Cited by 356Schizophrenia research and treatmentMental Health and PsychiatryAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 87 of the 87 references it cites were found in a registry or an index.

Persecutory delusions: a cognitive perspective on understanding and treatment.

Open access
Freeman, Daniel·2016·The Lancet Psychiatry

Abstract

A spectrum of severity of paranoia (unfounded thoughts that others are deliberately intending to cause harm) exists within the general population. This is unsurprising: deciding whether to trust or mistrust is a vital aspect of human cognition, but accurate judgment of others' intentions is challenging. The severest form of paranoia is persecutory delusions, when the ideas are held with strong conviction. This paper presents a distillation of a cognitive approach that is being translated into treatment for this major psychiatric problem. Persecutory delusions are viewed as threat beliefs, developed in the context of genetic and environmental risk, and maintained by several psychological processes including excessive worry, low self-confidence, intolerance of anxious affect and other internal anomalous experiences, reasoning biases, and the use of safety-seeking strategies. The clinical implication is that safety has to be relearned, by entering feared situations after reduction of the influence of the maintenance factors. An exciting area of development will be a clinical intervention science of how best to enhance learning of safety to counteract paranoia.

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Research works printed but not linked: 2

  1. Sophocles. (401BC/2006). Introductions and translations to the plays of Sophocles and Euripides. Vol 1. (Trans H Love). Newcastle: Cambridge Scholars Publishing.
  2. Burton R. (1651/2001). The anatomy of melancholy (H Jackson, ed). New York: New York Review Books.

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Metadata

Authors
Freeman, D.
Affiliations
Warneford Hospital (GB)
Corresponding author
Freeman, Daniel
Venue
The Lancet Psychiatry
Publisher
Elsevier BV
Published
2016-07
Volume
3
Issue
7
Pages
685-692
ISSN
2215-0366 (ISSN-L)
OpenAlex
W2460693432
Cited by
356
References
87
Citations by year
2026: 52 · 2025: 44 · 2024: 39 · 2023: 48 · 2022: 37 · 2021: 25 · 2020: 25 · 2019: 36 · 2018: 28 · 2017: 16 · 2016: 6
FWCI
4.09
Type
journal article
Language
en
Open access
Locations
  • The Lancet Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute for Health and Care Research (RP-2014-05-003)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
persecutory delusions, paranoia, threat beliefs, cognitive approach, delusion maintenance, reasoning biases, excessive worry, low self-confidence, safety learning
MeSH terms
Cognition, Delusions, Humans, Randomized Controlled Trials as Topic

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