Long Shadows: Trauma and Delusions

Clinical psychologist Professor Daniel Freeman continues his exploration of delusions, looking at historic and contemporary case studies.

In this programme, he looks at delusions relating to trauma.

He begins with a case study from 1800 recorded by the pioneering mental health physician Philippe Pinel in Paris, of a man who believed he had lost his head on the scaffold. It is one of many accounts of how guillotine trauma created delusional responses in people during the French Revolution.

It is vivid cases such as these most likely to be recorded in psychiatric studies. But today there is a growing awareness of the "clinician's illusion" and how mental health services see only the rare, extreme end of a continuum. Delusional thinking is actually more common then once thought, and for most people it is not problematic or in need of care.

In fact, is there an untold story in the history of delusions - that they can be helpful?

Daniel talks to John about the delusion he believes sustained him in the aftermath of a traumatic childhood.

Produced by Victoria Shepherd and Eve Streeter A Greenpoint production for BBC Radio 4