Paranoia and conspiracy thinking share many risk factors, such as victimization, poverty and social isolation. They also have many phenomenological features in common, including heightened tendency to attribute negative outcomes to malevolent agents and idiosyncratic pattern detection. Nevertheless, paranoia and conspiracy thinking also differ in key respects. Specifically, paranoid thoughts tend to be held in isolation and involve perceptions of harm to the self. Conspiracy beliefs, on the other hand, are shared by others and involve the perception of collective rather than personal harm. We discuss the similarities and differences between paranoia and conspiracy thinking and outline fruitful avenues for future research.
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Greenburgh et al. (2022) studied this question.
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