A clinically based rule of thumb for classifying delusions

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Conventionalpsychodynamic treatment assumptions sometimes warned against direct confrontation of a patient's delusions because delusions were believed to serve defensive functions. Based in part on research findings, some have recently asserted that it can be beneficial for the clinician to challenge a patient's delusional beliefs. Short-term positive results from such confrontations have been reported. I review clinical and research considerations that may aid the clinician in deciding when confrontation may be beneficial. I identify a class of delusions that are unlikely to respond to confrontation. Alternative clinical responses to this class are suggested.

Original languageEnglish (US)
Pages (from-to)323-331
Number of pages9
JournalSchizophrenia bulletin
Volume21
Issue number2
DOIs
StatePublished - Dec 1 1995

Fingerprint

Delusions
Research
Therapeutics

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

Cite this

@article{d28449c805324aa9b18e104903289d55,
title = "A clinically based rule of thumb for classifying delusions",
abstract = "Conventionalpsychodynamic treatment assumptions sometimes warned against direct confrontation of a patient's delusions because delusions were believed to serve defensive functions. Based in part on research findings, some have recently asserted that it can be beneficial for the clinician to challenge a patient's delusional beliefs. Short-term positive results from such confrontations have been reported. I review clinical and research considerations that may aid the clinician in deciding when confrontation may be beneficial. I identify a class of delusions that are unlikely to respond to confrontation. Alternative clinical responses to this class are suggested.",
author = "James Walkup",
year = "1995",
month = "12",
day = "1",
doi = "10.1093/schbul/21.2.323",
language = "English (US)",
volume = "21",
pages = "323--331",
journal = "Schizophrenia Bulletin",
issn = "0586-7614",
publisher = "Oxford University Press",
number = "2",

}

A clinically based rule of thumb for classifying delusions. / Walkup, James.

In: Schizophrenia bulletin, Vol. 21, No. 2, 01.12.1995, p. 323-331.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A clinically based rule of thumb for classifying delusions

AU - Walkup, James

PY - 1995/12/1

Y1 - 1995/12/1

N2 - Conventionalpsychodynamic treatment assumptions sometimes warned against direct confrontation of a patient's delusions because delusions were believed to serve defensive functions. Based in part on research findings, some have recently asserted that it can be beneficial for the clinician to challenge a patient's delusional beliefs. Short-term positive results from such confrontations have been reported. I review clinical and research considerations that may aid the clinician in deciding when confrontation may be beneficial. I identify a class of delusions that are unlikely to respond to confrontation. Alternative clinical responses to this class are suggested.

AB - Conventionalpsychodynamic treatment assumptions sometimes warned against direct confrontation of a patient's delusions because delusions were believed to serve defensive functions. Based in part on research findings, some have recently asserted that it can be beneficial for the clinician to challenge a patient's delusional beliefs. Short-term positive results from such confrontations have been reported. I review clinical and research considerations that may aid the clinician in deciding when confrontation may be beneficial. I identify a class of delusions that are unlikely to respond to confrontation. Alternative clinical responses to this class are suggested.

UR - http://www.scopus.com/inward/record.url?scp=0029085630&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029085630&partnerID=8YFLogxK

U2 - 10.1093/schbul/21.2.323

DO - 10.1093/schbul/21.2.323

M3 - Article

VL - 21

SP - 323

EP - 331

JO - Schizophrenia Bulletin

JF - Schizophrenia Bulletin

SN - 0586-7614

IS - 2

ER -