Hole R W, Rush A J, Beck A T
Psychiatry. 1979 Nov;42(4):312-9. doi: 10.1080/00332747.1979.11024035.
Delusions have traditionally been regarded as unmodifiable false beliefs. Both Freud (1911) and Jaspers (1968) argue that there is a unidirectional relationship between a delusional belief and consensually validatable realtiy: the delusion structures reality in accordance with the delusion's demand. In contrast, we postulate that there is a bidirectional interaction between the delusion and external events. We believe that external events might modify the rigid belief when there is a dramatic incongruity between specific beliefs and selected events. The following investigation was motivated by a desire to understand more clearly how some overtly delusional patients come to lose their delusions during the course of treatment for schizophrenia. Do delusions simply melt away under the influence of major tranquilizers, or does the delusional patient play some active part in assessing the validity of this belief?
传统上，妄想被视为不可改变的错误信念。弗洛伊德（1911年）和雅斯贝尔斯（1968年）都认为，妄想信念与经共识验证的现实之间存在单向关系：妄想根据自身需求构建现实。相比之下，我们假设妄想与外部事件之间存在双向互动。我们认为，当特定信念与特定事件之间存在明显不一致时，外部事件可能会改变这种僵化的信念。以下调查的动机是更清楚地了解一些明显患有妄想症的患者在精神分裂症治疗过程中是如何摆脱妄想的。妄想仅仅是在强效镇静剂的影响下消失，还是妄想症患者在评估这种信念的有效性方面发挥了积极作用？
