Paranoid-like reactions are a phenomenon that is similar to delusions. Its occurrence is mostly related to the patient’s situation, develops through certain psychological mechanisms, and is not as strongly held as delusions: therefore, it is also called psychogenic delusions. Many of these psychological factors that influence mood often develop first as hypervalent perceptions before further developing a paranoid-like response similar to delusions. The so-called hyper-valence concept is a content of thinking that has strong emotional overtones and becomes pre-eminent over other concepts, which continues to dominate his mental life for a considerable period of time, causing him to make biased or erroneous judgments about objective situations. Causes of class paranoia 1. Psychological factors: Psychological factors that cause class paranoia reactions are most common with certain mental or physical weaknesses 2. Chronic deafness: Studies have shown that deafness is closely related to class paranoia reactions, especially in hard of hearing patients, where class paranoia reactions are more common 3. Suspicious personality, etc. Many of these psychological factors that affect mood often develop into “hyper-valence perceptions” before further developing paranoid-like reactions. The so-called “hyper-valence concept” is a strong emotional color, above other concepts to become the first person’s view of the content of the mind, in a considerable period of time has been in his mental life continued to dominate, so that his judgment of the objective situation bias or error.