Redefining Delusion Based on Studies of Subjective Paranormal Ideation
Redefining Delusion Based on Studies of Subjective Paranormal Ideation
复制标题
基于主观超自然意念的研究重新定义妄想
DOI：
10.2466/pr0.94.2.501-513
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发表时间：
2004
影响因子：
2.3
通讯作者：
R. Lange
中科院分区：
文献类型：
--
作者：
J. Houran;R. Lange
DSM-IV对妄想的定义并不令人满意，因为它没有解释妄想的形成和维持机制，它暗示这种信念必然是功能失调的(病理性的)，它低估了一些错觉的社会成分，而且它与表明妄想可以通过矛盾、对抗和认知行为疗法等技术来纠正的研究不一致。然而，基于对超自然信念和经验的研究，一个复制良好的魔法/妄想思维的数学模型与归因过程在妄想的形成和维持中发挥核心作用的假设是一致的。该模型表明，归因过程起到了减少与模糊刺激相关的恐惧的适应性功能，妄想思维是以非病理形式存在的连续统一体。在这项集体研究的基础上，提出了对妄想定义的修正，并对其临床意义进行了讨论。
The DSM–IV definition of delusion is argued to be unsatisfactory because it does not explain the mechanism for delusion formation and maintenance, it implies that such beliefs are necessarily dysfunctional (pathological), it underestimates the social component to some delusions, and it is inconsistent with research indicating that delusions can be modified through techniques such as contradiction, confrontation, and cognitive-behavioral therapy. However, a well-replicated mathematical model of magical/delusional thinking based on a study of paranormal beliefs and experiences is consistent with the hypothesis that attributional processes play a central role in delusion formation and maintenance. The model suggests attributional processes serve the adaptive function of reducing fear associated with ambiguous stimuli and delusional thinking is on a continuum with nonpathological forms. Based on this collective research an amendment to the definition of delusion is proposed and its clinical implications are addressed.