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Cognitive therapy for the treatment of delusions

Published online by Cambridge University Press:  02 January 2018

Douglas Turkington  and
Ronald Siddle
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Traditionally, delusions have been viewed as false, unshakeable beliefs which arise out of internal morbid processes and are out of keeping with a person's educational and cultural background (Hamilton, 1978). Primary delusions appear to arise without understandable cause, and secondary delusions appear more understandable in relation to the prevailing affective state or cultural climate (Sims, 1995), for example. However, during the cognitive therapy process we would expect that even primary delusions might become more understandable as the patient's life history and belief profile are gradually disclosed.

Type
Research Article
Information
Advances in Psychiatric Treatment , Volume 4 , Issue 4 , July 1998 , pp. 235 - 241
Copyright
Copyright © The Royal College of Psychiatrists 1998 

References

Alford, B. A. & Beck, A. T. (1994) Cognitive therapy of delusional beliefs. Behaviour Research and Therapy, 32, 369–380.CrossRefGoogle ScholarPubMed
Beck, A. T. (1952) Successful out-patient psychotherapy of a chronic schizophrenic with a delusion based on borrowed guilt. Psychiatry, 15, 305–312.CrossRefGoogle ScholarPubMed
Beck, A. T., Rush, A. J., Shaw, B. F. et al (1979) Cognitive Therapy of Depression. Guilford: New York.Google Scholar
Blackburn, I. M. & Davidson, K. (1990) Cognitive Therapy for Depression and Anxiety. Oxford: Blackwell.Google Scholar
Blackburn, I. M., Bishop, S., Glen, A. I. M. et al (1981) The efficacy of cognitive therapy in depression: a treatment trial using cognitive therapy and pharmacotherapy, each alone and in combination. British Journal of Psychiatry, 139, 181–189.CrossRefGoogle ScholarPubMed
Brenner, H. D., Hodel, B. & Roper, V. (1990) Integrated cognitive and behavioural interventions in the treatment of schizophrenia. Psychosocial Rehabilitation Journal, 13, 41–43.CrossRefGoogle Scholar
Buchanan, A., Reed, A., Wessely, S. et al (1993) Acting on delusions. II: The phenomenological correlates of acting on delusions. British Journal of Psychiatry, 163, 77–81.CrossRefGoogle ScholarPubMed
Chadwick, P. D. J. & Lowe, C. F. (1990) Measurement and modification of delusional beliefs. Journal of Consulting and Clinical Psychology, 58, 225–232.CrossRefGoogle ScholarPubMed
Chadwick, P. D. J. & Lowe, C. F.– (1994) A cognitive approach to measuring and modifying delusions. Behaviour Research and Therapy, 32, 355–367.CrossRefGoogle ScholarPubMed
Chapman, L. J. & Chapman, J. P. (1988) The genesis of delusions. In Delusional Beliefs (eds Oltmanns, F. & Maher, B. A.) pp. 167–183. New York: Wiley.Google Scholar
Drury, V., Birchwood, M., Cochrane, R. et al (1996) Cognitive therapy and recovery from acute psychosis: a controlled trial. I. Impact on psychotic symptoms. British Journal of Psychiatry, 169, 593–601.CrossRefGoogle Scholar
Evans, M. D., Hollon, S. D., DeRubeis, R. J. et al (1992) Differential relapse following cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 49, 802–808.CrossRefGoogle ScholarPubMed
Fowler, D., Garety, P. A. & Kuipers, E. (1995) Cognitive Behaviour Therapy for People with Psychosis: A Clinical Handbook. Chichester: Wiley.Google Scholar
Garety, P. A., Fowler, D., Kuipers, E. et al (1997) London–East Anglia randomised controlled trial of cognitive–behavioural therapy for psychosis. II: Predictors of outcome. British Journal of Psychiatry, 171, 420–426.CrossRefGoogle ScholarPubMed
Hamilton, M (1978) Fish's Outline of Psychiatry (3rd edn). Bristol: John Wright.Google Scholar
Harrow, M., Rattenbury, F. & Stoll, F. (1988) Schizophrenic delusions: an analysis of their persistence, of related premorbid ideas, and of three major dimensions. In Delusional Beliefs (eds Oltmanns, F. & Maher, B. A.) pp. 185–211. New York: John Wiley.Google Scholar
Hemsley, D. R. & Garety, P. A. (1986) The formation and maintenance of delusions: a Bayesian analysis. British Journal of Psychiatry, 149, 51–56.CrossRefGoogle ScholarPubMed
Hogg, L. (1996) Psychological treatments for negative symptoms. In Cognitive Behavioural Interventions With Psychotic Disorders (eds Haddock, G. & Slade, P.) pp. 151–167. London: Routledge.Google Scholar
Hole, R. W., Rush, A. J. & Beck, A. T. (1979) A cognitive investigation of schizophrenic delusions. Psychiatry, 42, 312–319.CrossRefGoogle ScholarPubMed
Huq, S. F., Garety, P. A. & Hemsley, D. R. (1988) Probabilistic judgements in deluded and non-deluded subjects. Quarterly Journal of Experimental Psychology. A Human Experimental Psychology, 40, 801–812.CrossRefGoogle ScholarPubMed
Jones, E. & Watson, J. P. (1997) Delusion, the overvalued idea and religious beliefs: a comparative analysis of their characteristics. British Journal of Psychiatry, 170, 381–386.CrossRefGoogle ScholarPubMed
Kemp, R., Hayward, P., Applewhaite, G. et al (1996) Compliance therapy in psychotic patients: randomised controlled trial. British Medical Journal, 312, 345–349.CrossRefGoogle ScholarPubMed
Kendler, K. S., Glazer, W. M. & Morgenstern, H. (1983) Dimensions of delusional experience. American Journal of Psychiatry, 140, 466–469.Google ScholarPubMed
Kingdon, D. G. & Turkington, D. (1991) The use of cognitive behaviour therapy with a normalising rationale in schizophrenia. Preliminary report. Journal of Nervous and Mental Diseases, 179, 207–211.CrossRefGoogle ScholarPubMed
Kuipers, E., Garety, P. A., Fowler, D. et al (1997) London–East Anglia trial of cognitive-behavioural therapy for psychosis. I: Effects of the treatment phase. British Journal of Psychiatry, 171, 319–327.CrossRefGoogle ScholarPubMed
Lowe, C. F. & Chadwick, P. D. J. (1990) Verbal control of delusions. Behaviour Therapy, 21, 461–479.CrossRefGoogle Scholar
Lyon, H. M., Kaney, S. & Bentall, R. P. (1994) The defensive function of persecutory delusions: evidence from attribution tasks. British Journal of Psychiatry, 164, 637–646.CrossRefGoogle ScholarPubMed
Milton, F., Patwa, K. & Hafner, R. J. (1978) Confrontation v. belief modification in persistently deluded patients. British Journal of Medical Psychology, 51, 127–130.CrossRefGoogle Scholar
Roberts, G. (1991) Delusional belief systems and meaning in life: a preferred reality? British Journal of Psychiatry, 159 (suppl. 14), 19–28.CrossRefGoogle Scholar
Sims, A. (1995) Symptoms in the Mind. London: Sanders.Google Scholar
Strauss, J. S. (1969) Hallucinations and delusions as points on continua function. Archives of General Psychiatry, 21, 581–586.CrossRefGoogle ScholarPubMed
Tarrier, N., Beckett, R., Harwood, S. et al (1993) A trial of two cognitive–behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients: I. Outcome. British Journal of Psychiatry, 162, 524–532.CrossRefGoogle ScholarPubMed
Turkington, D., John, C. H., Siddle, R. et al (1996) Cognitive therapy in the treatment of drug-resistant delusional disorder. Clinical Psychology and Psychotherapy, 3, 118–128.3.0.CO;2-R>CrossRefGoogle Scholar
Watts, F. N., Powell, G. E. & Austin, S. V. (1973) The modification of abnormal beliefs. British Journal of Medical Psychology, 46, 359–363.CrossRefGoogle ScholarPubMed
Wessely, S., Buchanan, A., Reed, A. et al (1993) Acting on delusions. I: Prevalence. British Journal of Psychiatry, 163, 69–76.CrossRefGoogle ScholarPubMed
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