Jørgensen P, Jensen J
Department A, Psychiatric Hospital in Aarhus, Risskov, Denmark.
Psychopathology. 1994;27(1-2):64-72. doi: 10.1159/000284850.
The formation of delusional beliefs is elucidated by the expressed experiences of 75 delusional patients. It is found that such beliefs may develop regardless of the presence (64%) or absence (20%) of anomalous experiences. Patients within the same diagnostic category remember it very differently. Many patients (71%) find a simple and reassuring way of understanding and relating to the external world by the formation of delusional beliefs. To many patients (47%) the delusional theme remains unchanged from the start and from one psychotic episode to another, while to other patients (24%) the theme changes in a hierarchical way. It is suggested that the formation of delusional beliefs is caused by impaired two-way communication or metathinking and that the delusional theme indicates the severity of cognitive dysfunction or mental disorder.
75名妄想症患者的表达性经历阐释了妄想信念的形成。研究发现，无论是否存在异常经历（存在异常经历的占64%，不存在异常经历的占20%），此类信念都可能形成。同一诊断类别的患者对此的记忆差异很大。许多患者（71%）通过形成妄想信念找到了一种简单且能让人安心的方式来理解外部世界并与之建立联系。对许多患者（47%）而言，妄想主题从一开始到另一次精神病发作都保持不变，而对其他患者（24%）来说，主题则以分层的方式变化。研究表明，妄想信念的形成是由双向沟通或元思维受损导致的，且妄想主题表明了认知功能障碍或精神障碍的严重程度。
