Delusions generally have a persecutory or grandiose content. The content of the delusions represent a pictorial transformation of higher levelemotional experiences such as the belief in being controlled devalued, scrutinized etc. These higher level experiences are translated into images of being influenced by rays from an influencing machine, being observed by multiple cameras, having one’s food poisoned, or being threatened by a gang of robbers.

The genesis of the content of the delusions may be found in the negative self-concept and the negative concept of others: perceives self as devalued, controlled, vulnerable and helpless and others as devaluing, controlling, rejecting, and dangerous. This specific negative view of the self and others, as well as the content of the delusions activate, urges to be valued, in control, safe, etc. The treatment implications are that fulfilling these needs not only helps to propel the individual into the adaptive mode but also alleviates the delusions. The grandiose delusions appear to be compensation for a covert image of self and others (on questionnaires. These individuals endorse a positive concept of self and others). The grandiose delusions compensate for the sense of feeling diminished etc. The delusion of being god for example substitutes worshiped for being devalued, omnipotence for a perception of lack of control, and all-loving for undesirable. Whether the delusions are of the persecutory or the grandiose variety, the specific therapeutic strategies help to restore the individual to normal functioning.