Rudden M, Gilmore M, Frances A
Am J Psychiatry. 1982 Jul;139(7):929-32. doi: 10.1176/ajp.139.7.929.
Research indicates that patients do not hold delusions with as fixed a certainty as has been believed. Confrontation with reality may have an important role in the evaluation and treatment of delusional patients. The authors suggest four factors that may help predict the value of reality confrontation in a given clinical situation: 1) how understandable the delusion is in the context of the patient's life, 2) the degree of conviction with which the patient holds the delusion, 3) the phase in development of the delusional beliefs, and 4) the diagnosis of the patient.
研究表明，患者并不像人们所认为的那样笃定地持有妄想。面对现实在妄想症患者的评估和治疗中可能具有重要作用。作者提出了四个因素，这些因素可能有助于预测在特定临床情况下面对现实的价值：1）妄想在患者生活背景中的可理解程度，2）患者持有妄想的坚信程度，3）妄想信念发展的阶段，以及4）患者的诊断结果。
