Hmmm. Okay, what are the usual dime-store issues? ;-) I realize it might take a loooong time to list them all...though I did mention some of them earlier.

Now, suppose you had a case of someone who thought he was a superhero named The Green Bastard, and he dressed up in lime green tights, ate iron nails for breakfast, juggled rattlesnakes for amusement, and leapt off tall buildings now and then, thinking he could fly.

In such a case, Bobert, I think you would have a good point. Ordinary psychobabble might not be enough to resolve the problem.