Finding order within the disorder: a case study exploring the meaningfulness of delusions

Can delusions, in the context of psychosis, enhance a person's sense of meaningfulness? The case described here suggests that, in some circumstances, they can. This prompts further questions into the complexities of delusion as a lived phenomenon, with important implications for the clinical encounter. While assumptions of meaninglessness are often associated with concepts of 'disorder', 'harm' and 'dysfunction', we suggest that meaning can nonetheless be found within what is commonly taken to be incomprehensible or even meaningless. A phenomenological and value-based approach appears indispensable for clinicians facing the seemingly paradoxical coexistence of harmfulness and meaningfulness.

Automated summary

Delusions, in some cases, can enhance an individual's sense of meaningfulness, challenging assumptions associated with concepts of 'disorder' and 'harm'. The coexistence of harmfulness and meaningfulness in delusions requires a phenomenological and value-based approach for clinicians.