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Paranoia is distinct from phobias, which also involve irrational fear, but usually no blame.

the American colloquial phrase, "Everyone is out to get me").Such reports that paranoia seemed to appear more in older patients who had experienced higher levels of discrimination throughout their lives.In addition to this it has been noted that immigrants are quite susceptible to forms of psychosis.According to Deutsch, the main difference is that non-pathological forms are flexible and responsive to changing circumstances.Pathological forms reflect exaggerated perceptual biases and judgmental predispositions that can arise and perpetuate them, are reflexively caused errors similar to a self-fulfilling prophecy.