Delusions: Seeking epistemic justice for the most unusual of stories

The label of delusion can be so powerful that people so labelled are no longer believed or supported in preferred ways by those around them. This leads to a lack of meaningful and non-pathologising support for their significant, and at times unusual, beliefs. This phenomenon constitutes a form of epistemic injustice. To address this issue, this paper outlines specific approaches practitioners can adopt to better respond to such beliefs, illustrating these strategies with real-world examples from practice. By doing so, it aims to foster a form of epistemic justice that respects the knowledge and experience of people labelled as delusional and supports them to understand and lessen the impact of these often-distressing experiences. This paper is informed by research undertaken with people who had been labelled by psychiatry as “delusional”.