Persecutory delusions, the unfounded beliefs that others intend harm to the individual, are a major psychiatric problem. They are a common feature of severe mental illnesses such as schizophrenia, delusional disorder and bipolar disorder, often lead to admission to psychiatric hospital, and are a cause of considerable distress to patients and carers. However, increasingly it is recognised that persecutory delusions reflect the severe end of a spectrum of paranoia, which alsoencompasses beliefs and worries about threats from others that are common in the general population. In the last ten years an increasing number of researchers and clinicians have focussed on explaining paranoid experience in both clinical and non-clinical populations, with fascinating results. This recentresearch is presented for the first time as a book. In this landmark publication, the three major authorities in the field bring together the current knowledge about the assessment, understanding, and treatment of persecutory delusions. Leading experts in cognitive psychology, neuropsychology, psychiatry, social psychiatry, neuroimaging, and neuroscience explain their perspectives on paranoia. Pharmacological, cognitive, and family interventions are comprehensively reviewed, and personal accounts of paranoia are included.
A personal account; Assessment, Epidemiology and Prognosis; The assessment of persecutory ideation; Epidemiology and social factors: findings from the Netherlands Mental Health Survey and Incidence Study (NEMESIS); Prognosis of persecutory delusions in schizophrenia: a 20-year longitudinal study; Violence and persecutory delusions; Persecutory delusions in the setting of delusional disorder; Theory - Psychological Processes; The puzzle of paranoia; The role of self-esteem in paranoid delusions: The psychology, neurophysiology and development of persecutory beliefs; Social cognition in paranoia; Persecutory delusions and theory of mind: long-standing debates and emerging issues; The cognitive neuropsychological understanding of persecutory delusions; Theory - Biological Processes; Dopamine and persecutory delusions; The role of cannabis in inducing paranoia and psychosis; Imaging and persecutory delusions; Treatment - Overviews; Pharmacological treatment of persecutory delusions; The research evidence of the effectiveness of CBT for persecutory delusions; Family intervention in psychosis: working with persecutory delusions; Treatment - Therapy Examples; Coping with paranoia: a first person account developed during cognitive behavioural therapy for psychosis; Cognitive therapy for suspiciousness and paranoia in individuals at high-risk of developing psychosis; Cognitive behaviour therapy for persecutory delusions: three case studies; Person-based cognitive therapy for paranoia: the challenges of Poor Me;
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