TY - JOUR
T1 - A clinically based rule of thumb for classifying delusions
AU - Walkup, James
N1 - Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.
PY - 1995
Y1 - 1995
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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U2 - 10.1093/schbul/21.2.323
DO - 10.1093/schbul/21.2.323
M3 - Article
C2 - 7631178
AN - SCOPUS:0029085630
VL - 21
SP - 323
EP - 331
JO - Schizophrenia Bulletin
JF - Schizophrenia Bulletin
SN - 0586-7614
IS - 2
ER -