Maintaining delusional beliefs to satisfy and protect psychological needs

Westermann, Stefan; Gantenbein, Vivien; Caspar, Franz; Cavelti, Marialuisa (2018). Maintaining delusional beliefs to satisfy and protect psychological needs. Zeitschrift für Psychologie / Journal of psychology, 226(3), pp. 197-203. Hogrefe 10.1027/2151-2604/a000337

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Affiliation, control and self-esteem are psychological needs that human beings attempt to satisfy and protect (Epstein, 2003; Grawe, 2002). From a motivational perspective, behaviours, attentional and cognitive biases as well as symptoms can have an instrumental function for need satisfaction and protection (Caspar, 2011). In this opinion paper, we elaborate the idea that the maintenance of delusions could be a motivated process. This approach helps to view the maintenance of delusional beliefs as purposeful, yet mostly non29 conscious, and not completely adaptive attempt to satisfy and protect psychological needs. Conclusions for case formulations, therapy planning, and the therapeutic relationship building are drawn within the framework of cognitive-behavioural therapy for psychosis. In addition, limitations of the approach and future research avenues are discussed.

Item Type:

Journal Article (Original Article)

Division/Institute:

07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Translational Research Center
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services

UniBE Contributor:

Westermann, Stefan; Caspar, Franz and Cavelti, Marialuisa

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0044-3409

Publisher:

Hogrefe

Language:

English

Submitter:

Marialuisa Cavelti

Date Deposited:

28 Jan 2019 15:24

Last Modified:

24 Oct 2019 08:27

Publisher DOI:

10.1027/2151-2604/a000337

BORIS DOI:

10.7892/boris.122819

URI:

https://boris.unibe.ch/id/eprint/122819

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