Mental Distortions and Delusions: Is There a External Touchpoint, Or Is It “All Relative”?

The battle for reality wages on, just as it always has.

Grant H Brenner MD DFAPA
5 min readFeb 19, 2024
Grant H Brenner / Dalle 2

For some reason, the question of delusion and distortion is trending a bit. I’ve seen this on X — a lot of folks in the psychology space are raising the question of how we know what is accurate. Here are few thoughts on the subject.

If we feel wronged, if we feel mistrustful — how do we know that is an accurate appraisal of the situation, of the other person’s intent — or if we are “projecting” (see below for more on projection) our own issues (experiencing our own motivations or beliefs as if they were the other’s) or if we are misjudging? Especially nowadays when it seems harder and harder to talk through differences without a communication breakdown, it’s not surprising that the question is coming up. Is there any way to tell if I or the other person is distorting reality, or even hold strong false beliefs about reality?

For Reals

It makes sense on both macro and micro levels that this kind of debate is coming up again. We used to stay up all night debating it in college, and the only thing which has really changed is that the tech is better, smarter, faster — and we’re more massively digitially interconnected. We…

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Grant H Brenner MD DFAPA

Psychiatrist, Psychoanalyst, Entrepreneur, Writer, Speaker, Disaster Responder, Advocate, Photographer