Delusions
Psychosis may involve delusional beliefs, some of which are paranoid in nature. Karl Jaspers classified psychotic delusions into primary and secondary types. Primary delusions are defined as arising out of the blue and not being comprehensible in terms of normal mental processes, whereas secondary delusions may be understood as being influenced by the person's background or current situation (e.g., ethnic or sexual orientation, religious beliefs, superstitious belief).[7]
Thought disorder
Formal thought disorder describes an underlying disturbance to conscious thought and is classified largely by its effects on speech and writing. Affected persons may show pressure of speech (speaking incessantly and quickly), derailment or flight of ideas (switching topic mid-sentence or inappropriately), thought blocking, and rhyming or punning.
Lack of insight
One important and puzzling feature of psychosis is usually an accompanying lack of insight into the unusual, strange, or bizarre nature of the person's experience or behaviour.[8] Even in the case of an acute psychosis, people may be completely unaware that their vivid hallucinations and delusions are in any way "unrealistic". This is not an absolute, however; insight can vary between individuals and throughout the duration of the psychotic episode.
It was previously believed that lack of insight was related to general cognitive dysfunction[9] or to avoidant coping style.[10] Later studies have found no statistical relationship between insight and cognitive function, either in groups of people who only have schizophrenia,[11] or in groups of psychotic people from various diagnostic categories.[12]
If that's what goes on in the waiting room, in front of cameras, what goes on when no one's looking?
