220;paranoid social cognition.” The idea of this factor is that a person feels that they are being singled out and all others are against them in whatever they do. It is, in a sense, a defense mechanism against realizing that they have the problem and pushing that problem onto the way others treat them. The person who lives in this paranoid world is said to have built up a “pseudo-community” in which people have a job to cause harm to them or interfere with their well-intended actions. The treatment for someone diagnosed with delusional disorder is still in the process of being established in a way that is truly helpful. The world the delusional person has created for themselves is so well constructed that it is hard to break it down and perform therapy. When approached about their problems, they usually think the person is against them and trying to harm them by saying things about them. The refusal to admit that they have a problem as stated above is the factor that blocks the ability of the therapist to conduct treatment and even offer medication. They view it as a way of someone trying to persecute them and say things about them that are unjust or harmful. In hospitalization, the delusional person will often seem to come out of their delusional world long enough to leave the care of the clinicians and doctors, but is usually only role-playing in realizing that they will be trapped if they do not act “normally”. The therapy and treatment for the person suffering with delusional disorder is still being studied to have the effectiveness that is desired....
