Persecutory delusion disorder is a type of schizophrenia.
Patients are often in a state of fear, leading to disordered reasoning and judgment. Their thinking becomes impaired, and they become convinced they are being persecuted or harmed.
This can include feelings of being gossiped about, framed, plotted against, robbed of their property, or raped.
In their daily lives, such patients usually become extremely cautious and guarded. They often incorporate people they know into their delusional world.
Patients with persecutory delusions generally have suicidal tendencies.
When faced with specific stimuli, they can also exhibit severe violent tendencies, potentially leading to disaster…
Yan Feifan quickly ran through all the information and data he knew about persecutory delusion disorder.
"Mr. Miao, why do you suspect he's faking it?"
Mr. Miao didn't answer directly. Instead, he opened a file on the coffee table and showed Yan Feifan a few photos.
"This is the patient, this is his twelve-year-old son, and this is the lover the patient killed."
'Holy crap…'
Yan Feifan could tell at a glance.
The eyes, the double eyelids, the chin, the flat-bridged nose—the son had inherited too many of the lover's features.
It was so obvious they wouldn't even need to spend money on a paternity test.
Mr. Miao explained in a low voice, "This lover returned to the patient's city last year for work-related reasons."
"Less than a month after that, the patient had his first-ever violent outburst where he beat his son. The persecutory delusions started soon after."
"That's the first suspicious point…"
Mr. Miao picked up his large thermos, took a sip of water, and continued, "During the subsequent treatment, the patient had several severe episodes."
"These episodes almost always happened at home and were usually triggered by outsiders visiting."
"On one occasion, he even attacked his father-in-law and threw him out of the house."
Mr. Miao analyzed, "I personally believe he is intentionally creating an impression for outsiders that his home is a safe haven. As soon as an outsider intrudes, he has an episode and becomes violent."
"However…"
Mr. Miao smiled. "The patient's personal life is extremely disciplined. He commutes to and from work on time every day."
"Every Saturday morning, he goes to his psychologist for a counseling session."
"He eats lunch out, then goes to the park in the afternoon to take a walk and play chess. In the evening, he returns home for dinner."
"But on that particular Saturday, the patient suddenly returned home…"
Yan Feifan asked, a little puzzled, "Mr. Miao, if the suspicious points are so clear, what's preventing you from determining whether this person is genuine or just faking it?"
Mr. Miao took another photo out of the folder.
It was a picture of a bookshelf.
Yan Feifan looked closely and saw that the bookshelf was completely filled with books.
Upon closer inspection, they were all professional books on psychology, mental illness, and persecutory delusion disorder.
Yan Feifan did a quick count. There were one hundred and thirty-five of them in total.
"Mr. Miao, this is?"
Mr. Miao nodded. "That's right. This is the patient's own bookshelf. According to him, he wanted to study his condition to better cooperate with his psychiatrist and recover as quickly as possible."
Mr. Miao tapped the photo of the bookshelf heavily with his finger. "This amount of professional reading is comparable to someone with a bachelor's and master's in psychiatry."
"Add to that a year and a half of clinical experience…"
Mr. Miao sighed softly. "We've run all sorts of tests on him, and he perfectly matches the typical characteristics of persecutory delusion disorder."
"Our daily observations, as well as his behavioral and linguistic analyses, are all consistent with the symptoms he should have."
"You could say he's too consistent."
"If you showed his test results and daily behavior to one hundred undergraduate psychiatry students, all one hundred would give you the same diagnosis."
Mr. Miao shook his head. "A few of us are suspicious, but none of us can produce any concrete evidence."
"Mr. Tan said it's highly possible this guy has been faking his mental illness for so long and has become so invested in the role that the act has become reality."
After a pause, Mr. Miao said with some uncertainty, "It's not an impossible scenario, and it would explain our suspicions quite well."
"But I just have this feeling that this man is incredibly sharp and is still faking it."
Yan Feifan let out a soft "oh," his own doubts growing.
"Mr. Miao, what can I do?"
"This is something that even you and the other experts in the department can't solve."
Yan Feifan's words carried a hint of wanting to back out.
It wasn't that he didn't want to try his best.
It was because knowledge related to mental illness was the weakest link in his entire knowledge base.