delusional insanity

See: paranoia
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By 1925 when the report ends he was reported as still suffering from delusional insanity.
The president's actions go beyond arrogance into some kind of delusional insanity.
declared by the English judges be correct, it necessarily follows that the only possible instance of excusable homicide, in cases of delusional insanity, would be where the delusion, if real, would have been such as to create, in the mind of a reasonable man, a just apprehension of imminent peril to life or limb.