“I was trying to save the world”: delusion-like ideation and associated impacts reported by Western practitioners of Buddhist meditation
Frontiers in Psychology October 24, 2025 Elizaveta Solomonova, Jared R. Lindahl, Ian Gold et al. 1 citation
Delusion-like ideation (DLI) occurs in psychopathology and among the general population, and meditation can trigger such experiences. Based on interviews with over 100 Buddhist meditation practitioners and experts, this mixed-methods study establishes a typology of eight types of DLI, reports their relative frequencies, and identifies impacts and treatment outcomes. Four case studies illustrate risk factors, trajectories, outcomes, and appraisals. Responses to DLI depend on type, duration, severity, impact, and appraisals by meditators, teachers, and psychiatrists. Some DLI phenomenology reflects Buddhist meditation cultures; although normalized in certain contexts, meditation experts consider DLI a potential "red flag" requiring monitoring or intervention. Explanatory models include environmental conditions of retreats, attention and sensory attenuation, and DLI as a cultural idiom of distress.