Hingley S M
Division of Psychiatry, University of Newcastle upon Tyne, Royal Victoria Infirmary, UK.
Br J Med Psychol. 1992 Dec;65(4):347-56. doi: 10.1111/j.2044-8341.1992.tb01716.x.
Psychological theories approach the problem of delusional thinking in psychosis from a range of perspectives. Recent attention has focused on the attributional style of sufferers; research points towards the relevance of cognitive deficits; the potential value of cognitive therapy in reducing delusional thinking is being explored; and psychodynamic theories argue for the role of defence mechanisms. Aspects of these approaches are reviewed and ideas for integration discussed within the vulnerability-stress model of psychosis. Implications for therapy are noted.
心理学理论从一系列角度探讨精神病中妄想思维的问题。最近的关注焦点集中在患者的归因风格上；研究表明认知缺陷具有相关性；正在探索认知疗法在减少妄想思维方面的潜在价值；精神动力学理论则主张防御机制的作用。本文回顾了这些方法的各个方面，并在精神病的易感性-应激模型中讨论了整合的思路。同时也指出了对治疗的启示。
