from Section 2 - Confounding Factors and Special Populations
Published online by Cambridge University Press: 19 June 2025
An extreme overvalued belief is shared by others in a person’s cultural, religious, or subcultural group. The belief is often relished, amplified, and defended by the possessor of the belief and should be differentiated from a delusion or obsession. Over time, the belief grows more dominant, more refined, and more resistant to challenge. The individual has an intense emotional commitment to the belief and may carry out violent behavior in its service. This chapter discusses the historical foundations of overvalued idea as first described by neuropsychiatrist Carl Wernicke. Case examples of phenomenology in forensic psychiatry are described, as well as implications for the diagnosis of folie a deux. Case examples of Jacob Chansley (U.S. Capitol attack), Anders Breivik, and Malik Hassan are discussed in detail. Finally, a discussion of Gestalt psychology, moral schemas, as well as binary bias and emotional tagging is presented as important to understanding how extreme overvalued beliefs develop.
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