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A Clinically Based Rule of Thumb for Classifying Delusions
Conventional psychodynamic 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 ch...
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Published in: | Schizophrenia bulletin 1995, Vol.21 (2), p.323-331 |
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Main Author: | |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that cite this one |
Online Access: | Get full text |
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Summary: | Conventional psychodynamic 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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ISSN: | 0586-7614 1745-1701 |
DOI: | 10.1093/schbul/21.2.323 |