Stryderunknown,
In many ways you are saying exactly what I am.
Open mindedness to what the patient is describing as delusion and treating the description in the light of uncontrolled intuitive ability will achieve significant results.
hmmmm......
Ok, you would say that it is possible that it should never get to this stage.
I think possibly it isn't understood that a person isn't normally diagnosed just because of a belief. ( not here in Australia, as far as I know any way)
You can believe what you like, this is not grounds for committal or treatment.
It is only when behaviour becomes illegal. In that you pose a threat to your self or to others.
Belief that your parents are trying to kill you is not grounds for diagnosis.
Actions based on those beliefs in a way that threaten or harm your parents would be. The choice being either lock some one up for assault or committ them to psy care.
Say for example a person believes his mom is trying to kill him, so he locks himself in a room and refuses anyone to come in. After a many days the police are called and they take the person away to be assessed.
He has locked himself away for a number of days with out food or water, no toilet. no shows, nothing.
What do you do?
Another example,
A person believes his mom is trying to kill him.
So he walks around the house with a large knife in his hand threatening to hurt his mom.
( I have a friend who used to do just this when psychotic)
What do you do?
A guy stands at a city intersection weilding a samari sword screaming about a police conspiracy and threatening any one that comes close. The city comes to a halt.
What do you do?
The first thing that happens from my understanding is that the doctors and police attempt to stabilise the situation. Isolate, quarrantine and allow time to pass. If the patient remains psychotic he is then diagnosed.
Here the patient has many rights that allow for the possibility of missdiagnosis. Most of the time it requires just that, a passing of time.
A guy walking the streets waving a sword around has comitted a crime, and normally would recieve punishment from the law, however he recieves treatment instead because the police have realised the persons precarious mental state.
There is and always will be many exceptions and many grey areas when it comes to the issue of insanity or sanity.
There will always be examples of missdiagnosis, in fact I woudl suggest that in some way they are all miss-diagniosed and the diagnosis is not Schizophrenia it should be Diagnosed ..... Reflexive sensory disorder or something like that.