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Though paranoia that people or organizations are conspiring against a patient is a common type of delusion, it's magnified in Susannah because of her job at the Post—she knows the lengths that reporters go for their stories, as she's done this herself. In this case her identity as a journalist exacerbates some of the issues she now faces in the hospital. Essentially, as good as the "real" Susannah might be, she's not a good influence here.