Derationalizing Delusions.

Derationalizing Delusions.
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DOI:
10.1177/2167702620951553
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发表时间:
2021-01
期刊:
Clinical psychological science : a journal of the Association for Psychological Science
影响因子:
--
通讯作者:
Wilkinson S
Wilkinson S
中科院分区:
其他
文献类型:
--
作者:
Bell V;Raihani N;Wilkinson S

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由于妄想的传统概念是“非理性信念”,妄想的认知模型主要集中在领域一般推理的障碍。然而,目前的理性障碍模型并没有解释这样一个事实:(a)通过适应性社会认知过程可以诱导出同等的非理性信念,反映了社会融合而不是障碍;(B)妄想绝大多数是社会主题的;(c)妄想对社会背景的敏感性降低,无论是在它们是如何形成的,还是在它们是如何传播的。因此,我们认为,模型的错觉需要包括改变联盟的认知过程中所涉及的隶属关系,群体的看法,和关系的战略管理。这种方法的优点是可以更好地解释妄想的内容(社会主题)和形式(固定性)。它也得到了中脑边缘多巴胺在妄想和社会组织中的既定作用的支持,以及正在进行的信念作为社会组织功能的重新概念化。
Because of the traditional conceptualization of delusion as “irrational belief,” cognitive models of delusions largely focus on impairments to domain-general reasoning. Nevertheless, current rationality-impairment models do not account for the fact that (a) equivalently irrational beliefs can be induced through adaptive social cognitive processes, reflecting social integration rather than impairment; (b) delusions are overwhelmingly socially themed; and (c) delusions show a reduced sensitivity to social context both in terms of how they are shaped and how they are communicated. Consequently, we argue that models of delusions need to include alteration to coalitional cognition—processes involved in affiliation, group perception, and the strategic management of relationships. This approach has the advantage of better accounting for both content (social themes) and form (fixity) of delusion. It is also supported by the established role of mesolimbic dopamine in both delusions and social organization and the ongoing reconceptualization of belief as serving a social organizational function.
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