Differential Cognitive Treatment of Polythematic Delusions and Generalised Anxiety Disorder

640px-Panic-attackEnglish translation of a paper published in french under the title “Traitement cognitif différentiel des délires polythématiques et du trouble anxieux généralisé”, in the Journal de Thérapie Comportementale et Cognitive, 2011, vol. 21-4, pp. 121-125.

Schizophrenia is often associated with other physical and mental problems. Generalized anxiety disorder is notably one of the comorbid disorders which is often linked to schizophrenia. The association of polythematic delusions and of ideas resulting from generalized anxiety disorder complicates the exercise of the corresponding cognitive therapy, for the resulting ideas are most often inextricably intertwined. In what follows, we endeavour to propose a methodology for the differential treatment of polythematic delusions inherent to schizophrenia when combined with ideas originating from generalized anxiety disorder. We propose, with regard to the corresponding content of delusions, an analysis which allows under certain conditions, to separate the content associated with polythematic delusions and the one that relates to generalized anxiety disorder, in order to facilitate the exercise of the corresponding cognitive therapy.

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Polythematic Delusions and Logico-Theoretical vs. Experimentalist Turn of Mind

George Grie-Panic-attackpaper published in the Journal for Neurocognitive Research,  Vol.  2013, 55, No. 1-2.

This article aims to contribute to cognitive therapy of polythematic delusions by proposing a preliminary step to the implementation of traditional cognitive therapy, based on the construction of alternative hypotheses to delusions and testing of the latter. This additional step resides in the construction in the patient of the necessary skills to use the general experimentalist method of knowledge acquisition. Such an approach is based on the contrast between the logico-theoretical and the experimentalist turn of mind. Some elements such as to allow any such construction in the patient are then described and analyzed.

This article is cited in:

Ondrej Pec, Petr Bob,and Jiri Raboch (2014) Splitting in Schizophrenia and Borderline Personality Disorder, PLoS One 9(3) e91228.


Polythematic Delusions and Logico-Theoretical vs.  Experimentalist Turn of Mind

Classical cognitive therapy targeted at polythematic delusions associated with schizophrenia is based on the search for evidence related to delusional ideas and the construction of alternative hypotheses to the latter. This article aims to contribute to cognitive therapy for polythematic delusions by proposing a preliminary step to this classical cognitive therapy. Such a step aims to strengthen the patient’s ability to use the general approach of experimentalist type for knowledge acquisitionan approach which is based on the opposition between the theoretical-logical and the experimentalist turn of mind. Some elements such as to enable the reinforcement of such a capability in the patient are thus described and analyzed.

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On the Plausibility of Psychotic Hallucinations

anonyme flamand_cauchemarA paper published in the Journal for Neurocognitive Research,  Vol. 53, No 1-2 (2011).

In this paper, we describe several factors that can contribute, from the patient’s viewpoint, to the plausibility of psychotic hallucinations. We sketch then a Plausibility of Hallucinations Scale, consisting of a 50-item questionnaire, which aims at evaluating the degree of plausibility of hallucinations. We also emphasize the utility of pointing out to the patient the several factors that contribute to the plausibility of his/her hallucinations, in the context of cognitive therapy for schizophrenia.

This paper is cited in:

Mark Grimshaw, Tom Garner, Sonic Virtuality: Sound as Emergent Perception, New York: Oxford University Press, 2015

I. de Chazeron, B. Pereirae, I. Chereau-Boudete, G. Broussee, D. Misdrahie, G. Fénelone, A.-M. Tronchee, R. Schwane, C. Lançone, A. Marquese, B. Debillye, F. Durife, P.M. Llorca, Validation of a Psycho-Sensory Hallucinations Scale (PSAS) in schizophrenia and Parkinson’s disease, Volume 161, Issues 2-3, Pages 269–276

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A Logical Defence of Maher’s Model of Polythematic Delusions

Noahs-Ark-delusionEnglish translation of a paper published in French in Philosophiques, autumn 2008, under the title “Une défense logique du modèle de Maher pour les délires polythématiques”.

In this paper, we proceed to describe a model for the formation and maintenance of polythematic delusions encountered in schizophrenia, which is in adequation with Brendan Maher’s account of delusions. Polythematic delusions are considered here as the conclusions of arguments triggered by apophenia that include some very common errors of reasoning such as post hoc fallacy and confirmation bias. We describe first the structure of reasoning which leads to delusions of reference, of telepathy and of influence, by distinguishing between the primary, secondary, tertiary and quaternary types of delusional arguments. These four levels of arguments correspond to a stage the nature of which is respectively instantial, inductive, interpretative at a monothematic level and interpretative at a polythematic level. We also proceed to identify accurately the fallacious steps in the corresponding reasoning. We expose then the role of apophenia in the elaboration of delusional ideas. Lastly, we describe the role played by the hallucinations in the present model.

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