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Related Experiment Videos

Causal attributions in delusional thinking: an investigation using qualitative methods.

A G Beese1, P Stratton

  • 1Division of Psychiatry and Behavioural Sciences, University of Leeds, UK. p.m.stratton@leeds.ac.uk

The British Journal of Clinical Psychology
|August 31, 2004
PubMed
Summary

Patients with delusional beliefs demonstrate coherent reasoning, even about their delusions. Their attribution patterns offer insights into psychosis and can inform cognitive therapies.

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Area of Science:

  • Psychology
  • Psychiatry

Background:

  • Delusional beliefs are a core symptom of psychosis.
  • Understanding the reasoning behind these beliefs is crucial for effective treatment.

Purpose of the Study:

  • To investigate spontaneous attributions in patients with delusional beliefs.
  • To determine if reasoning in these patients is analysable.
  • To inform cognitive therapies for psychosis.

Main Methods:

  • Semi-structured interviews with 31 patients holding delusional beliefs.
  • Analysis of causal attributions using the Leeds Attributional Coding System.

Main Results:

  • Patients produced numerous coherent attributions, including for delusional content.

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  • External attributions were common for negative events.
  • Attributing delusions as causes led to stable, internal, personal, and uncontrollable negative outcomes.

    • Conclusions:

    • Reasoning in patients with delusional beliefs is often normal and analysable.
    • Attributional patterns differ when discussing delusions versus other topics.
    • Qualitative analysis provides rich insights for cognitive therapy development.