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Delusions and self-esteem

B Bowins1, G Shugar

  • 1General Psychiatry Division, Clarke Institute of Psychiatry, Toronto, Ontario.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|April 16, 1998
PubMed
Summary
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Psychotic patients' delusions and hallucinations reflect their self-esteem and self-regard. This finding suggests that delusional content aligns with patients' self-views, potentially explaining delusion persistence.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Psychopathology

Background:

  • Delusions and hallucinations are core symptoms of psychosis.
  • The relationship between self-esteem and psychotic symptom content is not fully understood.

Purpose of the Study:

  • To examine if global and specific self-esteem influence the content of delusions and hallucinations.
  • To investigate if self-esteem impacts the self-enhancing or self-diminishing nature of delusions.

Main Methods:

  • Assessed delusions and hallucinations in 40 psychotic patients.
  • Rated content for self-esteem indicators and self-enhancement/diminishment.
  • Correlated ratings with self-esteem inventory results.

Main Results:

Related Experiment Videos

  • Delusional content significantly reflects global self-esteem.
  • Self-regard was also found to be mirrored in delusional content.

Conclusions:

  • Global self-esteem and self-regard are key personality factors shaping delusional content.
  • Delusional content appears consistent with patients' self-perceptions, potentially contributing to delusion persistence.