Delusion or Conspiracy? How Forensic Mental Health Professionals Differentiate Delusional Beliefs From Extreme Radicalized Beliefs

IF 2.1 3区 心理学 Q1 CRIMINOLOGY & PENOLOGY
Katérine Aminot, Tara J. Ryan, Alicia Nijdam-Jones
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引用次数: 0

Abstract

A growing body of research is beginning to highlight the difficulty clinicians have in distinguishing delusional beliefs from conspiratorial beliefs. This mixed-methods study examined how 198 forensic mental health professionals in Canada and the United States differentiate delusional beliefs from conspiratorial beliefs. Participants were presented with an experimental vignette describing a forensic patient’s symptoms and were asked to diagnose the individual and, if qualified, opine on the defendant’s competency to stand trial. Results showed that idiosyncratic and highly rigid and distressing beliefs significantly predicted the diagnosis of a psychotic disorder, whereas shared beliefs held with low/moderate rigidity and distress significantly predicted the identification of conspiratorial beliefs. Despite participants’ abilities to differentiate delusional and conspiratorial beliefs, some participants reported that they lacked sufficient training in this area. Future research should examine if factors other than the social context and rigidity of the belief influence the differentiation of delusional and conspiratorial beliefs.
妄想还是阴谋?法医心理健康专业人员如何区分妄想信念和极端激进信念?
越来越多的研究开始强调临床医生在区分妄想信念和阴谋信念时遇到的困难。这项混合方法研究考察了加拿大和美国的 198 名法医心理健康专业人员如何区分妄想信念和阴谋信念。研究人员向参与者展示了一个描述法医病人症状的实验小故事,并要求他们对病人进行诊断,如果合格,还要求他们对被告是否有能力出庭受审发表意见。结果显示,特异性、高度僵化和痛苦的信念对精神病性障碍的诊断有显著的预测作用,而低度/中度僵化和痛苦的共同信念对阴谋信念的鉴定有显著的预测作用。尽管参与者有能力区分妄想和阴谋信念,但一些参与者表示他们在这方面缺乏足够的训练。未来的研究应该探讨除了社会背景和信念的僵化程度之外,其他因素是否也会影响妄想信念和阴谋信念的区分。
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来源期刊
CiteScore
4.00
自引率
4.80%
发文量
65
期刊介绍: Criminal Justice and Behavior publishes articles examining psychological and behavioral aspects of the juvenile and criminal justice systems. The concepts "criminal justice" and "behavior" should be interpreted broadly to include analyses of etiology of delinquent or criminal behavior, the process of law violation, victimology, offender classification and treatment, deterrence, and incapacitation.
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