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首页> 外文期刊>Journal of consulting and clinical psychology >Why Do People With Delusions Fail to Choose More Realistic Explanations for Their Experiences? An Empirical Investigation
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Why Do People With Delusions Fail to Choose More Realistic Explanations for Their Experiences? An Empirical Investigation

机译:为什么有妄想的人无法为自己的经历选择更现实的解释?实证研究

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摘要

Delusions can be viewed as explanations of experiences. By definition, the experiences are insufficient to merit the delusional explanations. So why have delusions been accepted rather than more realistic explanations? The authors report a study of alternative explanations in 100 individuals with delusions. Patients were assessed on the following criteria: symptom measures, the evidence for the delusions, the availability of alternative explanations, reasoning, and self-esteem. Three quarters of the patients did not report any alternative explanation for the experiences on which the delusions were based. These patients reported significantly more internal anomalous experiences and had a more hasty reasoning style than patients who did have alternative explanations available. Having doubt in a delusion, without an alternative explanation, was associated with lower self-esteem. Clinicians will need to develop plausible and compelling alternative accounts of experience in interventions rather than merely challenge patients' delusional beliefs.
机译:妄想可以看作是对经验的解释。根据定义,这些经验不足以进行错觉性的解释。那么,为什么妄想被接受而不是更现实的解释?作者报告了对100名有妄想的个体进行替代解释的研究。根据以下标准对患者进行评估:症状措施,妄想证据,替代解释的可用性,推理和自尊。四分之三的患者没有报告妄想所依据的经验的任何其他解释。与确实有其他解释的患者相比,这些患者报告的内部异常经验明显更多,推理方式更为仓促。对妄想产生怀疑,而没有其他解释,则与较低的自尊有关。临床医生将需要发展合理的,令人信服的替代性干预经验,而不仅仅是挑战患者的妄想。

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