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Characterizing core beliefs in psychosis: a qualitative study.
Christopher D J Taylor1,2, Gillian Haddock2, Susan Speer2
1Secondary Care Psychological Therapies Service, Pennine Care NHS Foundation Trust, Humphrey House, Angouleme Way, Bury ML9 0EQ, UK.
Behavioural and Cognitive Psychotherapy
|April 9, 2019
Summary
This study explored core beliefs in psychosis, finding they are permanent, develop over time, and directly influence symptoms like hallucinations and delusions. Understanding these beliefs can improve cognitive behavioural treatments.
Area of Science:
- Psychology
- Psychiatry
- Clinical Psychology
Background:
- Cognitive behavioural treatments (CBT) are recommended for psychosis.
- Core beliefs about self/others are central to CBT models.
- Limited understanding of these beliefs in psychosis hinders treatment refinement.
Purpose of the Study:
- Explore core schematic beliefs in psychosis.
- Investigate the relationship between core beliefs and psychotic symptoms (hallucinations, delusions).
Main Methods:
- Qualitative study design.
- Semi-structured interviews with 20 individuals with psychosis.
- Inductive thematic analysis of interview data.
Main Results:
- Four themes emerged: belief permanence, belief development, synergistic relationship between beliefs and symptoms, and influence of beliefs on psychotic symptoms.
- Core beliefs are strongly linked to the experience and manifestation of hallucinations and delusions.
- Identified specific ways core beliefs interact with and potentially exacerbate psychotic symptoms.
Conclusions:
- Provides novel insights into the nature of core beliefs in psychosis.
- Offers crucial data for enhancing and developing future psychosis treatments.
- Highlights the importance of addressing core beliefs in therapeutic interventions for psychosis.
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