One in the same. They delusionally believe it, their make believe (pretending) becomes their delusional "reality".
>Furthermore, I am still confused how you can conclude it's tied to a particular area on the political spectrum.
I did not make this claim.
>To be clear, if there's evidence of someone is being persecuted then that is it likely real while in the absence of evidence it is likely that they are suffering from a delusion.
People will delusionally believe fictional things as "evidence" that they are being persecuted.