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Wrong in the head vs Wrong-headed

wrong in the headcrazy; insane:

  • When we read the first part of the saga, we naturally presumed Andy was somewhat wrong in the head.

wrong-headed

1. persistent in erroneous opinion:

  • To us, at that time, he was a wrong-headed young man who had thrown away a good career, and was vain enough to think he could be an author.

2. (of a belief, decision, etc.) wrong and irrational:

  • The choice of Murphy was so wrong-headed that even some of the people who negotiated the deal were embarrassed by it.