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A delusion was a false belief that was not necessarily visible to the believer (unlike a hallucination), often brought on by mental illness.

In 2268, Korax accused James T. Kirk of having "delusions of godhood.". (TOS: "The Trouble with Tribbles")

In 2269, while Kirk was trapped in Janice Lester's body, Doctor Arthur Coleman diagnosed Lester with the delusion of being Captain Kirk. (TOS: "Turnabout Intruder")

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