Paranoid disorders: The core of truth behind the delusional system

This is the first paper of a series of articles reporting the findings, life course, and psychiatric outcomes of a group of 34 families in which at least one member of the family developed a delusional system. In this study the author discusses chiefly several issues regarding the genesis, ways of reinforcement, and perpetuation of the delusional ideation which, despite their great contributory importance to the success of treatment of the paranoid patient, seem neglected in the professional literature. The author draws attention to two basic findings that appeared consistently in the study group of 34 paranoid patients: (1) there is always a basis of truth and reality behind every delusional system; and (2) authentic past and current interpersonal transactions play a dominant role in generating and activating the paranoid beliefs.