偏执状态是指以突出偏执妄想而无幻觉为特点。它既无偏执狂那样的系统性妄想，又与偏执型精神分裂症的妄想分散和荒诞离奇、伴有幻觉，且发生人格衰退等不同。有学者认为偏执状态似乎是介于偏执狂和偏执型精神分裂症之间的一种状态。偏执状态的患病率比偏执型精神分裂症少，而比偏执狂多，目前尚没有该病的确切发病率。该病病人可照常工作，甚至可圆满完成任务，往往不去求医。
达利能够创造他所谓的“手绘的梦幻照片”，这是他在偏执状态中所看到的幻觉和形象的有形的绘画表现。
Dali was able to create what he called "hand painted dream photographs" which were physical, painted representations of the hallucinations2 and images he would see while in his paranoid state.
达利虽然不是真正的偏执狂，但却能够不靠药物的作用模拟偏执狂的状态，一旦回到“正常的视角”，他就能画出在偏执状态下所看到和想像的东西。
Dali, though not a true paranoid, was able to simulate a paranoid state, without the use of drugs, and upon his return to "normal perspective" he would paint what he saw and envisioned therein.
当唤起第一次业主帐户交易柜台(用银行的资金进行豪赌)的盛年时的贪婪、恐惧和彻底的偏执时布克斯·多布处于最佳的状态。
He is at his best when evoking the greed, fear and outright paranoia of the first great age of proprietary-trading desks (which bet big with their bank's own capital).
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