The Cognitive and Affective Structure of Paranoid Delusions

Bentall, Richard P.; Rowse, Georgina; Shryane, Nick; Kinderman, Peter; Howard, Robert; Blackwood, Nigel; Moore, Rosie; Corcoran, Rhiannon

doi:10.1001/archgenpsychiatry.2009.1

Cited by 268 publications

(124 citation statements)

References 120 publications

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“…Finally, recently published studies in patients with schizophrenia spectrum disorders have shown that delusions are directly related to impaired executive functioning [168]. However, currently there are very limited data on executive functions among patients with DD [14].…”

Section: Discussionmentioning

confidence: 99%

“…Bentall et al [168], in an original attempt to study delusions, used a transdiagnostic design to explore the cognitive and emotional factors related to these symptoms across schizophrenia spectrum disorders and patients with depression. Using structural equation models they concluded that both cognitive and affect-related factors contribute to the development and maintenance of delusions and that they do so in an independent manner.…”

Section: Integrative Models Of Delusionsmentioning

confidence: 99%

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Neuropsychological Research in Delusional Disorder: A Comprehensive Review

Ibanez-Casas

Cervilla

2012

Psychopathology

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In recent decades, there has been a growing interest in the field of delusions, and different aspects of delusional disorder (DD) have been investigated. However, DD is still one of the most underresearched psychiatric disorders. In this paper, we review the literature on DD and most of the theoretical approaches proposed to explain the development and maintenance of delusions. DD research is infrequent, and delusions in this disorder have been scarcely investigated. We aim to establish the state of the art of delusions research to date and point to the shortage of neuropsychological studies in patients with DD. We also justify the need for future research into the neuropsychological correlates of DD as measured in patients with this disorder given that most previous research has mainly focused on other psychotic conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Integrative Models Of Delusionsmentioning

confidence: 99%

Neuropsychological Research in Delusional Disorder: A Comprehensive Review

Ibanez-Casas

Cervilla

2012

Psychopathology

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“…In terms of underlying information processing, depression, anxiety, and paranoia have much in common, including a heightened external locus of control (LoC), heightened anticipation and avoidance of social threat, and an underestimation of the likelihood of future positive events (Bird, Mansell, Dickens, & Tai, 2013;Bentall et al, 2009;Corcoran et al, 2006;Moutoussis, Williams, Dayan, & Bentall, 2007). These same psychological profiles are found, at attenuated levels, in nonclinical populations as shown in research adopting a mental health continuum approach Johns & Van Os, 2001;Van Os, 2003;Van et al, 2009;Verdoux & Van Os, 2002).…”

Section: Psychological Mechanisms and Urbanicitymentioning

confidence: 98%

Places Change Minds: Exploring the Psychology of Urbanicity Using a Brief Contemplation Method

et al. 2017

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An accruing body of research suggests that urban environments negatively affect mental health and well-being. It is thought that some of this so-called "urbanicity effect" can be explained by the perceived quality of the living environment. The two studies reported here used online survey methods to explore changes to self-reported psychological mechanisms thought to underpin mental health and well-being before and after participants briefly contemplated urban/rural or desirable/undesirable residential images. Our findings demonstrate that even brief contemplation of places change how we consider our futures and that places deemed relatively undesirable appear to promote a threat-focused anticipatory set. Importantly, these changes were not found to be associated with perceived urbanity but rather with perceived desirability of place. These findings should be considered alongside increasing evidence that urban regeneration and place-making are matters of public health concern.

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“…This tendency is not considered to be a bias of probabilistic reasoning, since the patients are able to estimate probabilities, but rather as a data gathering bias whereby patients hastily accept hypotheses without collecting a sufficient amount of evidence to support them [121,122,123]. However, other studies have not found a ‘jumping-to-conclusions' bias to be associated with delusions [124,125]. Furthermore, a recent meta-analysis of ‘jumping-to-conclusions' studies found no support for the hypothesis that this bias plays a role in delusion formation or maintenance [126].…”

Section: Delusionsmentioning

confidence: 99%

Cognitive-Behavioral Therapy for Schizophrenia: A Critical Evaluation of Its Theoretical Framework from a Clinical-Phenomenological Perspective

et al. 2012

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Background: Cognitive-behavioral therapy (CBT) has played an increasingly important role in psychotherapy for schizophrenia since the 1990s, but it has also encountered many theoretical and practical limitations. For example, methodologically rigorous meta-analyses have recently found only modest overall effect sizes of CBT treatment, and therefore questions have emerged about forwhat and for whom it actually works. Method: The focus of the present paper is to elucidate the theoretical assumptions underlying CBT for schizophrenia and to examine their consistency with abnormalities of experience and self-awareness frequently reported by schizophrenia patients and systematically studied in phenomenological psychopathology from the beginning of the 20th century. Results: We argue that a strong theoretical emphasis on cognitive appraisals with only subsidiary attention devoted to affective and behavioral processes - as is characteristic of many forms of CBT - cannot satisfactorily account for the complex subjective experiences of schizophrenia patients. We further argue that certain theoretical strategies widely employed in CBT to explore and explain mental disorders, which involve atomization and, at times, a reification of mental phenomena, can be problematic and may result in a loss of explanatory potential. Finally, we provide a detailed account of how negative symptoms and delusions are conceptualized in CBT and consider the question of how these concepts fit the actual phenomenology of schizophrenia. Conclusion: We suggest that further advancement of CBT theory and practice can benefit from a dialogue with phenomenological psychiatry in the search for effective psychotherapeutic strategies for schizophrenia patients.

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The Cognitive and Affective Structure of Paranoid Delusions

Abstract: Both cognitive and emotion-related processes are involved in paranoid delusions. Treatment for paranoid patients should address both types of processes.

Cited by 268 publications

References 120 publications

Neuropsychological Research in Delusional Disorder: A Comprehensive Review

Neuropsychological Research in Delusional Disorder: A Comprehensive Review

Places Change Minds: Exploring the Psychology of Urbanicity Using a Brief Contemplation Method

Cognitive-Behavioral Therapy for Schizophrenia: A Critical Evaluation of Its Theoretical Framework from a Clinical-Phenomenological Perspective

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