Helping patients with paranoid and suspicious thoughts: A cognitive-behavioural approach

Paranoid and suspicious thoughts are a significant clinical topic. They regularly occur in 10-15% of the general population, and persecutory delusions are a frequent symptom of psychosis. In the past, patients were discouraged from talking about paranoid experiences. In contrast, it is now recommend...

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Main Authors: Freeman, D, Garety, P
Format: Journal article
Language:English
Published: 2006
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author Freeman, D
Garety, P
author_facet Freeman, D
Garety, P
author_sort Freeman, D
collection OXFORD
description Paranoid and suspicious thoughts are a significant clinical topic. They regularly occur in 10-15% of the general population, and persecutory delusions are a frequent symptom of psychosis. In the past, patients were discouraged from talking about paranoid experiences. In contrast, it is now recommended that patients are given time to talk about them, and cognitive-behavioural techniques are being used to reduce distress. In this article we present the theoretical understanding of paranoia that underpins this transformation in the treatment of paranoid thoughts and summarise the therapeutic techniques derived. Emphasis is placed on the clinician approaching the problem from a perspective of understanding and making sense of paranoid experiences rather than simply challenging paranoid thoughts. Ways of overcoming difficulties in engaging people with paranoid thoughts are highlighted.
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spelling oxford-uuid:5e9015e2-d250-46eb-8016-cf79da983aac2022-03-26T17:41:31ZHelping patients with paranoid and suspicious thoughts: A cognitive-behavioural approachJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5e9015e2-d250-46eb-8016-cf79da983aacEnglishSymplectic Elements at Oxford2006Freeman, DGarety, PParanoid and suspicious thoughts are a significant clinical topic. They regularly occur in 10-15% of the general population, and persecutory delusions are a frequent symptom of psychosis. In the past, patients were discouraged from talking about paranoid experiences. In contrast, it is now recommended that patients are given time to talk about them, and cognitive-behavioural techniques are being used to reduce distress. In this article we present the theoretical understanding of paranoia that underpins this transformation in the treatment of paranoid thoughts and summarise the therapeutic techniques derived. Emphasis is placed on the clinician approaching the problem from a perspective of understanding and making sense of paranoid experiences rather than simply challenging paranoid thoughts. Ways of overcoming difficulties in engaging people with paranoid thoughts are highlighted.
spellingShingle Freeman, D
Garety, P
Helping patients with paranoid and suspicious thoughts: A cognitive-behavioural approach
title Helping patients with paranoid and suspicious thoughts: A cognitive-behavioural approach
title_full Helping patients with paranoid and suspicious thoughts: A cognitive-behavioural approach
title_fullStr Helping patients with paranoid and suspicious thoughts: A cognitive-behavioural approach
title_full_unstemmed Helping patients with paranoid and suspicious thoughts: A cognitive-behavioural approach
title_short Helping patients with paranoid and suspicious thoughts: A cognitive-behavioural approach
title_sort helping patients with paranoid and suspicious thoughts a cognitive behavioural approach
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AT garetyp helpingpatientswithparanoidandsuspiciousthoughtsacognitivebehaviouralapproach