Cognitive approaches to delusions: A critical review of theories and evidence

British Journal of Clinical Psychology

Volumn 38, Issue 2, 1999, Pages 113-154

  Garety, Philippa A ^a   Freeman, Daniel ^b  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

AFFECTIVE NEUROSIS; ARTICLE; COGNITION; COGNITIVE THERAPY; COMORBIDITY; DELUSION; HUMAN; INFORMATION PROCESSING; MODEL; PERCEPTION; PRIORITY JOURNAL; THEORY;

COGNITION DISORDERS; COGNITIVE DISSONANCE; COGNITIVE THERAPY; DELUSIONS; FEMALE; HUMANS; MALE; MENTAL DISORDERS; MODELS, PSYCHOLOGICAL; PARANOID DISORDERS; PERSONALITY; SELF CONCEPT;

EID: 0033001773     PISSN: 01446657     EISSN: None     Source Type: Journal    
DOI: 10.1348/014466599162700     Document Type: Article

References (108)

1. Abroms, G. M., Taintor, Z. C. & Lhamon, W. T. (1966). Percept assimilation and paranoid severity. Archives of General Psychiatry, 14, 491-496.
2. Alloy, L. B. & Tabachnik, N. (1984). Assessment of covariation by humans and animals: The joint influence of prior expectations and current situational information. Psychological Review, 91, 112-149.
3. American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders, 3rd ed., revised. Washington, DC: American Psychiatric Association.
4. American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC: American Psychiatric Association.
5. Arthur, A. Z. (1964). Theories and explanations of delusions: A review. American Journal of Psychiatry, 121, 105-115.
6. Bentall, R. P. (1994). Cognitive biases and abnormal beliefs: Towards a model of persecutory delusions. In A. S. David & J. Cutting (Eds), The neuropsychology of schizophrenia, pp. 337-360. London: Lawrence Erlbaum.
7. Bentall, R. P. & Kaney, S. (1989). Content specific processing and persecutory delusions: An investigation using the emotional Stroop test. British Journal of Medical Psychology, 62, 355-364.
8. Bentall, R. P. & Kaney, S. (1996). Abnormalities of self-representation and persecutory delusions: A test of a cognitive model of paranoia. Psychological Medicine, 26, 1231-1237.
9. Bentall, R. P., Kaney, S. & Dewey, M. E. (1991). Persecutory delusions: An attribution theory analysis. British Journal of Clinical Psychology, 30, 13-23.
10. Bentall, R. P. & Kinderman, P. (1998). Psychological processes and delusional beliefs: Implications for the treatment of paranoid states. In T. Wykes, N. Tarrier & S. Lewis (Eds), Outcome and innovation in psychological treatment of schizophrenia, pp. 119-144. Chichester: Wiley.
11. Bentall, R. P., Kinderman, P. & Kaney, S. (1994). The self, attributional processes and abnormal beliefs: Towards a model of persecutory delusions. Behaviour Research and Therapy, 32, 331-341.
12. Bentall, R. P. & Young, H. F. (1996). Sensible hypothesis testing in deluded, depressed and normal subjects. British Journal of Psychiatry, 168, 372-375.
13. Birchwood, M. & Iqbal, Z. (1998). Depression and suicidal thinking in psychosis: A cognitive approach. In T. Wykes, N. Tarrier & S. Lewis (Eds), Outcome and innovation in psychological treatment of schizophrenia, pp. 81-100. Chichester: Wiley.
14. Birchwood, M., Mason, R., MacMillan, F. & Healy, J. (1993). Depression, demoralization and control over psychotic illness: A comparison of depressed and non-depressed patients with a chronic psychosis. Psychological Medicine, 23, 387-395.
15. Bourchard, S., Vallières, A., Roy, M. & Maziade, M. (1996). Cognitive restructing in the treatment of psychotic symptoms in schizophrenia: A critical analysis. Behavior Therapy, 27, 257-277.
16. Brett-Jones, J., Garety, P. & Hemsley, D. (1987). Measuring delusional experiences: A method and its application. British Journal of Clinical Psychology, 26, 257-265.
17. Brewin, C. R. (1988). Cognitive foundations of clinical psychology. Hove: Lawrence Erlbaum.
18. Byrne, A. & MacLeod, A. K. (1997). Attributions and accessibility of explanations for future events in anxiety and depression. British Journal of Clinical Psychology, 36, 505-520.
19. Cahill, C. & Frith, C. (1996). False perceptions or false beliefs? Hallucinations and delusions in schizophrenia. In P. W. Halligan & J. C. Marshall (Eds), Method in madness, pp. 267-291. Hove: Psychology Press.
20. Candido, C. L. & Romney, D. M. (1990) Attributional style in paranoid versus depressed patients. British Journal of Medical Psychology, 63, 355-363.
21. Chadwick, P. D. J. & Birchwood, M. J. (1994). The omnipotence of voices: A cognitive approach to hallucinations. British Journal of Psychiatry, 164, 190-201.
22. Chadwick, P. D. J. & Lowe, C. F. (1990). Measurement and modification of delusional beliefs. Journal of Consulting and Clinical Psychology, 58, 225-232.
23. Chapman, L. J. & Chapman, J. P. (1988). The genesis of delusions. In T. F. Oltmanns & B. A. Maher (Eds), Delusional beliefs, pp. 167-183. New York: Wiley.
24. Close, H. & Garety, P. (1998). Cognitive assessment of voices: Further developments in understanding the emotional impact of voices. British Journal of Clinical Psychology, 37, 173-188.
25. Colby, K. M., Faught, W. S. & Parkinson, R. C. (1979). Cognitive therapy of paranoid conditions: Heuristic suggestions based on a computer simulation. Cognitive Therapy and Research, 3, 55-60.
26. Coopersmith, S. (1984). Self-esteem inventories. Palo Alto, CA: Consulting Psychologists Press.
27. Corcoran, R., Cahill, C. & Frith, C. D. (1997). The appreciation of visual jokes in people with schizophrenia: A study of 'mentalizing' ability. Schizophrenia Research, 24, 319-327.
28. Corcoran, R., Mercer, G. & Frith, C. D. (1995). Schizophrenia, symptomatology and social inference: Investigating 'theory of mind' in people with schizophrenia. Schizophrenia Research, 17, 5-13.
29. Doody, G. A., Gotz, M., Johnstone, E. C., Frith, C. D. & Cunningham Owens, D. G. (1998). Theory of mind and psychoses. Psychological Medicine, 28, 397-405.
30. Dudley, R. E. J., John, C. H., Young, A. W. & Over, D. E. (1997a). Normal and abnormal reasoning in people with delusions. British Journal of Clinical Psychology, 36, 243-258.
31. Dudley, R. E. J., John, C. H., Young, A W. & Over, D. E. (1997b). The effect of self-referent material on the reasoning of people with delusions. British Journal of Clinical Psychology, 36, 575-584.
32. Edwards, W. (1982). Conservatism in human information processing. In D. Kahneman, P. Slovic & A. Tversky (Eds), Judgement under uncertainty: Heuristics and biases, pp. 359-369. Cambridge: Cambridge University Press.
33. Fear, C. F. & Healy, D. (1997). Probabilistic reasoning in obsessive-compulsive and delusional disorders. Psychological Medicine, 27, 199-208.
34. Fear, C., Sharp, H. & Healy, D. (1996). Cognitive processes in delusional disorders. British Journal of Psychiatry, 168, 1-8.
35. Fischhoff, B. & Beyth-Marom, R. (1983). Hypothesis evaluation from a Bayesian perspective. Psychological Review, 90, 239-260.
36. Freeman, D. & Garety, P. (in press). Worry, worry processes and dimensions of delusions: An exploratory investigation of a role for anxiety processes in the maintenance of delusional distress. Behavioural and Cognitive Psychotherapy.
37. Freeman, D., Garety, P., Fowler, D., Kuipers, E., Dunn, G., Bebbington, P. & Hadley, C. (1998). The London-East Anglia randomised controlled trial of cognitive-behaviour therapy for psychosis IV: Self esteem and persecutory delusions. British Journal of Clinical Psychology, 37, 415-430.
38. Frith, C. D. (1987). The positive and negative symptoms of schizophrenia reflect impairments in the perception and initiation of action. Psychological Medicine, 17, 631-648.
39. Frith, C. D. (1992). The cognitive neuropsychology of schizophrenia. Hove: Lawrence Erlbaum.
40. Frith, C. D. & Corcoran, R. (1996). Exploring 'theory of mind' in people with schizophrenia. Psychological Medicine, 26, 521-530.
41. Frith, C. D. & Done, D. J. (1989). Experiences of alien control in schizophrenia reflect a disorder in the central monitoring of action. Psychological Medicine, 19, 359-363.
42. Garety, P. A. (1991). Reasoning and delusions. British Journal of Psychiatry, 159 (Suppl. 14), 14-18.
43. Garety, P. A. (1992). Making sense of delusions. Psychiatry, 55, 282-291.
44. Garety, P. A., Fowler, D., Kuipers, E., Freeman, D., Dunn, G., Bebbington, P. E., Hadley, C. & Jones, S. (1997). The London-East Anglia randomised controlled trial of cognitive-behaviour therapy for psychosis II: Predictors of outcome. British Journal of Psychiatry, 171, 420-426.
45. Garety, P. A. & Hemsley, D. R. (1987). Characteristics of delusional experience. European Archives of Psychiatry and Neurological Sciences, 236, 294-298.
46. Garety, P. A. & Hemsley, D. R. (1994). Delusions: Investigations into the psychology of delusional reasoning. Hove: Psychology Press.
47. Garety, P. A., Hemsley, D. R. & Wessely, S. (1991). Reasoning in deluded schizophrenic and paranoid patients: Biases in performance on a probabilistic inference task. Journal of Nervous and Mental Disease, 179, 194-201.
48. Halligan, P. W. & Marshall, J. C. (Eds) (1996). Method in madness. Hove: Psychology Press.
49. Hemsley, D. R. (1987). An experimental psychological model for schizophrenia. In H. Hafner, W. F. Gattaz & W. Janzarik (Eds), Search for the causes of schizophrenia, pp. 179-188. Heidelberg: Springer.
50. Hemsley, D. R. & Garety, P. A. (1986). Formation and maintenance of delusions: A Bayesian analysis. British Journal of Psychiatry, 149, 51-56.
51. Higgins, E. T. (1987). Self-discrepancy: A theory relating self and affect. Psychological Review, 94, 319-340.
52. Higgins, E. T., Bond, R., Klein, R. & Strauman, T. J. (1986). Self discrepancies and emotional vulnerability: How magnitude, accessibility and type of discrepancy influence affect. Journal of Personality and Social Psychology, 41, 1-15.
53. Hill, C. V., Oei, Tian, P. & Hill, M. A. (1989). An empirical investigation of the specificity and sensitivity of the Automatic Thoughts Questionnaire and Dysfunctional Attitudes Scale. Journal of Psychopathology and Behavioural Assessment, 11, 291-311.
54. Huq, S. F., Garety, P. A. & Hemsley, D. R. (1988). Probabilistic judgements in deluded and non-deluded subjects. Quarterly Journal of Experimental Psychology, 40A, 801-812.
55. Jaspers, K. (1913/1963). General psychopathology (trans. J. Hoenig & M. Hamilton). Manchester: Manchester University Press.
56. John, C. H. & Dodgson, G. (1994). Inductive reasoning in delusional thinking. Journal of Mental Health, 3, 31-49.
57. Kaney, S. & Bentall, R. P. (1989). Persecutory delusions and attributional style. British Journal of Medical Psychology, 62, 191-198.
58. Kaney, S. & Bentall, R. P. (1992). Persecutory delusions and the self-serving bias: Evidence from a contingency judgement task. Journal of Nervous and Mental Disease, 180, 773-780.
59. Kemp, R., Chua, S., McKenna, P. & David, A. (1997). Reasoning and delusions. British Journal of Psychiatry, 170, 398-405.
60. Kinderman, P. (1994). Attentional bias, persecutory delusions and the self-concept. British Journal of Medical Psychology, 67, 53-66.
61. Kinderman, P. & Bentall, R. P. (1996a). Self-discrepancies and persecutory delusions: Evidence for a model of paranoid ideation. Journal of Abnormal Psychology, 105, 106-113.
62. Kinderman, P. & Bentall, R. P. (1996b). A new measure of causal locus: The internal, personal and situational attributions questionnaire. Personality and Individual Differences, 20, 261-264.
63. Kinderman, P. & Bentall, R. P. (1997). Causal attributions in paranoia and depression: Internal, personal and situational attributions for negative events. Journal of Abnormal Psychology, 106, 341-345.
64. Kinderman, P., Kaney, S., Morley, S. & Bentall, R. P. (1992). Paranoia and the defensive attributional style: Deluded and depressed patients' attributions about their own attributions. British Journal of Medical Psychology, 65, 371-383.
65. Kuipers, E., Fowler, D., Garety, P., Chisholm, D., Freeman, D., Dunn, G., Bebbington, P. & Hadley, C. (1998). London-East Anglia randomised controlled trial of cognitive-behavioural therapy for psychosis III: Follow-up and economic evaluation at 18 months. British Journal of Psychiatry, 173, 61-68.
66. Kuipers, E., Garety, P. A., Fowler, D., Dunn, G., Bebbington, P. E., Freeman, D. & Hadley, C. (1997). The London-East Anglia randomised controlled trial of cognitive-behaviour therapy for psychosis I: Effects of the treatment phase. British Journal of Psychiatry, 171, 319-327.
67. Langdon, R., Michie, P. T., Ward, P. B., McConaghy, N., Catts, S. V. & Coltheart, M. (1997). Defective self and/or other mentalising in schizophrenia: A cognitive neuropsychological approach. Cognitive Neuropsychiatry, 2, 167-193.
68. Linney, Y., Peters, E. & Ayton, P. (1998). Reasoning biases in delusion-prone individuals. British Journal of Clinical Psychology, 37, 247-370.
69. 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.
70. Maher, B. A. (1974). Delusional thinking and perceptual disorder. Journal of Individual Psychology, 30, 98-113.
71. Maher, B. A. (1988). Anomalous experience and delusional thinking: The logic of explanations. In T. F. Oltmanns & B. A. Maher (Eds), Delusional beliefs, pp. 15-33. New York: Wiley.
72. Maher, B. A. (1992). Delusions: Contemporary etiological hypotheses. Psychiatric Annals, 22, 260-268.
73. Maher, B. A. & Ross, J. S. (1984). Delusions. In H. E. Adams & P. Sutker (Eds), Comprehensive handbook of psychopathology, pp. 383-411. New York: Plenum.
74. Marshall, J. C. & Halligan, P. W. (1996). Towards a cognitive neuropsychiatry. In P. W. Halligan & J. C. Marshall (Eds), Method in madness, pp. 3-11. Hove: Psychology Press.
75. McCormick, D. J. & Broekema, V. J. (1978). Size estimation, perceptual recognition and cardiac response rate in acute paranoid and non-paranoid schizophrenics. Journal of Abnormal Psychology, 87, 385-398.
76. McReynolds, P., Collins, B. & Acker, M. (1964). Delusional thinking and cognitive organisation in schizophrenia. Journal of Abnormal and Social Psychology, 69, 210-212.
77. Mitchley, N. J., Barber, J., Gray, J. M., Brooks, D. N. & Livingstone, M. G. (1998). Comprehension of irony in schizophrenia. Cognitive Neuropsychiatry, 3, 2, 127-138.
78. Mortimer, A. M., Bentham, P., McKay, A. P., Quemada, I., Clare, L., Eastwood, N. & McKenna, P. J. (1996). Delusions in schizophrenia: A phenomenological and psychological exploration. Cognitive Neuropsychiatry, 1, 289-303.
79. Mullen, P. (1979). Phenomenology of disordered mental function. In P. Hill, R. Murray & G. Thorley (Eds), Essentials of post-graduate psychiatry, pp. 22-54. London: Academic Press.
80. Oltmanns, T. F. (1988). Approaches to the definition and study of delusions. In T. F. Oltmanns & B. A. Maher (Eds), Delusional beliefs, pp. 3-12. New York: Wiley.
81. Oltmanns, T. F. & Maher, B. A. (Eds) (1988). Delusional beliefs. New York: Wiley.
82. Persons, J. B. (1986). The advantages of studying psychological phenomena rather than psychiatric diagnosis. American Psychologist, 41, 1252-1260.
83. Peters, E., Day, S. & Garety, P. (1997). From preconscious to conscious processing: Where does the abnormality lie in delusions? Schizophrenia Research, 24, 120.
84. Peterson, C., Semmel, A., Von Baeyer, C., Abramson, L., Metalsky, G. I. & Seligman, M. E. P. (1982). The Attributional Style Questionnaire. Cognitive Therapy and Research, 3, 287-300.
85. Phillips, L. D. & Edwards, W. (1966). Conservatism in a simple probabilistic inference task. Journal of Experimental Psychology, 72, 346-354.
86. Reivich, K. (1995). The measurement of explanatory style. In G. M. Buchanan & M. E. P. Seligman (Eds), Explanatory style, pp. 21-47. Hillsdale, NJ: Lawrence Erlbaum.
87. Robson, P. J. (1988). Self-esteem - a psychiatric view. British Journal of Psychiatry, 153, 6-15.
88. Robson, P. J. (1989). Development of a new self-report questionnaire to measure self esteem. Psychological Medicine, 19, 513-518.
89. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
90. Ross, L. & Anderson, C. A. (1982). Shortcomings in the attribution process: On the origins and maintenance of erroneous social assessment. In K. Kahneman, P. Slovic & A. Tversky (Eds), Judgement under uncertainty: Heuristics and biases, pp. 129-152. New York: Cambridge University Press.
91. Salzinger, K. (1984). The immediacy hypothesis in a theory of schizophrenia. In W. D. Spaulding & J. K. Cole (Eds), Theories of schizophrenia and psychosis. Nebraska symposium on motivation, pp. 231-282. Lincoln: University of Nebraska Press.
92. Sarfati, Y., Hardy-Baylé, M. C., Besche, C. & Widlöcher, D. (1997). Attribution of intentions to others in people with schizophrenia: A non-verbal exploration with comic strips. Schizophrenia Research, 25, 199-209.
93. Sharp, H. M., Fear, C. F. & Healy, D. (1997). Attributional style and delusions: An investigation based on delusional content. European Psychiatry, 12, 1-7.
94. Silverman, J. S., Silverman, J. A. & Eardley, D. A. (1984). Do maladaptive attitudes cause depression. Archives of General Psychiatry, 41, 28-30.
95. Slade, P. D. & Bentall, R. P. (1988). Sensory deception: A scientific analysis of hallucination. London: Croom Helm.
96. Strauss, J. S. (1969). Hallucinations and delusions as points on continua function. Archives of General Psychiatry, 20, 581-586.
97. Trower, P. & Chadwick, P. (1995). Pathways to defense of the self: A theory of two types of paranoia. Clinical Psychology: Science and Practice, 2, 263-278.
98. Weissman, A. N. & Beck, A. T. (1978). Development and validation of the Dysfunctional Attitude Scale. Paper presented at the Annual Meeting of the Association for the Advancement of Behavior Therapy, Chicago.
99. Williams, J. M. G., Mathews, A. & MacLeod, C. (1996). The Emotional Stroop Task and Psychopathology. Psychological Bulletin, 120, 1, 3-24.
100. Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The measurement and classification of psychiatric symptoms. Cambridge: Cambridge University Press.
101. Winters, K. C. & Neale, J. M. (1983). Delusions and delusional thinking in psychotics: A review of the literature. Clinical Psychology Review, 3, 227-253.
102. Winters, K. C. & Neale, J. M. (1985). Mania and low self-esteem. Journal of Abnormal Psychology, 94, 252-290.
103. World Health Organisation (1992). SCAN: Schedules for clinical assessment in neuropsychiatry. Geneva: WHO.
104. Young, H. F. & Bentall, R. P. (1995). Hypothesis testing in patients with persecutory delusions: Comparison with depressed and normal subjects. British Journal of Clinical Psychology, 34, 353-369.
105. Young, H. F. & Bentall, R. P. (1997a). Probabilistic reasoning in deluded, depressed and normal subjects: Effects of task difficulty and meaningful versus non-meaningful material. Psychological Medicine, 27, 455-465.
106. Young, H. F. & Bentall, R. P. (1997b). Social reasoning in individuals with persecutory delusions: The effects of additional information on attributions for the observed behaviour of others. British Journal of Clinical Psychology, 36, 569-573.
107. Zigler, E. & Glick, M. (1988). Is paranoid schizophrenia really camouflaged depression? American Psychologist, 43, 284-290.
108. Zimbardo, P. G., Andersen, S. M. & Kabat, L. G. (1981). Induced hearing deficit generates experimental paranoia. Science, 212, 1529-1531.