delusion of reference
False belief that neutral environmental events are directed at or refer specifically to oneself.
Full Definition
A delusion of reference is a type of paranoid delusion where the individual believes that random events, objects, or behaviors of others have a special significance specifically directed toward them. For example, a patient might believe that news anchors are speaking directly to them through the television or that strangers on the street are making gestures meant specifically for them. This differs from ideas of reference, which are less fixed and intense. Delusions of reference are common in schizophrenia and other psychotic disorders and represent a significant impairment in reality testing.
Usage
Usage note: Distinguish from 'ideas of reference' which are less fixed; avoid confusing with general paranoid delusions.
In Context
- "The patient exhibited delusions of reference, believing that radio advertisements contained coded messages for him." — Psychiatric evaluation report
- "Delusions of reference were noted during the mental status examination when the patient described special meanings in everyday conversations." — Progress note