Melo Sara Sigmaringa, Bentall Richard P
University of Birmingham, UKUniversity of Bangor, UK.
Psychol Psychother. 2010 Nov;83(4):407-20. doi: 10.1348/147608310X487542.
Trower and Chadwick argued that there are two types of paranoia: 'poor me', in which persecution is seen as undeserved, and 'bad me', in which it is perceived to be deserved. These authors outlined a theory which accounts for both types of paranoia and makes predictions regarding their stability.
To examine whether different degrees of persecutory ideation and deservedness are associated with different coping strategies in non-clinical populations.
Six hundred and eight university students from two European countries (UK and Portugal) took part via the Internet, and were assessed in terms of the severity of persecution and deservedness (Persecution and Deservedness Scale), mood (Beck Depression Inventory), and coping strategies (Response Styles to Depression Questionnaire and COPE Questionnaire).
Deservedness was associated with acceptance and with engaging in dangerous activities.
'Poor me' and 'bad me' paranoia may represent separate phases of the same unstable defensive phenomenon. The effectiveness of the existing psychological interventions in prodromal psychosis could be increased by addressing the negative impact of safety behaviours and of substance misuse and by encouraging the practice of more adaptive ways of dealing with everyday problems.
特罗尔和查德威克认为存在两种偏执类型：“可怜的我”，其中迫害被视为不应得的；以及“糟糕的我”，其中迫害被认为是应得的。这些作者概述了一种理论，该理论解释了这两种偏执类型，并对它们的稳定性做出了预测。
研究在非临床人群中，不同程度的被害妄想和应得感是否与不同的应对策略相关。
来自两个欧洲国家（英国和葡萄牙）的608名大学生通过互联网参与研究，并在被害妄想严重程度和应得感（被害妄想和应得感量表）、情绪（贝克抑郁量表）以及应对策略（抑郁反应方式问卷和应对问卷）方面接受评估。
应得感与接受以及参与危险活动相关。
“可怜的我”和“糟糕的我”偏执可能代表了同一不稳定防御现象的不同阶段。通过解决安全行为和物质滥用的负面影响，并鼓励采用更具适应性的方式处理日常问题，可以提高现有心理干预对前驱期精神病的有效性。
