Causal attributions in delusional thinking: an investigation using qualitative methods.
OBJECTIVES: To investigate the attributions offered spontaneously during interview by patients who have delusional beliefs. Specifically, to assess whether people with delusional beliefs reason in a way that is analysable. If so, to extend the findings from previous research to provide a detailed pi...
| Publicado en: | British Journal of Clinical Psychology Vol. 43; no. 3; pp. 267 - 284 |
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| Autores principales: | , |
| Formato: | questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106601300&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106601300 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01446657 99B jtl: British Journal of Clinical Psychology issn: 01446657 maglogo: Y pubinfo: dt: Sep2004 vid: 43 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106601300 106601300 2005058668 10.1348/0144665031752961 NLM15333232 106601300 ppf: 267 ppct: 17 formats: fmt: @attributes: type: P tig: atl: Causal attributions in delusional thinking: an investigation using qualitative methods. aug: au: Beese AG Stratton P affil: Division of Psychiatry and Behavioural Sciences, University of Leeds, Leeds LS2 9LT, UK sug: subj: Delusions Psychosocial Factors Psychology Methods Thinking Adult Audiorecording Causal Attribution Descriptive Statistics Exploratory Research Female Male Open-Ended Questionnaires Qualitative Studies Questionnaires Random Sample Semi-Structured Interview Human Adult: 19-44 years Female Male ab: OBJECTIVES: To investigate the attributions offered spontaneously during interview by patients who have delusional beliefs. Specifically, to assess whether people with delusional beliefs reason in a way that is analysable. If so, to extend the findings from previous research to provide a detailed picture of the patients' accounts that could inform cognitive therapies for psychosis. METHOD: A group of 31 patients with delusional beliefs were interviewed using a semi-structured open-ended interview. Their causal attributions were identified and analysed in terms of standard definitions of attributional theory using the Leeds Attributional Coding System. RESULTS: Patients made an average of 96 attributions each. These showed a high degree of recognizable coherence in reasoning, including when directly discussing delusional beliefs. The patterns of attributing were partly consistent with previous research findings, with external attributions being offered for negative events. Several other aspects emerged, indicating a pervasive negativity, with non-delusional aspects of the illness being a major concern. When delusions were described as a cause of events, the dominant pattern of attributing was stable, internal, personal and uncontrollable, with negative outcomes. When delusions were reported as an outcome, the patient was more in control. CONCLUSIONS: The reasoning processes of patients with delusional beliefs are in many aspects normal and include patterns not identified by the ASQ. Attributing in relation to delusions differs from talk about other subjects. The qualitative attributional approach provided a detailed and rich picture of the world of these patients. Interpretable tendencies are described that should provide information useful to those practising and evaluating cognitive therapies. Copyright 2004 The British Psychological Society pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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