The self, attributional processes and abnormal beliefs: towards a model of persecutory delusions

Behav Res Ther. 1994 Mar;32(3):331-41. doi: 10.1016/0005-7967(94)90131-7.

Abstract

In this paper we review a series of recent investigations into cognitive abnormalities associated with persecutory delusions. Studies indicate that persecutory delusions are associated with abnormal attention to threat-related stimuli, an explanatory bias towards attributing negative outcomes to external causes and biases in information processing relating to the self-concept. We propose an integrative model to account for these findings in which it is hypothesized that, in deluded patients, activation of self/ideal discrepancies by threat-related information triggers defensive explanatory biases, which have the function of reducing the self/ideal discrepancies but result in persecutory ideation. We conclude by discussing the implications of this model for the cognitive-behavioural treatment of paranoid delusions.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Attention
  • Defense Mechanisms
  • Delusions / psychology*
  • Depressive Disorder / psychology
  • Humans
  • Internal-External Control*
  • Paranoid Disorders / psychology
  • Self Concept*
  • Social Perception