Working with people experiencing delusions

Abstract

Mary’s belief is typical of the deluded client receiving treatment in mental health units all over the world. The great tragedy is that whatever is done for Mary, until such time as her ideas become more logical she earnestly believes them. Any attempt to treat her may simply be incorporated into her delusional system as another plot and make her more resistive.

Mary was recently admitted believing herself to be perfectly well. She insists that she is a victim of a Soviet plot to destroy her. Her brain is receiving transmissions from Russia which are gradually interfering with her thinking. Her next-door neighbours are spies. She knows this because it was they who informed the doctor that she was unwell. At one time she trusted her GP but that was probably her big mistake, for he is undoubtedly the head of the local spy ring, and by admitting her to a mental health unit he has prevented anyone believing her story.