What is Delusion?

NewsGuard 100/100 Score

Delusion refers to a strongly held belief despite evidence that the belief is false.

Delusion usually occurs as a result of a neurological problem or a mental illness. However, delusion is not associated with any one disease in particular and has been found to manifest as a feature of various different physical and mental illnesses. Delusion is a typical clinical feature in psychotic disorders such as schizophrenia, bipolar disorder, and paraphrenia.

According to the most recent version of the Diagnostic and Statistical Manual of Mental Disorders (DSM IV), delusion is defined as: “A false belief based on incorrect inference about external reality that is firmly sustained despite what almost everyone else believes and despite what constitutes the inconvertible and obvious proof or evidence to the contrary.”

This definition does not extend to beliefs that are generally accepted by members of the person’s culture, as part of their faith, for example.

History of delusion

Psychiatrist and philosopher Karl Jaspers first described the three main criteria that need to be met for a belief to be diagnosed as delusional. These were outlined in his 1917 work called “General Psychopathology” and include the following:

  • The false belief is held with absolute certainty or conviction
  • The belief remains unchanged despite proof that it is not true
  • The belief is false, implausible, bizarre or impossible

An example of a bizarre delusion would be a belief that is strange and implausible such as a person believing aliens have removed part of their brain. An example of a non-bizarre delusion would refer to something that could potentially occur such as the person being poisoned or followed.

For an individual to be diagnosed as delusional, the belief cannot be occurring as a result of using drugs or a general medication and the person must be free of any history of schizophrenia.

Further Reading

Last Updated: Jun 12, 2023

Dr. Ananya Mandal

Written by

Dr. Ananya Mandal

Dr. Ananya Mandal is a doctor by profession, lecturer by vocation and a medical writer by passion. She specialized in Clinical Pharmacology after her bachelor's (MBBS). For her, health communication is not just writing complicated reviews for professionals but making medical knowledge understandable and available to the general public as well.


Please use one of the following formats to cite this article in your essay, paper or report:

  • APA

    Mandal, Ananya. (2023, June 12). What is Delusion?. News-Medical. Retrieved on May 18, 2024 from https://www.news-medical.net/health/What-is-Delusion.aspx.

  • MLA

    Mandal, Ananya. "What is Delusion?". News-Medical. 18 May 2024. <https://www.news-medical.net/health/What-is-Delusion.aspx>.

  • Chicago

    Mandal, Ananya. "What is Delusion?". News-Medical. https://www.news-medical.net/health/What-is-Delusion.aspx. (accessed May 18, 2024).

  • Harvard

    Mandal, Ananya. 2023. What is Delusion?. News-Medical, viewed 18 May 2024, https://www.news-medical.net/health/What-is-Delusion.aspx.


  1. Andrew Reagan Andrew Reagan United States says:

    Grandiose thinking without discipline is the beginning of delusion.

  2. Larry Burkhardt Larry Burkhardt United States says:

    "This definition does not extend to beliefs that are generally accepted by members of the person’s culture, as part of their faith, for example."

    So just because a lot of people share a delusion it's no longer a delusion?

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.