A clinically based rule of thumb for classifying delusions

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


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
Issue number2
StatePublished - 1995

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

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