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The Origins of Delusion

  • Glenn Roberts (a1)

Abstract

Although delusion remains one of the basic problems in psychopathology, attempts to understand its pathogenesis have been dominated by unsubstantiated speculation. Previous psychodynamic formulations have recently given way to increasing interest in measurement, and testing of models derived from cognitive psychology. However, the formation, elaboration, and persistence of delusional beliefs may be an expression of the convergence of numerous causal influences, each exerting an effect at a different stage in the evolution of the belief. This review takes a structured overview of the literature, placing the numerous part theories and scant experimental findings within a general model of delusional development. It argues for a return to systematic research on symptoms rather than complex diagnostic formulations to facilitate better understanding of the development of delusional disorders and stimulate further interest in therapeutic intervention.

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Arieti, S. (1964) Interpretation of Schizophrenia. London: Crosby Loanword Staples.
Arthur, A. Z. (1964) Theories and explanations of delusions: a review. American Journal of Psychiatry, 121, 105115.
Bateson, G. (1973) Steps to an Ecology of Mind. St Albans: Paladin.
Bentall, R. P. & Kany, S. (1989) Content-specific information processing and persecutory delusions: an investigation using the emotional Stroop test. British Journal of Medical Psychology, 62, 355364.
Berner, P., Gabriel, E., Kieffer, W., et al (1986) Paranoid psychosis: new aspects of classification and prognosis coming from the Vienna Research Group. Psychopathology, 19, 1629.
Birley, J. L. T. (1990) DSM–III: from left to right or from right to left? British Journal of Psychiatry, 157, 116118.
Bishay, N. R., Peterson, N. & Tarrier, N. (1989) An uncontrolled study of cognitive therapy for morbid jealousy. British Journal of Psychiatry, 154, 386389.
Bleuler, E. (1950) Dementia Praecox or the Group of Schizophrenias (trans. Deuticke, F.). New York: International Universities Press (originally published 1911).
Bleuler, E. (1951) Autistic thinking. In Organisation and Pathology of Thought (ed. Rapaport, D.), pp. 399423. New York: Columbia University Press.
Brett-Jones, J., Garety, P. & Hemsley, D. (1987) Measuring delusional experiences: a method and its application. British Journal of Clinical Psychology, 26, 257265.
Bullard, D. M. (1960) Psychotherapy of paranoid patients. Archives of General Psychiatry, 2, 137141.
Cameron, N. (1959) The paranoid pseudo-community revisited. American Journal of Sociology, 65, 5258.
Chadwick, P. D. J. & Lowe, C. F. (1990) Measurement and modification of delusional beliefs. Journal of Consulting and Clinical Psychology, 58(2), 225232.
Cummings, J. L. (1985) Organic delusions. British Journal of Psychiatry, 146, 184197.
Cummings, J. L. (1986) Organic psychoses, delusional disorder and secondary mania. Psychiatric Clinics of North America, 9, 293311.
Cutting, J. (1985) The Psychology of Schizophrenia. London: Churchill Livingstone.
Cutting, J. (1989) Gestalt theory and psychiatry: a discussion paper. Journal of the Royal Society of Medicine, 82, 429431.
Cutting, J. & Dunne, F. (1986) The nature of abnormal perceptual experiences at the onset of schizophrenia. Psychopathology, 19, 347352.
David, A. S. (1990) Insight and psychosis. British Journal of Psychiatry, 156, 798808.
Day, M. & Manschreck, T. C. (1988) Delusional (paranoid) disorders. In The New Harvard Guide to Psychiatry (ed. Nicholi, A. M. Jr.), pp. 296308. Cambridge, MA: Belknap Press.
Federn, P. (1953) Ego Psychology and Psychosis. Reprinted 1977, London: Maresfield Reprints.
Forgus, R. H. & De Wolfe, A. S. (1974) Coding of cognitive input in delusional patients. Journal of Abnormal Psychology, 83, 278284.
Foxx, R. M., McMorrow, M. J., Davis, L. A., et al (1988) Replacing a chronic schizophrenic man's delusional speech with stimulus-appropriate responses. Journal of Behaviour Therapy and Experimental Psychiatry, 19, 4350.
Freeman, T. (1981) On the psychopathology of persecutory delusions. British Journal of Psychiatry, 139, 529532.
Freeman, T. (1988) The Psychoanalyst in Psychiatry. London: Karnac Books.
Freud, S. (1939) Constructions in analysis. In Standard Edition of the Complete Psychological Works of Sigmund Freud (trans. and ed. Strachey, J.), vol. 23, pp. 255269. London: Hogarth Press.
Freud, S. (1958) Notes on a case of paranoia. In Standard Edition of the Complete Psychological Works of Sigmund Freud (trans. and ed. Strachey, J.), vol. 12, pp. 5979. London: Hogarth Press.
Garety, P. A. & Hemsley, D. R. (1987) Characteristics of delusional experience. Archives of Psychiatry and Neurological Sciences, 236, 294298.
Hemsley, D. R. & Garety, P. A. (1986) The formation of delusions: a Bayesian analysis. British Journal of Psychiatry, 149, 5156.
Hole, R. W., Rush, A. J. & Beck, A. T. (1979) A cognitive investigation of schizophrenic delusions. Psychiatry, 42, 312319.
Huq, S. F., Garety, P. A. & Hemsley, D. R. (1988) Probabilistic judgements in deluded and non-deluded subjects. Quarterly Journal of Experimental Psychology, 40A, 801812.
Jaspers, K. (1963) General Psychopathology (trans. Hoenig, J. & Hamilton, M. W.). Manchester: Manchester University Press.
Jenner, F. A., Monteriro, A. C. & Vlissides, D. (1986) The negative effect on psychiatry of Karl Jaspers' development of Verstehen . Journal of the British Society for Phenomenology, 17, 5271.
Johnson, W. G., Ross, J. M. & Mastra, M. A. (1977) Delusional behavior: an attribution analysis of development and modification. Journal of Abnormal Psychology, 1977, 86, 421426.
Kaffman, M. (1984) Paranoid disorders: the core of truth behind the delusional system. International Journal of Family Therapy, 6, 220232.
Kany, S. & Bentall, R. P. (1989) Persecutory delusions and attributional style. British Journal of Medical Psychology, 62, 191198.
Kraepelin, E. (1971) Dementia Praecox and Paraphrenia (trans. Barclay, R. M.). Huntingdon: NY: Krieger (originally published 1919).
Lansky, M. R. (1977) Schizophrenic delusional phenomena. Comprehensive Psychiatry, 18, 157168.
Lester, D. (1975) The relationship between paranoid delusions and homosexuality. Archives of Sexual Behavior, 4, 285294.
Maher, B. A. (1974) Delusional thinking and perceptual disorder. Journal of Individual Psychology, 30, 98113.
Maher, B. A. & Ross, J. S. (1984) Delusions. In Comprehensive Handbook of Psychopathology (eds Adams, H. & Sutker, P.), pp. 383409. New York and London: Plenum Press.
Marks, I. & Mishan, J. (1988) Dismorphophobic avoidance with disturbed bodily perception. British Journal of Psychiatry, 152, 674678.
Melges, F. T. & Freeman, A. M. (1975) Persecutory delusions: a cybernetic model. American Journal of Psychiatry, 132, 10381044.
Monro, A. (1988) Delusional (paranoid) disorders. Canadian Journal of Psychiatry, 33, 399404.
Murphy, H. B. M. (1983) Sociocultural variations in symptomatology, incidence and course of illness. In Handbook of Psychiatry (eds Shepherd, M. & Zangwill, O.), vol. 1, chapter 5. London: Cambridge University Press.
Norman, C. (1899) Systematised delusional insanity (paranoia). In System of Medicine (ed. Allbutt, T. C.), pp. 9951007. London: Macmillan.
Persons, J. B. (1986) The advantages of studying psychological phenomena rather than psychiatric diagnoses. American Psychologist, 41, 12521260.
Rachman, S. (1983) Irrational thinking with special reference to cognitive therapy. Advances in Behavioral Research and Therapy, 5, 6388.
Roberts, G. A. (1991) Delusional belief and meaning in life: a preferred reality? British Journal of Psychiatry, 159 (suppl. 14): 2029.
Roberts, J. E., Edwards, J. G., Checkley, S., et al (1986) A case of resistant schizophrenia. British Journal of Psychiatry, 149, 789793.
Roth, S. (1970) The seemingly ubiquitous depression following acute schizophrenic episodes: a neglected area of clinical discussion. American Journal of Psychiatry, 127, 9198.
Rothstein, A. (1980) Psychoanalytical paradigms and their narcissistic investment. Journal of the American Psychoanalytic Association, 28, 385395.
Salzinger, K. (1975) Behavior theory models of abnormal behavior. In Experimental Approaches to Psychopathology (eds Kietzman, M., Sutton, S. & Zubin, J.), pp. 213244. New York: Academic Press.
Scharffeter, C. (1980) General Psychopathology (trans. Marshall, H.). London: Cambridge University Press.
Schilder, P. (1951) On the development of thoughts. In Organisation and Pathology of Thought (ed. Rapaport, D.), pp. 497517. New York: Columbia University Press.
Schmidt, G. (1987) A review of the German literature on delusion between 1914 and 1939. In The Clinical Roots of the Schizophrenia Concept (eds Cutting, J. and Shepherd, M.), pp. 105134. London: Cambridge University Press.
Searles, H. F. (1962) The differentiation between concrete and metaphorical thinking in the recovering schizophrenic patient. Journal of the American Psychoanalytical Association, 10, 2249.
Sims, A. (1988) Symptoms in the Mind – an Introduction to Descriptive Psychopathology. London: Baillière Tindall.
Strauss, J. S. (1969) Hallucinations and delusions as points on continua function. Archives of General Psychiatry, 21, 581586.
Sullivan, H. S. (1956) Clinical Studies in Psychiatry. In The Clinical Works of Harry Stack Sullivan (eds Perry, H. S., Gower, M. L. & Gibbon, M.), vol. 2. New York: Norton.
Tsuang, M. T., Faraone, S. V. & Day, M. (1988) Schizophrenic disorders. In The New Harvard Guide to Psychiatry (ed. Nicholi, A. Jr.), pp. 259298. Cambridge, MA: Belknap Press.
Watts, F. N., Powell, E. G. & Austin, S. V. (1973) The modification of abnormal beliefs. British Journal of Medical Psychology, 46, 359363.
Weinstein, E. A. (1962) Cultural Aspects of Delusions. A Psychiatric Study of the Virgin Islands. New York: Free Press of Glencoe, Inc.
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. London: Cambridge University Press.
Winters, K. C. & Neale, J. M. (1983) Delusions and delusional thinking in psychotics: a review of the literature. Clinical Psychology Review, 3, 227253.

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  • Glenn Roberts (a1)
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