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The description of primary delusions: confusion in standard texts and among clinicians

Department of Psychiatry, University of Newcastle upon Tyne, Leazes Wing, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP. E-mail: r.h.mcallister-williams{at}newcastle.ac.uk

A review of standard texts used by trainees reveals a wealth of differences in the description of primary delusions. The views of 52 consultants and trainees were obtained regarding the various descriptions present in textbooks. This demonstrated a high degree of disagreement between clinicians as to which description most clearly matched their own view. A scheme for the classification and description of primary delusions is suggested.