Self-Structure in Persecutory Delusions

Ellett, Lyn; Kingston, Jessica; Tarant, Eryna; Kouimtsidis, Christos; Vivarelli, Laura; Chadwick, Paul

doi:10.1016/j.beth.2022.07.011

Cited by 2 publications

(1 citation statement)

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“…For example, in the case of a challenge such as distressing auditory hallucinations, further developments are needed to understand the functional relationships between a person, their voices and the environments (historical and situation) in which voice hearing is experienced and responded to, in impactful ways to the person's well‐being, functioning and capacity to engage in values‐based actions. Similarly, while there are indications that limited mindfulness, cognitive fusion, experiential avoidance and self‐as‐content play important roles in paranoia and persecutory thinking (Ellett et al, 2022; Kingston et al, 2019; Newman‐Taylor et al, 2021; Sood & Newman‐Taylor, 2020), and promising research about the role that value connection and commitment processes can play in reducing paranoia impact (Davies et al, 2021; Parker & Kingston, 2022), there are no detailed models of understanding the contextual factors that influence how troubled a person will be by thoughts that others are actively working against them and intending harm.…”

Section: Lingering Questionsmentioning

confidence: 99%

Acceptance and commitment therapy for psychosis: Current status, lingering questions and future directions

2023

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PurposeAcceptance and Commitment Therapy for psychosis (ACTp) is a contextual behavioural intervention that promotes psychological flexibility by fostering active acceptance, cognitive defusion, values construction and committed action to enhance well‐being and recovery. Multiple studies have shown that ACTp is acceptable and efficacious, but questions remain as to its distinction from similar approaches and the conditions under which it would be implemented most effectively.MethodsWe present the current evidence for processes and outcomes of ACTp and summarise the qualitative findings of experiences of service users in ACT programmes. We compare ACTp with other cognitive behavioural therapies and mindfulness‐informed interventions for psychosis.ResultsAcceptance and commitment therapy for psychosis is promising as a pragmatic, process‐driven intervention model. Further efforts are needed to investigate psychological flexibility in the context of psychosis with observational, experimental and intervention studies that will inform model scope and treatment refinement. Additionally, implementation research is the necessary next step, including how support persons can be trained in ACTp. Lower intensity and technology‐assisted approaches have the potential to reduce barriers to accessing ACTp and extend impact.ConclusionsOver the last 20 years, ACTp has demonstrated meaningful effects in individual and group formats in a range of settings, targeting outcomes such as rehospitalisation, depression, psychotic symptom distress and impact. Future work should focus on how best to integrate ACTp with other current evidence‐based interventions for psychosis.

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Section: Lingering Questionsmentioning

confidence: 99%

Acceptance and commitment therapy for psychosis: Current status, lingering questions and future directions

2023

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The Relationship between Evaluative Compartmentalization of Self-Structure and Psychological Health

Bang¹,

Lim

2022

STRESS

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Background: Evaluative compartmentalization is the tendency to segregate positively and negatively valenced self-beliefs into separate self-aspects. This study examined whether there were differences in reflection and personal growth based on the level of evaluative compartmentalization and differential importance.Methods: A total of 296 undergraduate and graduate students reported self-aspect test, and answered questions about reflection and personal growth via online surveys. The participants were divided based on the level (high or low) of evaluative compartmentalization and differential importance. The effects of evaluative compartmentalization and differential importance on the dependent variables were examined. The data were analyzed using two-way multivariate analysis of covariance (two-way MANCOVA).Results: The main effect of evaluative compartmentalization was significant for reflection and personal growth. The main effect of differential importance was significant for personal growth. The interaction effect of evaluative compartmentalization and differential importance was insignificant for any dependent variable.Conclusions: The findings suggest a need for intervention for integrating self-concept structure and improving differential importance for graduate and undergraduate students.

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Self-Structure in Persecutory Delusions

Cited by 2 publications

References 43 publications

Acceptance and commitment therapy for psychosis: Current status, lingering questions and future directions

Acceptance and commitment therapy for psychosis: Current status, lingering questions and future directions

The Relationship between Evaluative Compartmentalization of Self-Structure and Psychological Health

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