Practical  Paradox #1991991:

I have no confession to make – there has been a problem. A delay, no less. It came about because I was trapped, practically. I was brought out of it by Andrew, a student at The University of Rummidge’s philosophy grad school, who diagnosed the following practical paradox:

Some delusional or confabulatory disorders involve the subject refusing to accept or believe that they have an illness, disability or injury. I’m not thinking about linguistic aphasias, where the subject struggles to communicate a belief, but cases where they’re convinced that there’s nothing to communicate. In these cases, there’s a practical paradox which can prevent the subject from getting diagnosed and treated: they don’t think that they’re ill, so they’ve got nothing to discuss with a physician.

Usually, friends or loved ones eventually take the subjects to be treated, often because the disorder is affecting their well-being. This fits the structure of practical paradoxes discussed so far: the way you get out of a practically paradoxical situation is through the intervention of an external agent.