Delusion formation as an inevitable consequence of a radical alteration in lived experience


The definition of delusion is usually couched in terms of false beliefs held with conviction despite evidence to the contrary. Such beliefs are usually seen as impossible or implausible by others. In order to be classed as clinically significant, a delusion would lead a person to be distressed or to have significant problems with functioning. We note that a person ordinarily understands and negotiates the world based on familiar patterns derived from her cultural and historical experience. Thus, when her lived experience is altered, these assumptions about how the world works may be called in to question. Drawing on interviews conducted with people experiencing clinically significant delusions, we show how this alteration in lived experience manifests as emotional, affective and/or perceptual anomalies. We adopt the framework of the Enactive Approach which posits that a person interacts with her environment in terms of sense-making and we argue that radical alterations in lived experience can demand a renegotiating of how a person makes sense of this new world. We suggest that if the alteration in lived experience is sufficiently radical, then delusion formation is inevitable.

Publication DOI:
Divisions: College of Health & Life Sciences > School of Psychology
College of Health & Life Sciences
Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis Group in Psychosis on 2 Dec 2019, available online at:
Uncontrolled Keywords: affective,Delusion,emotional,enactive approach,perceptual,Psychiatry and Mental health
Publication ISSN: 1752-2439
Full Text Link:
Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
https://www.tan ... 39.2019.1690562 (Publisher URL)
PURE Output Type: Article
Published Date: 2020-04-02
Published Online Date: 2019-12-02
Accepted Date: 2019-11-05
Authors: Gunn, Rachel
Larkin, Michael (ORCID Profile 0000-0003-3304-7000)



Version: Accepted Version

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