What seems to be very important in Joseph's delusions are the power that he believes his impulses or feelings have over other people. The idea that he is being targeted for a prostitution ring suggests that he feels that his sexuality is so powerful it causes other to want him. If he feels that he causes this reaction he is less able to defend himself and more likely to feel he must comply. His father's reaction to the masterbation incident probably made him feel that he has terrible and powerful impulses inside him that he can't control. Jopseph may assume that his father hated the masterbation but was not able to stop Joseph. I agree that the delusions can be guilty fantasies that reflect his view of himself as a terrible person. He probably didn't groom himself as a way to undo his influence. The speech at the gravesite that took place in your office was a nice test to see if you agree that he has the power to ruin people's lives. Since you obviously didn't stop him from rebuking his father, he was relieved of feeling omnipotent and as this fear receded he was less delusional. Good work. David Krause Ph.D.
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