Ideas and delusions of reference

{{Main|Psychoanalytic theory}}

In Sigmund Freud's view, "Delusions of being watched present this power in a regressive form, thus revealing its genesis...voices, as well as the undefined multitude, are brought into the foreground again by the [paranoid] disease, and so the evolution of conscience is reproduced regressively."Sigmund Freud, On Metapsychology (PFL 11) p. 90 As early as 1928, Freud's contemporary, Carl Jung, introduced the concept of synchronicity, a theory of "meaningful coincidences".{{cite book|last=Tarnas|first=Richard|url=https://archive.org/details/cosmospsycheinti00tarn/page/50|title=Cosmos and Psyche|publisher=Penguin Group|year=2006|isbn=978-0-670-03292-1|location=New York|page=[https://archive.org/details/cosmospsycheinti00tarn/page/50 50]}}

In 1946, Otto Fenichel concluded that "the projection of the superego is most clearly seen in ideas of reference and of being influenced....Delusions of this kind merely bring to the patient from the outside what his self-observing and self-critical conscience actually tells him."Fenichel, Otto (1946). The Psychoanalytic Theory of Neurosis (London) pp. 430–1

Jacques Lacan similarly saw ideas of reference as linked to "the unbalancing of the relation to the capital Other and the radical anomaly that it involves, qualified, improperly, but not without some approximation to the truth, in old clinical medicine, as partial delusion"Jacques Lacan, Ecrits: A Selection (London 1996) p. 214—the "big other, that is, the other of language, the Names-of-the-Father, signifiers or words",Hill, Philip (1997). Lacan for Beginners (London) p. 160 in short, the realm of the superego.

{{Main|Anti-psychiatry}}

Validation rather than clinical condemnation of ideas of reference is frequently expressed by anti-psychiatrists, on the grounds, for example, that "the patient's ideas of reference and influence and delusions of persecution were merely descriptions of her parents' behavior toward her."Thomas J. Scheff, Being Mentally Ill (1999) p. 180 While accepting that "there is certainly confusion between persecutory fantasies and persecutory realities", figures like David Cooper believe that "ideas of connection with apparently remote people, or ideas of being influenced by others equally remote, are in fact stating their experience" of social influence – albeit in a distorted form by "including in their network of influence institutions as absurd as Scotland Yard, the Queen of England, the President of the United States, or the BBC".David Cooper, The Death of the Family (Penguin 1974) p. 14 and p. 82

R. D. Laing took a similar view of the person who was "saying that his brains have been taken from him, that his actions are controlled from outer space, etc. "Such delusions are partially achieved derealization-realizations."R. D. Laing, Self and Others (Penguin 1969) p. 39 Laing also considered how "in typical paranoid ideas of reference, the person feels that the murmurings and mutterings he hears as he walks past a street crowd are about him. In a bar, a burst of laughter behind his back is at some joke cracked about him", but felt that deeper acquaintance with the patient reveals in fact that "what tortures him is not so much his delusions of reference, but his harrowing suspicion that he is of no importance to anyone, that no one is referring to him at all."Laing, p. 136

Ideas of reference must be distinguished from delusions of reference, which may be similar in content but are held with greater conviction.P. B. Sutker/H. E. Adams, Comprehensive Handbook of Psychopathology (2001) p. 540 With the former, but not the latter, the person holding them may have "the feeling that strangers are talking about him/her, but if challenged, acknowledges that the people may be talking about something else".Sutker/Adams, p. 540

From the psychoanalytic view, there may be at the same time "transitions...to delusions" from ideas of reference: "abortive ideas of reference, in the beginning of their development or, in schizotypal personalities, continuously, may remain subject to the patient's criticism...under adverse circumstances, by minimal economic shifts, however, reality testing may be lost and daydreams of this kind turn into delusions."Fenichel, p. 444

It has been noted that a person "rigidly controlled by his superego...readily forms sensitive ideas of reference. A key experience may occur in his life circumstances and quite suddenly these ideas become structured as delusions of reference."A. C. P. Sims, Symptoms in the Mind (2003) p. 129 Within the "focus of paranoia...that man crossing his legs, that woman wearing that blouse—it can't just be accidental. It has a particular meaning, is intended to convey something."Iain McGilchrist, The Master and His Emissary (London 2010) p. 399

Persons with ideas of reference may experience:

• Believing that "somehow everyone on a passing city bus is talking about them".V. M. Durand/D. H. Barlow, Essentials of Abnormal Psychology (2005)p. 442
• Feeling that people on television or radio are either talking about them or talking directly to them.
• Believing that headlines or articles in newspapers have been written exclusively for them.
• Believing that events (even world events) have been deliberately contrived for them, or have special personal significance for them.
• Believing that the lyrics of a song are specifically about them.
• Believing that the normal function of cell phones, computers, and other electronic devices is to send secret and significant messages that only they can understand or believe.
• Perceiving objects or events as having been deliberately set up to convey a particular meaning to themselves.
• Thinking "that the slightest careless movement on the part of another person had great personal meaning...increased significance".Eric Berne, A Layman's Guide to Psychiatry and Psychoanalysis (Penguin 1976) p. 205
• Thinking that posts on social networking websites or Internet blogs have hidden meanings pertaining to them.
• Believing that the behavior of others is in reference to an abnormal, offensive body odor, which in reality is non-existent and cannot be smelled or detected by others (see: olfactory reference syndrome).

• In Mrs Dalloway (1925), as a plane flies over a shell-shocked soldier: "So, thought Septimus, they are signalling to me...smoke words".Quoted in Porter, Women's Vision p. 117 The author, Virginia Woolf, recorded in a memoir how she herself "had lain in bed...thinking that the birds were singing Greek choruses and that King Edward was using the foulest possible language among Ozzie Dickinson's azaleas".Quoted in Hermione Lee, Virginia Woolf (London 1996) p. 195
• In Margaret Mahy's Memory (1987), the confused adolescent hero decides "to abandon himself to the magic of chance. From now on his signposts would be words overheard accidentally, graffiti, advertisements, street names...the clues the city offered him."Margaret Mahy, Memory (London 1987) p. 23
• The Naval Intelligence hero of Patrick O'Brian's Treason's Harbour (1983) reflects ruefully that "after a while an intelligence-agent tended to see spies everywhere, rather as certain lunatics saw references to themselves in every newspaper."Patrick O'Brian, Treason's Harbour (London 2007) p. 19
• In Vladimir Nabokov's short story "Signs and Symbols" (1948), the parents of a suicidal youth suffering from a variation of this illness, "referential mania", decide to remove him from a hospital in order to keep a more watchful eye.{{cite web |url=http://www.angelynngrant.com/nabokov.html |title=Vladimir Nabokov's "Signs and Symbols" |access-date=2012-01-04 |url-status=dead |archive-url=https://web.archive.org/web/20120114144458/http://www.angelynngrant.com/nabokov.html |archive-date=2012-01-14 }}

{{columns-list|colwidth=18em|

• Apophenia
• Coincidance: A Head Test
• Confirmation bias
• Generalized other
• Hostile attribution bias
• Imaginary friend
• Paranoiac-critical method
• Pareidolia
• Personal boundaries
• Reference group
• Synchronicity
• Synchronicity (book)

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{{Delusion}}

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Category:Delusional disorders

Category:Medical signs

Category:Delusions