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 language | English (US) |
|---|---|
| Pages (from-to) | 323-331 |
| Number of pages | 9 |
| Journal | Schizophrenia bulletin |
| Volume | 21 |
| Issue number | 2 |
| DOIs | |
| State | Published - Dec 1 1995 |
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All Science Journal Classification (ASJC) codes
- Psychiatry and Mental health
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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 journal › Article
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.
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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 -