Classification Assessment 260


Delusions (primary and secondary)


A primary delusion is one that arises spontaneously, from normal psychological processes and not as a consequence of psychopathology. 

A secondary delusion develops as a consequence of an abnormal experience.

For instance, if a delusion arises following a patient's experience of auditory hallucinations it is classed as secondary.

Types of primary delusion include:-

  • Delusional perception - A normal perception followed by a delusional interpretation
  • Delusional memory - The recollection of an event or idea that is clearly delusional in nature
  • Delusional mood - Delusion arising from a strange mood
  • Autochthonous delusion - A delusion that appears out of the blue (spontaneously), i.e. not following a perception, memory or mood

The following Royal College document is worth a read.

The description of primary delusions:confusion in standard texts and among clinicians, Psychiatric Bulletin (1997).