mutually exclusive categories.

1. Is the person endorsing an explanation or describing an unwanted thought they fear might be true? boundary
2. If an unusual perception is reported, what belief about its cause or meaning is separately endorsed? definition

Conditions for reconsideration

Record current certainty, acknowledged doubt, and any circumstances the person says could change their view.

1. How certain is the person, and does certainty change across situations or times? measurement
2. What observation, if any, would lead them to reconsider the belief? boundary

Counterevidence quality

Record what allegedly contradicts the belief, whether it was accessible and understandable to the person, and how they responded.

1. Which supporting and contradicting observations have been independently checked, and by whom? provenance
2. How did the person interpret the apparent counterevidence, and did any part of the belief change? measurement

Contextual fit

Record contextual interpretations and their sources, including uncertainty about actual threats or events.

1. How do relevant cultural or religious reference communities understand this belief and its personal application? boundary
2. What language differences, lived circumstances, or unresolved events could change the assessor's interpretation? provenance

Attributed classification

Record who proposes the label, the definition or assessment framework used, supporting observations, and competing explanations.

1. Who characterizes this belief as delusional, under which definition, and on what observations? provenance
2. Would a framework emphasizing falsity, conviction, evidence responsiveness, or lived experience interpret this case differently? boundary

Belief emergence sequence

Record first endorsement and preceding or accompanying experiences, including uncertainty in retrospective accounts.

1. When was the belief first endorsed, and what account supports that timing? provenance
2. What changes in perception, mood, sleep, health, or substance exposure were reported around that time? measurement

Longitudinal belief profile

Distinguish changes in endorsement from reduced discussion, concealment, or reduced preoccupation.

1. Across assessments, how have content, conviction, and time spent thinking about the belief changed? measurement
2. If the person mentions it less, what establishes whether endorsement changed or discussion simply decreased? boundary

Attributed functional and safety effects

Record distress, disruption, and specific actions or intentions, with evidence for their relationship to the belief.

1. What distress or disruption does the person associate with the belief, and what effects are independently observed? measurement
2. Are there specific actions or intentions involving harm, confrontation, or inability to meet basic needs that require a timely response? action

Response without unverified endorsement

Identify ways to acknowledge feelings, address practical needs, and facilitate assessment without affirming an unverified explanation.

1. What distress or practical need can be addressed without requiring agreement about the belief's explanation? action
2. What uncertainties and attributed observations should accompany a referral or handover for professional assessment? action

Check these first

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these check these first hold for the sense of delusion this model covers, and on what evidence? provenance

Kinds and varieties

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these kinds and varieties hold for the sense of delusion this model covers, and on what evidence? provenance

Standards and regulation

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these standards and regulation hold for the sense of delusion this model covers, and on what evidence? provenance

Real-world use

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these real-world use hold for the sense of delusion this model covers, and on what evidence? provenance

Typical measurements

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these typical measurements hold for the sense of delusion this model covers, and on what evidence? provenance

Failure modes and hazards

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these failure modes and hazards hold for the sense of delusion this model covers, and on what evidence? provenance

Regional variation

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these regional variation hold for the sense of delusion this model covers, and on what evidence? provenance

Neighbouring kinds and how to tell them apart

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these neighbouring kinds and how to tell them apart hold for the sense of delusion this model covers, and on what evidence? provenance