Confabulation, delusion, and anosognosia: Motivational factors and false claims

Cognitive Neuropsychiatry

Volumn 15, Issue 1-3, 2010, Pages 288-318

  McKay, Ryan ^a,b   Kinsbourne, Marcel ^c  

^a UNIVERSITY OF ZURICH   (Switzerland)

^b UNIVERSITY OF OXFORD   (United Kingdom)

^c NEW SCHOOL FOR SOCIAL RESEARCH   (United States)

Author keywords

Anosognosia; Confabulation; Delusion; Motivational processes

Indexed keywords

AMNESIA; ANOSOGNOSIA; BRAIN ASYMMETRY; COGNITION; CONFABULATION; CONTROLLED STUDY; DELUSION; EMOTION; FALSE MEMORY; GRANDIOSE DELUSION; HEMIPLEGIA; HUMAN; LEARNING; MEMORY CONSOLIDATION; MOTIVATION; NEUROPSYCHOLOGY; PRIORITY JOURNAL; PSYCHOANALYSIS; RECOGNITION; REVIEW; SELF CONCEPT; SELF ESTEEM; SYMPTOM; TASK PERFORMANCE; THINKING; THINKING IMPAIRMENT;

AGNOSIA; AWARENESS; DELUSIONS; FUNCTIONAL LATERALITY; HUMANS; MOTIVATION; REPRESSION;

EID: 77649334346     PISSN: 13546805     EISSN: 14640619     Source Type: Journal    
DOI: 10.1080/13546800903374871     Document Type: Review

References (122)

1. Adler, A. (1929). Melancholia and paranoia. In A. Adler (Ed.), The practice and theory of individual psychology. London: Routledge &Kegan Paul. (Original work published 1914)
2. Aimola Davies, A. M., Davies, M., Ogden, J. A., Smithson, M., &White, R. C. (2009). Cognitive and motivational factors in anosognosia. In T. Bayne &J. Fernández (Eds.), Delusion and selfdeception: Affective and motivational influences on belief formation (pp. 187-225). Hove, UK: Psychology Press.
3. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text revision [DSM-IV-TR]). Washington, DC: Author.
4. Banov, M. D., Kulick, A. R., Oepen, G., &Pope, H. G., Jr. (1993). A new identity for misidentification syndromes. Comprehensive Psychiatry, 34(6), 414-417.
5. Barrett, J. L. (2000). Exploring the natural foundations of religion. Trends in Cognitive Sciences, 4(1), 29-34.
6. Bayne, T., &Fernández, J. (2009). Delusion and self-deception: Mapping the terrain. In T. Bayne &J. Fernández (Eds.), Delusion and self-deception: Affective and motivational influences on belief formation (pp. 1-21). Hove, UK: Psychology Press.
7. Becker, E. (1973). The denial of death. New York: Free Press.
8. Bell, D. (2003). Paranoia. Cambridge, UK: Icon Books.
9. Bentall, R., &Swarbrick, R. (2003). The best laid schemas of paranoid patients: Autonomy, sociotropy and need for closure. Psychology and Psychotherapy: Theory, Research and Practice, 76(2), 163-171.
10. 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.
11. Bisiach, E., &Geminiani, G. (1991). Anosognosia related to hemiplegia and hemianopia. In G. P. Prigatano &D. L. Schacter (Eds.), Awareness of deficit after brain injury: Clinical and theoretical issues (pp. 17-39). Oxford, UK: Oxford University Press.
12. Bisiach, E., Vallar, G., Perani, D., Papagno, C., &Berti, A. (1986). Unawareness of disease following lesions of the right hemisphere: Anosognosia for hemiplegia and anosognosia for hemianopia. Neuropsychologia, 24, 471-482.
13. Bonhoeffer, K. (1901). Die akuten Geisteskrankheiten der Gewohnheitstrinker: Eine Klinische Studie. Jena, Germany: Gustav Fischer.
14. Brighetti, G., Bonifacci, P., Borlimi, R., &Ottaviani, C. (2007). "Far from the heart far from the eye": Evidence from the Capgras delusion. Cognitive Neuropsychiatry, 12(3), 189-197.
15. Burgess, P. W., &Shallice, T. (1996). Confabulation and the control of recollection. Memory, 4, 359-411.
16. Campbell, W. K., Bosson, J. K., Goheen, T. W., Lakey, C. E., &Kernis, M. H. (2007). Do narcissists dislike themselves "deep down inside"? Psychological Science, 18(3), 227-229.
17. Capgras, J., &Carette, P. (1924). Illusion de sosies et complexe d'oedipe. Annales Medico-Psychologiques, 82, 48-68.
18. Capgras, J., &Reboul-Lachaux, J. (1923). Illusion des sosies dans un delire systematise chronique. Bulletin de la Societe Clinique de Medicine Mentale, 2, 6-16.
19. Christodoulou, G. N. (1976). Delusional hyper-identifications of the Fregoli type: Organic pathogenetic contributors. Acta Psychiatrica Scandinavica, 54(5), 305-314.
20. Christodoulou, G. N. (1977). The syndrome of Capgras. British Journal of Psychiatry, 130, 556-564.
21. Colbert, S. M., &Peters, E. R. (2002). Need for closure and jumping-to-conclusions in delusionprone individuals. Journal of Nervous and Mental Disease, 190(1), 27-31.
22. Colbert, S. M., Peters, E. R., &Garety, P. A. (2006). Need for closure and anxiety in delusions: A longitudinal investigation in early psychosis. Behaviour Research and Therapy, 44(10), 1385-1396.
23. Coltheart, M.,Menzies, P., &Sutton, J. (2010). Abductive inference and delusional belief. Cognitive Neuropsychiatry, 15(1/2/3), 261-287.
24. Conway, M. A., &Tacchi, P. C. (1996). Motivated confabulation. Neurocase, 2, 325-339.
25. Cotard, J. (1882). Du délire des négations. Archives de Neurologie, 4, 150-170, 282-295.
26. Cutting, J. (1978). Study of anosognosia. Journal of Neurology. Neurosurgery and Psychiatry, 41, 548-555.
27. David, A. S. (1999). On the impossibility of defining delusions. Philosophy, Psychiatry, and Psychology, 6(1), 17-20.
28. Davies, M. (2009). Delusion and motivationally biased belief: Self-deception in the two-factor framework. In T. Bayne &J. Fernández (Eds.), Delusion and self-deception: Affective and motivational influences on belief formation (pp. 71-86). Hove, UK: Psychology Press.
29. Davies,M., Aimola Davies, A.M., &Coltheart, M. (2005). Anosognosia and the two-factor theory of delusion. Mind and Language, 20, 209-236.
30. Davies, M., &Coltheart, M. (2000). Introduction: Pathologies of belief. In M. Coltheart &M. Davies (Eds.), Pathologies of belief (pp. 1-46). Malden, MA: Blackwell Publishers.
31. De Pauw, K. W. (1994). Psychodynamic approaches to the Capgras delusion: A critical historical review. Psychopathology, 27, 154-160.
32. Ellis, H. D., Quayle, A. H., de Pauw, K. W., Szulecka, T. K., Young, A. W., &Kolkiewicz, L. A. (1996). Delusional misidentification of inanimate objects: A literature review and neuropsychological analysis of cognitive deficits in two cases. Cognitive Neuropsychiatry, 1(1), 27-40.
33. Ellis, H. D., &Young, A. W. (1990). Accounting for delusional misidentifications. British Journal of Psychiatry, 157, 239-248.
34. Ellis, H. D., Young, A. W., Quayle, A. H., &de Pauw, K. W. (1997). Reduced autonomic responses to faces in Capgras delusion. Proceedings of the Royal Society of London: Biological Sciences, B264, 1085-1092.
35. Enoch, M. D., &Ball, H. N. (2001). Uncommon psychiatric syndromes (4th ed.). London: Arnold.
36. Feinberg, I. (1978). Efference copy and corollary discharge: Implications for thinking and its disorders. Schizophrenia Bulletin, 4, 636-640.
37. Feinberg, T. E. (2001). Altered egos. Oxford, UK: Oxford University Press.
38. Feinberg, T. E., &Keenan, J. P. (2005). Where in the brain is the self ? Consciousness and Cognition, 14(4), 661-678.
39. Fotopoulou, A. (2010). The affective neuropsychology of confabulation and delusion. Cognitive Neuropsychiatry, 15(1/2/3), 38-63.
40. Fotopoulou, A., Conway, M., Griffiths, P., Birchall, D., &Tyrer, S. (2007). Self-enhancing confabulation: Revisiting the motivational hypothesis. Neurocase, 13(1), 6-15.
41. Fotopoulou, A., Conway, M. A., Tyrer, S., Birchall, D., Griffiths, P., &Solms, M. (2008). Is the content of confabulation positive? An experimental study. Cortex, 44, 764-772.
42. Freeman, D., Garety, P. A., Kuipers, E., Colbert, S., Jolley, S., Fowler, D., et al. (2006). Delusions and decision-making style: Use of the Need for Closure Scale. Behaviour Research and Therapy, 44(8), 1147-1158.
43. Freud, S. (1895). Draft H. In J. Strachey (Ed.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 1, pp. 206-213). London: Hogarth Press and the Institute of Psychoanalysis.
44. Frith, C. D. (1992). The cognitive neuropsychology of schizophrenia. Hove, UK: Lawrence Erlbaum Associates Ltd.
45. 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.
46. Garety, P. A., &Freeman, D. (1999). Cognitive approaches to delusions: A critical review of theories and evidence. British Journal of Clinical Psychology, 38, 113-154.
47. Gerrans, P. (2000). Refining the explanation of Cotard's delusion. Mind and Language, 15(1), 111-122.
48. Gerrans, P. (2002). A one-stage explanation of the Cotard delusion. Philosophy, Psychiatry, and Psychology, 9(1), 47-53.
49. Gigerenzer, G., &Goldstein, D. G. (1996). Reasoning the fast and frugal way: Models of bounded rationality. Psychological Review, 103(4), 650-669.
50. Greenberg, J., Pyszczynski, T., &Solomon, S. (1986). The causes and consequences of the need for self-esteem: A terror management theory. In R. F. Baumeister (Ed.), Public self and private self (pp. 189-212). New York: Springer-Verlag.
51. Greenwald, A. G., &Farnham, S. D. (2000). Using the Implicit Association Test to measure selfesteem and self-concept. Journal of Personality and Social Psychology, 79(6), 1022-1038.
52. Greenwald, A. G.,McGhee, D. E., &Schwartz, J. L. K. (1998). Measuring individual differences in implicit cognition: The implicit association test. Journal of Personality and Social Psychology, 74(6), 1464-1480.
53. Guthrie, S. E. (1993). Faces in the clouds: A new theory of religion. Oxford, UK: Oxford University Press.
54. Hamilton, A. (2007). Against the belief model of delusion. In M. C. Chung, K. W. M. Fulford, &G. Graham (Eds.), Reconceiving schizophrenia (pp. 217-234). Oxford, UK: Oxford University Press.
55. Haselton, M. G., &Nettle, D. (2006). The paranoid optimist: An integrative evolutionary model of cognitive biases. Personality and Social Psychology Review, 10(1), 47-66.
56. Heilman, K. M. (2009). Anosognosia for hemiplegia: A confabulatory state. In W. Hirstein (Ed.), Confabulation: Views from neuroscience, psychiatry, psychology, and philosophy (pp. 189-202). Oxford, UK: Oxford University Press.
57. Hirstein, W. (2005). Brain fiction: Self-deception and the riddle of confabulation. Cambridge, MA: MIT Press.
58. Hirstein, W. (2010). The misidentification syndromes as mindreading disorders. Cognitive Neuropsychiatry, 15(1/2/3), 233-260.
59. Hirstein, W. S., &Ramachandran, V. S. (1997). Capgras syndrome: A novel probe for understanding the neural representation of the identity and familiarity of persons. Proceedings of the Royal Society of London: Biological Sciences, 264B, 437-444.
60. Jordan, C. H., Spencer, S. J., Zanna, M. P., Hoshino-Browne, E., &Correll, J. (2003). Secure and defensive high self-esteem. Journal of Personality and Social Psychology, 85(5), 969-978.
61. Kaplan-Solms, K. L., &Solms, M. (2000). Clinical studies in neuropsychoanalysis: Introduction of a depth neuropsychology. London: Karnac Books.
62. Karpinski, A., &Steinman, R. B. (2006). The Single Category Implicit Association Test as a measure of implicit social cognition. Journal of Personality and Social Psychology, 91(1), 16-32.
63. Kinderman, P. (1994). Attentional bias, persecutory delusions and the self-concept. British Journal of Medical Psychology, 67(1), 53-66.
64. Kinderman, P., &Bentall, R. P. (1996). Self-discrepancies and persecutory delusions: Evidence for a model of paranoid ideation. Journal of Abnormal Psychology, 105(1), 106-113.
65. 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(2), 341-345.
66. Kinsbourne, M. (1977). Hemi-neglect and hemisphere rivalry. In E. A. Weinstein &R. P. Friedland (Eds.), Hemi-inattention and hemisphere specialization (pp. 41-49). New York: Raven Press.
67. Kinsbourne, M. (1993). Orientational bias model of unilateral neglect: Evidence from attentional gradients within hemispace. In I. H. Robertson &J. C. Marshall (Eds.), Unilateral neglect: Clinical and experimental studies (pp. 63-86). Hove, UK: Lawrence Erlbaum Associates Ltd.
68. Krstev, H., Jackson, H., &Maude, D. (1999). An investigation of attributional style in first-episode psychosis. British Journal of Clinical Psychology, 38, 181-194.
69. Kruglanski, A. W. (1989). Lay epistemics and human knowledge: Cognitive and motivational bases. New York: Plenum.
70. Langdon, R., &Coltheart, M. (2000). The cognitive neuropsychology of delusions. Mind and Language, 15(1), 183-216.
71. Levine, D. N. (1990). Unawareness of visual and sensorimotor defects: A hypothesis. Brain and Cognition, 13, 233-281.
72. Lyon, H. M., Kaney, S., &Bentall, R. P. (1994). The defensive function of persecutory delusions: Evidence from attribution tasks. British Journal of Psychiatry, 164(5), 637-646.
73. Lyon, H. M., Startup, M., &Bentall, R. P. (1999). Social cognition and the manic defense: Attributions, selective attention, and self-schema in bipolar affective disorder. Journal of Abnormal Psychology, 108(2), 273-282.
74. Martin, J. A., &Penn, D. L. (2002). Attributional style in schizophrenia: An investigation in outpatients with and without persecutory delusions. Schizophrenia Bulletin, 28(1), 131-142.
75. McKay, R., Arciuli, J., Atkinson, A., Bennett, E., &Pheils, E. (in press). Lateralisation of selfesteem: An investigation using a dichotically presented auditory adaptation of the Implicit Association Test. Cortex. doi: 10.1016/j.cortex.2009.05.004
76. McKay, R., &Cipolotti, L. (2007). Attributional style in a case of Cotard delusion. Consciousness and Cognition, 16, 349-359.
77. McKay, R., &Dennett, D. (in press). The evolution of misbelief. Behavioral and Brain Sciences.
78. McKay, R., Langdon, R., &Coltheart, M. (2007a). The defensive function of persecutory delusions: An investigation using the Implicit Association Test. Cognitive Neuropsychiatry, 12(1), 1-24.
79. McKay, R., Langdon, R., &Coltheart, M. (2007b). Jumping to delusions? Paranoia, probabilistic reasoning and need for closure. Cognitive Neuropsychiatry, 12(4), 362-376.
80. McKay, R. T. (2004). "Sleights of mind": Delusions and self-deception. Unpublished PhD thesis, Macquarie University, Sydney.
81. McWilliams, N. (1994). Psychoanalytic diagnosis: Understanding personality structure in the clinical process. New York: Guilford Press.
82. Mele, A. R. (1997). Real self-deception. Behavioral and Brain Sciences, 20(1), 91-136.
83. Mele, A. R. (2009). Self-deception and delusions. In T. Bayne &J. Fernández (Eds.), Delusion and self-deception: Affective and motivational influences on belief formation (pp. 55-69). Hove, UK: Psychology Press.
84. Metcalf, K., Langdon, R., &Coltheart, M. (2010). The role of personal biases in the explanation of confabulation. Cognitive Neuropsychiatry, 00(00), 000-000.
85. Millikan, R. (1993). White queen psychology and other essays for Alice. Cambridge, MA: MIT Press.
86. Mojtabai, R. (1994). Fregoli syndrome. Australian and New Zealand Journal of Psychiatry, 28, 458-462.
87. Moritz, S., Werner, R., &von Collani, G. (2006). The inferiority complex in paranoia readdressed: A study with the Implicit Association Test. Cognitive Neuropsychiatry, 11(4), 402-415.
88. Moscovitch, M. (1995). Confabulation. In D. L. Schacter (Ed.), Memory distortion: How minds, brains, and societies reconstruct the past. Cambridge, MA: Harvard University Press.
89. Nardone, I. B., Ward, R., Fotopoulou, A., &Turnbull, O. H. (2007). Attention and emotion in anosognosia: Evidence of implicit awareness and repression? Neurocase, 13, 438-445.
90. Nasar, S. (1998). A beautiful mind. New York: Simon &Schuster.
91. Neuberg, S. L., Judice, T. N., &West, S. G. (1997). What the Need for Closure Scale measures and what it does not: Toward differentiating among related epistemic motives. Journal of Personality and Social Psychology, 72, 1396-1412.
92. Peters, E., Day, S., &Garety, P. A. (1997). From preconscious to conscious processing*where does the abnormality lie in delusions? Schizophrenia Research, 24, 120.
93. Peters, E. R., Day, S., &Garety, P. A. (1996). The Peters et al. Delusions Inventory (PDI): New norms for the 21-item version. Schizophrenia Research, 18, 118.
94. Peterson, C., Semmel, A., von Baeyer, C., Abramson, L. Y., Metalsky, G. I., &Seligman, M. E. P. (1982). The Attributional Style Questionnaire. Cognitive Therapy and Research, 6(3), 287-300.
95. Ramachandran, V. S. (1995). Anosognosia in parietal lobe syndrome. Consciousness and Cognition, 4(1), 22-51.
96. Ramachandran, V. S., &Blakeslee, S. (1998). Phantoms in the brain: Human nature and the architecture of the mind. London: Fourth Estate.
97. Raschka, L. B. (1981). The Capgras syndrome. Canadian Journal of Psychiatry, 26(3), 207-208.
98. Reid, I., Young, A. W., &Hellawell, D. J. (1993). Voice recognition impairment in a blind Capgras patient. Behavioural Neurology, 6, 225-228.
99. Rosler, A., Holder, G., &Seifritz, E. (2001). Canary Capgras. Journal of Neuropsychiatry and Clinical Neurosciences, 13(3), 429.
100. Schnider, A. (2008). The confabulating mind: How the brain creates reality. Oxford, UK: Oxford University Press.
101. Silva, J. A., Leong, G. B., Longhitano, M., &Botello, T. E. (1991). Delusion of fetal duplication in a Capgras patient. Canadian Journal of Psychiatry, 336, 46-47.
102. Smith, N., Freeman, D., &Kuipers, E. (2005). Grandiose delusions: An experimental investigation of the delusion as defense. Journal of Nervous and Mental Disease, 193(7), 480-487.
103. Somerfield, D. (1999). Capgras syndrome and animals. International Journal of Geriatric Psychiatry, 14, 892-894.
104. Stephens, G. L., &Graham, G. (2004). Reconceiving delusion. International Review of Psychiatry, 16(3), 236-241.
105. Stone, T., &Young, A. W. (1997). Delusions and brain injury: The philosophy and psychology of belief. Mind and Language, 12, 327-364.
106. Stroop, J. R. (1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology, 18, 643-662.
107. Taylor, S. E. (1989). Positive illusions: Creative self-deception and the healthy mind. New York: Basic Books.
108. Taylor, S. E., &Brown, J. D. (1988). Illusion and well-being: A social psychological perspective on mental health. Psychological Bulletin, 103, 193-210.
109. Trivers, R. L. (1985). Social evolution. Menlo Park, CA: Benjamin Cummings.
110. Turnbull, O. H., Jones, K., &Reed-Screen, J. (2002). Implicit awareness of deficit in anosognosia? An emotion-based account of denial of deficit. Neuro-Psychoanalysis, 4, 69-86.
111. Turnbull, O. H., &Solms, M. (2007). Awareness, desire, and false beliefs: Freud in the light of modern neuropsychology. Cortex, 43, 1083-1090.
112. Vazquez, C., Diez-Alegria, C., Hernandez-Lloreda, M. J., &Moreno, M. N. (2008). Implicit and explicit self-schema in active deluded, remitted deluded, and depressed patients. Journal of Behavior Therapy and Experimental Psychiatry, 39, 587-599.
113. Webster, D. M., &Kruglanski, A. W. (1994). Individual differences in need for cognitive closure. Journal of Personality and Social Psychology, 67(6), 1049-1062.
114. Weinstein, E. A. (1991). Anosognosia and denial of illness. In G. P. Prigatano &D. L. Schacter (Eds.), Awareness of deficit after brain injury: Clinical and theoretical issues (pp. 240-257). New York: Oxford University Press.
115. Weinstein, E. A., &Kahn, R. L. (1950). The syndrome of anosognosia. Archives of Neurology and Psychiatry, 64, 772-791.
116. Weinstein, E. A., &Kahn, R. L. (1955). Denial of illness: Symbolic and physiological aspects. Springfield, IL: Charles C. Thomas.
117. Winters, K. C., &Neale, J. M. (1985). Mania and low self-esteem. Journal of Abnormal Psychology, 94, 282-290.
118. Wright, S., Young, A. W., &Hellawell, D. J. (1993). Sequential Cotard and Capgras delusions. British Journal of Clinical Psychology, 32(3), 345-349.
119. Young, A. W. (2000). Wondrous strange: The neuropsychology of abnormal beliefs. Mind and Language, 15(1), 47-73.
120. Young, A. W., &Leafhead, K. M. (1996). Betwixt life and death: Case studies of the Cotard delusion. In P.W. Halligan &J. C.Marshall (Eds.), Method in madness: Case studies in cognitive neuropsychiatry. Hove, UK: Lawrence Erlbaum Associates Ltd.
121. Young, A. W., Leafhead, K. M., &Szulecka, T. K. (1994). The Capgras and Cotard delusions. Psychopathology, 27(3-5), 226-231.
122. Zigler, E., &Glick, M. (1988). Is paranoid schizophrenia really camouflaged depression? The American Psychologist, 43, 284-290.