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Please share this article with others using the link below, ... Behavioral Forensics Review - 4.28.12. Google Reader - Behavioral Forensics Behavioral Forensics "Behavioral Forensics" bundle created by Mike Nova A bundle ...

Cognitive Aspects of Delusional Disorders

Cognitive Aspects of Delusional Disorders

Selected Articles

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Neuropsychological *aspects of delusional disorder*

via Cognitive Aspects of Delusional Disorders - Google Blog Search by Mike Nova on 4/30/12

Neuropsychological aspects of delusional disorder: DDs can best be seen as extreme variations of cognitive mechanisms involved in rapid threat detection and defensive harm avoidance. From this viewpoint, the two models ...

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"Delusions are... now conceptualized as dimensional entities rather than categorical ones, lying at the extreme end of a "belief continuum"... A truly comprehensive model of the persecutory delusion requires further elucidation at the neurochemical and genetic levels." - PsychiatryOnline | American Journal of Psychiatry | Cognitive Neuropsychiatric Models of Persecutory Delusions

"Delusions are... now conceptualized as dimensional entities rather than categorical ones, lying at the extreme end of a "belief continuum"...
A truly comprehensive model of the persecutory delusion requires further elucidation at the neurochemical and genetic levels.
Finally, genetic studies, in the absence of a definitively linked genomic region of, for example, schizophrenia R1584BABBEHIC, currently are being designed to reduce genetic heterogeneity at the entry point of proband ascertainment. Thus, dimensional variables (e.g., delusional ideation, social cognitive skills) or symptom clusters (e.g., reality distortion) become intermediate phenotypes worthy of study (for preliminary examples of this approach, see references R1584BABJIDCA–R1584BABEFBIB). If the relevant social cognitive mechanisms can be reliably characterized and shown to be heritable, this approach could lead to more definitive linkage results and to the elucidation of the genetic background of the illnesses in which persecutory delusions arise."

PsychiatryOnline | American Journal of Psychiatry | Cognitive Neuropsychiatric Models of Persecutory Delusions

The American Journal of Psychiatry, VOL. 158, No. 4

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*Cognitive Aspects* of Normal and *Delusional* Belief Formations

via Cognitive Aspects of Delusional Disorders - Google Blog Search by Mike Nova on 4/26/12

Cognitive Aspects of Normal and Delusional Belief Formations ... Neuropsychological aspects of delusional disorder. via pubmed: belief formation del... by Abdel-Hamid M, Brüne M on 4/26/12 ...

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Nervenarzt. 2007 Jul;78(7):796-801.

[Neuropsychological aspects of delusional disorders. Characteristic attributional style or cognitive deficit?].

[Article in German]

Bömmer I, Brüne M.

Source

Psychiatrie, Psychotherapie und Psychosomatik, Westfälisches Zentrum Bochum, 44791 Bochum.

Abstract

BACKGROUND:

"Pure" delusional disorders are clinically rare, and the neuropsychology of such disorders is poorly understood. Whereas "deficit" models suggest a cognitive impairment accounting for the incorrigible fixation of false beliefs, cognitive models propose the existence of a characteristic attributional style in patients to stabilise a fragile self.

PATIENTS AND METHODS:

The cognitive flexibility and attributional style of 21 patients diagnosed with delusional disorder according to ICD-10 were compared with a group of healthy controls paralleled for age, sex, education, and intelligence.

RESULTS:

Patients with delusional disorders made more errors and more perseverative errors in the Wisconsin Card Sorting Test compared with controls. However, these differences were only significant in patients with a comorbid depression. In contrast to earlier studies, patients with delusional disorders did not attribute negative events to external or personal causes more often than healthy controls, but partly tended to show a depressive attributional style.

CONCLUSION:

Our results do not support either a cognitive deficit in patients with delusional disorders or a characteristic attributional style. In terms of treatment recommendations, a thorough diagnosis of comorbid depressive disorders in patients with delusional disorders is warranted.

PMID:

17123122

[PubMed - indexed for MEDLINE]

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Beyond alcoholism: Wernicke-Korsakoff syndrome in patients with psychiatric disorders.

from pubmed: cognitive aspects of... by McCormick LM, Buchanan JR, Onwuameze OE, Pierson RK, Paradiso S

Beyond alcoholism: Wernicke-Korsakoff syndrome in patients with psychiatric disorders.
Cogn Behav Neurol. 2011 Dec;24(4):209-16
Authors: McCormick LM, Buchanan JR, Onwuameze OE, Pierson RK, Paradiso S
Abstract
OBJECTIVE: Wernicke encephalopathy and Korsakoff syndrome (the combined disorder is named Wernicke-Korsakoff syndrome [WKS]) are preventable, life-threatening neuropsychiatric syndromes resulting from thiamine deficiency. WKS has historically been associated with alcoholism; more recently, it has been recognized in patients who have anorexia nervosa or have undergone bariatric surgery for obesity. However, patients with nutritional deficiencies of any origin are at risk for WKS. We present clinical histories and neuroimaging data on 2 young adults with underlying psychiatric disorders who became malnourished and developed WKS.
METHODS: A young woman with bipolar disorder and somatization disorder was hospitalized for intractable vomiting. A young man with chronic paranoid schizophrenia developed delusions that food and water were harmful, and was hospitalized after subsisting for 4 months on soda pop.
RESULTS: Acute, life-threatening Wernicke encephalopathy was confirmed in both patients by brain magnetic resonance imaging showing classic thalamic injury. The patients were left with persistent cognitive and physical disabilities that were consistent with Korsakoff syndrome.
CONCLUSIONS: Failure to suspect a vitamin deficiency led to permanent cognitive and physical disabilities that may necessitate lifelong care for these patients. The neuropsychiatric consequences could have been prevented by prompt recognition of their thiamine deficiency.
PMID: 22134191 [PubMed - indexed for MEDLINE]

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Sante Ment Que. 2001;26(2):179-202.

[Cognitive aspects and treatment of delusional disorders.].

[Article in French]

O'Connor KP, Stip E, Robillard S.

Abstract

This article reviews the cognitive phenomenology of delusional disorders (DD) and examines the current cognitive models. Some case studies have shown considerable promise concerning the utilisation of cognitive behavioral therapy (CBT) for the treatment of DD, even if this approach is in its infancy. Although the stages of CBT to treat DD are very similar to that of other psychotic disorders, there are also considerable differences. However, it is essential to combine several strategies in order to modify inferences specific to DD. The clinical evaluation of delusions as well as the application of CBT as a treatment is illustrated in two cases with a diagnosis of DD with persecutory subtype. The cases required different time periods for different stages of CBT and highlight the importance of tailoring CBT according to need.

PMID:

18253611

[PubMed - in process]

Free full text

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A cognitive model of persecutory delusions

[PDF] from unige.ch

D Freeman, PA Garety, E Kuipers… - British Journal of …, 2002 - Wiley Online Library

... Overall, then, targeting aspects of the content of a delusion may lead to emotional changes ... Such
a process may socialize the person into the cognitive approach and lead to ... Individuals' appraisals
of their delusional beliefs and associated experiences may have led to emotional ...

Cited by 238 - Related articles - BL Direct - All 12 versions

A cognitive model of persecutory delusions

1. Daniel Freeman^1,*,
2. Philippa A. Garety^1,2,
3. Elizabeth Kuipers¹,
4. David Fowler³,
5. Paul E. Bebbington⁴

Article first published online: 24 DEC 2010

DOI: 10.1348/014466502760387461

2002 The British Psychological Society

Issue

British Journal of Clinical Psychology

Volume 41, Issue 4, pages 331–347, November 2002

A multifactorial model of the formation and maintenance of persecutory delusions is presented. Persecutory delusions are conceptualized as threat beliefs. The beliefs are hypothesized to arise from a search for meaning for internal or external experiences that are unusual, anomalous, or emotionally significant for the individual. The persecutory explanations formed reflect an interaction between psychotic processes, pre-existing beliefs and personality (particularly emotion), and the environment. It is proposed that the delusions are maintained by processes that lead to the receipt of confirmatory evidence and processes that prevent the processing of disconfirmatory evidence. Novel features of the model include the (non-defended) direct roles given to emotion in delusion formation, the detailed consideration of both the content and form of delusions, and the hypotheses concerning the associated emotional distress. The clinical and research implications of the model are outlined.

Get PDF (237K)

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Religion & Brain: Belief Decreases With Analytical Thinking, Study Shows

Daily Mail

1. Religion & Brain: Belief Decreases With Analytical Thinking, Study Shows
   

   
   

   Huffington Post‎ - 2 days ago

   Many people with religious convictions feel that their faith is rock solid. But a new study finds that prompting people to engage in analytical ...

1. Belief in God, Critical Thinking Butt Heads

   Discovery News‎ - 3 days ago
2. To Keep the Faith, Don't Get Analytical

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The development of a cognitive model of schizophrenia: placing it in context.

Hemsley DR.

Neurosci Biobehav Rev. 2005;29(6):977-88. Review.

PMID:

15964074

[PubMed - indexed for MEDLINE]

Related citations

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1. [Cognitive aspects and treatment of delusional disorders.].

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   by KP O'Connor - 2001[Cognitive aspects and treatment of delusional disorders.]. [Article in French]. O'Connor KP, Stip E, Robillard S. This article reviews the cognitive phenomenology ...

2. [Neuropsychological aspects of delusional disorders. Characteristic ...

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   by I Bömmer - 2007 - Cited by 1 - Related articles
   [Neuropsychological aspects of delusional disorders. Characteristic attributional style or cognitive deficit?]. [Article in German]. Bömmer I, Brüne M. Psychiatrie ...

3. Neuropsychological aspects of delusional disorder.

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4. Cognitive Processes in Delusional Disorders

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   books.google.com/books?isbn=0521571634...Dan J. Stein, Jacques Ludik - 1998 - Computers - 371 pages
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Cognitive therapy for bipolar disorder: a therapist's guide to concepts, methods and practice

[PDF] from rcpsych.org

J Scott - The British Journal of Psychiatry, 2000 - RCP

... Thus, a case of AIDS hypochondriasis is delusional dis- order, somatic type, but a superficially
similar case where there is a ... is not the fault of the authors, as we currently lack a clear theoretical
model for under- standing all the cognitive and behavioural aspects of bipolar ...

Cited by 154 - Related articles - All 5 versions

A cognitive model of persecutory delusions

[PDF] from unige.ch

D Freeman, PA Garety, E Kuipers… - British Journal of …, 2002 - Wiley Online Library

... Overall, then, targeting aspects of the content of a delusion may lead to emotional changes ... Such
a process may socialize the person into the cognitive approach and lead to ... Individuals' appraisals
of their delusional beliefs and associated experiences may have led to emotional ...

Cited by 238 - Related articles - BL Direct - All 12 versions

Psychologic aspects of acne

JYM Koo… - Pediatric dermatology, 1991 - Wiley Online Library

... Koo and Smith: Psychologic Aspects of Acne 187 ... Other therapeutic approaches to OCD include
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Cognitive therapy of delusional beliefs

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Comments on the content of persecutory delusions: Does the definition need clarification?

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D Freeman… - British Journal of Clinical Psychology, 2000 - Wiley Online Library

... is hoped that the use of such criteria would not forestall either investigations of the relevance
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Body dysmorphic disorder: a cognitive behavioural model and pilot randomised controlled trial

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... Some studies of obsessivecompulsives have measured multiple aspects of beliefs (eg Basoglu
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