The past and future of delusions research: from the inexplicable to the treatable

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Abstract

Background: Problems with the diagnosis and treatment of schizophrenia have led for a call to change strategy and focus upon individual psychotic experiences. In recent years, research on delusions has led the way.

Aims: In 1999 we reviewed almost forty studies on delusions, and our aim was to update this survey.

Method: Systematic literature searches of reasoning and affective processes related to delusions.

Results: Over 200 studies were identified. The presence of ‘jumping to conclusions’ in individuals with delusions has been substantiated, the theory of mind account has not stood up to subsequent testing, and there is a promising new focus upon the ways that affective processes contribute to delusional experience.

Conclusions: We highlight how theoretical work rendering delusions understandable can be translated into treatments, and conclude that future clinical trials should focus on individual psychotic experiences as outcomes.
Original languageEnglish
Pages (from-to)327-333
Number of pages4
JournalBritish Journal of Psychiatry
Volume203
Issue number5
DOIs
Publication statusPublished - Nov 2013

Keywords

  • Schizophrenia
  • Psychosis
  • delusions

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