Atribuciones causales explícitas e implícitas en el delirioestudio de su especificidad en delirios paranoides y no paranoides

  1. Nieto Moreno, Marta
  2. Díez Alegría, Cristina
  3. Valiente Ots, Carmen
  4. Fuentenebro de Diego, Filiberto
  5. Vázquez Valverde, Carmelo
Revista:
Revista de psicopatología y psicología clínica

ISSN: 1136-5420

Año de publicación: 2006

Volumen: 11

Número: 1

Páginas: 21-36

Tipo: Artículo

DOI: 10.5944/RPPC.VOL.11.NUM.1.2006.4016 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Revista de psicopatología y psicología clínica

Resumen

En este trabajo se estudian sesgos cognitivos atribucionales en pacientes delirantes. Para analizar el estilo atribucional, se emplean tareas de evaluación de razonamiento causal explícitas (IPSAQ) e implícitas (PIT) en una muestra de 40 pacientes delirantes (19 paranoides y 21 no paranoides). Los resultados indican la presencia de sesgos atribucionales (i.e. externalizante y personalizante) en pacientes delirantes con independencia del tipo de delirio cuando se emplea una medida de evaluación explícita. Sin embargo, el patrón atribucional implícito de los pacientes con delirios paranoides es diferente al mostrado por los pacientes no paranoides. Se discuten las implicaciones teóricas y clínicas de estos hallazgos.

Referencias bibliográficas

  • American Psychiatric Association (1996). Manual diagnóstico y estadístico de los trastornos mentales, (4.* edición). Barcelona: Masson.
  • Beck, A. T., Rush, A. J., Shaw, B. F., y Emery, G. (1979). Cognitive therapy of Depression. New York: Guilford Press.
  • Belloch, A., Sandín, B. y Ramos, R (Eds.) (1995). Manual de Psicopatología (Vol.l). Madrid: McGraw-Hill.
  • Bentall, R.R, Corcoran, R., Howard, R., Blackwood, N. y Kinderman, P. (2001). Persecutory delu-sions: A review and theoretical integration. Clinical Psychology Review, 21, (8), 1143-1192
  • Bentall, R.P y Kaney, S. (1996). Abnormalities of self-representation and persecutory delusions: A test oía cognitive model of paranoia. Psychological Medicine, 26, 1231 -1237
  • Bentall, R.P, Kinderman, R y Kaney, S. (1994). The self, attributional process and abnormal beliefs: towards a model of persectory delusionis. Behaviour Research and Therapy, 32, 331 -341.
  • Brewin, C.R. (1985). Depression and causal attributions: What is their relation? Psychological Bulletin, 98, 297-309.
  • Buchanan, A., Reed, A., Wessely, S., Garety, R, Taylor, R, Grubin, D. y Dunn, G. (1993). Acting on delusions (2): the phenomenological correlates of acting on delusions. British Journal of Psychiatry, 163 77-81
  • Candido, C. y Romney, D. (1990). Attributional style in paranoid vs depressed patients. British Journal of Medical Psychology, 63, 355-363.
  • Chadwick, R y Taylor, G. (2000). Are deluded peopie unusually prone to illusory correlation? Behavior Modification, 24, 130-141.
  • Cormac I, Jones C, Campbell C, Silveira da Mota Neto J. (2004). Cognitive behaviour therapy for schizophrenia (Cochrane Review). En: The Cochrane Library, Issue i.Chichester: John Wiley & Sons, Ltd
  • Costello, C. (1992). Research on symptoms versus research on syndromes. Arguments in favour of allocating more research time to the study of symptoms. British Journal of Psychiatry, 160, 304-398.
  • Cuevas-Yust, C. y Perona-Garcelán, S. (1997). Tratamiento cognitivo-conductual de las ideas delirantes en un paciente esquizofrénico. Revista de Psicopatologia y Psicología Clínica, 2, 275-291.
  • Day, L. y Maltby, J. (2000). Can Kinderman and Bentalls" suggestions for a personal and situational attributions questionnaire be used to examine all aspects of attributional style? Personality and Individual Dijferences, 29, 1047-1055.
  • Diez-Alegría, C, y Vázquez, C (en prensa). Teorías cognitivas del delirio. Apuntes de Psicología.
  • Diez-Alegría, C, Vázquez, C, Nieto, M., Valiente, C. y Fuentenebro, F. (en prensa). Personalizing and extemalizing biases in deluded and depressed patients: Are attríbutional biases a stable and specific characteristic of delusions? British Journal ofClinical Psychology.
  • Ey, H. (1950). Estudio sobre los delirios. Madrid: Paz Montalvo.
  • Fazio, R.H. y Olson, M.A. (2003). Implicit measures in social cognition research: their meaning and use. Annual Review of Psychology, 54, 297-327
  • Fear, CE, Sharp, H. y Healy, D. (1996). Cognitive processes in delusional disorders. British Journal of Psychiatry, 168, 61-67.
  • Freeman, D. y Garety, P. (2000). Comments on the content of persecutory delusions: Does the definition need clarification? British Journal of Clinical Psychology, 39,407-414.
  • Freeman, D., Garety, P.A., Fowler, D., Kuipers, E., Bebbington, RE. y Dunn, G. (2004). Why do people with delusions fail to choose more realistic explanations for their experiences? An empirical investigation. Journal of Consulting and Clinical Psychology 72, 4, 671-680.
  • Garety, R, Fowler, D. y Kuipers, E. (2000). Cognitive-behavioral therapy for medication-resistant symptoms. Schizophrenia Bulletin, 26, 73-86.
  • Greenwald, A. G., y Pratkanis, A. R. (1984). The self En R. S. Wyer & T K. Srull (Eds.), Handbook of social cognition (pp. 129-178). Hillsdale, NJ: Erlbaum.
  • Haddock, G., Tarrier, N., Spaulding, W., Yusupoff, L., Kinney, C. y McCarthy, E. (1998). Individual cognitive-behaviour therapy in the treatment of hallucinations and delusions: A review. Clinical Psychology Review, 18, 821-838
  • Kaney, S. y Bentall, R.R (1989). Persecutory delusions and attributional style. British Journal of Medical Psychology. 62, 191-198.
  • Kaney, S., Wolfenden, M., Dewey, M. y Bentall, R. (1992). Persecutory delusions and the recall of threatening and non-threatening propositions. British Journal of Clinical Psychology, 31, 85-87
  • Kelley, H.I. (1967). Attribution theory in social psychology. En d. Levine (Ed.), Nebraska Symposium on Motivaíion. Lincoln: University of Nebraska Press.
  • Kinderman, P. y Bentall, R.P. (1996a). A new measure of causal locus: The Intemal, Personal and Situational Attríbutions Questionnaire. Personality and Individual Dijferences, 20, 261-264.
  • Kinderman, R y Bentall, R.R (1996b). Abnormalities of self-representation and persecutory delusions: a test of a cognitive model of paranoia. Psychological Medicine, 26, 1231-1237.
  • Kinderman, R y Bentall, R.R (1996c). Self-discrepancies and persecutory delusions: Evidence for a defensive model of paranoid ideation. Journal ofAbnormal Psychology, 105, 106-114
  • Kinderman, R y Bentall, R.R (1997). Causal attributions in paranoia and depression: intemal, personal, and situational attributions for negative events. Journal ofAbnormal Psychology, 106, 341-345.
  • Krstev, H., Jackson, H. y Maude, D. (1999). An investigation of attributional style in first-episode psychosis. British Journal of Clinical Psychology, 38, 181-194.
  • Levenson, H. (1974). Activism and powerful others: Distinctions within the concept of intemal-external control. Journal of Personality Assesment, 38, 377-383.
  • López-Luengo, B. y Vázquez, C. (2005). EfFects of a neuropsychological rehabilitation program on schizophrenic patients' subjective perception of improvement. Neuropsychological Rehabilitation, 15, 609-618
  • Lyon, H., Kaney, S. y Bentall, R.R (1994). The defensive function of persecutory delusions. Evidence from attributions tasks. British Journal of Psychiatry, 164, 637-646
  • Lukoff, D., Nuechteriein, K.H., & Ventura, J. (1986). Appendix A: Manual for the Expanded Brief Psychiatric Rating Scale (BPRS). Schizophrenia Bulletin, 12, 594-602.
  • Martin, J.A. y Penn, L. D. (2002). Attributional sty-le in schizophrenia: An investigation in outpatients with and without persecutory delusions. Schizophrenia Bulletin. 28, 131-141. M
  • cKay, R., Langdon, R., & Coltheart, M. (2006, en prensa) The defensive function of persecutory delusions: An investigation using the Implicit Association Test. Cognitive Neuropsychiatry.
  • McKay, R., Langdon, R. & Coltheart, M. (2005). «Sleights of mind»: Delusions, defences and self-deception. Cognitive Neuropsychiatiy, 10, 305-326.
  • Melo, S.S., Taylor, J.L. and Bentall, R.R (2005). Poor me' versus 'bad me' paranoia and the instability of persecutory ideation. Psychology and Psychotherapy: Theory, Research and Practice. Sometido a revisión
  • Mezulis, A.H., Abramson, L.Y., Hyde, J.S. y Hankin, B.J. (2004). Is there a universal positivity bias in attributions? A meta-analytic review of individual, developmental, and cultural differences in the self-serving attributional bias. Psychological Bulletin, 130, 711-747.
  • Nieto, M. y Sotoca, A. (2005). Trastorno delirante (tipo persecutorio). En J.R Espada, J. Olivares y EX. Méndez (Ed.), Terapia psicológica. Casos prácticos (pp. 299-327). Madrid: Pirámide.
  • Persons, J. (1986). The advantages of studying psychological phenomena rather than psychiatric (üagposis. American Psychologist, 41,1252-1260.
  • Peters, E. y Garety, P. (2005, en prensa). Cognitive functioning in delusions: a longitudinal analysis. Behaviour Research and Therapy.
  • Peterson, C, Semmel, A., von Baeyer, C, Abramson, L.Y., Metalsky, G.I. y Seligman, M.E.R (1982). The Attributional Style Questionnaire. Cognitive Therapy and Research, 6, 287-300.
  • Reivich, K. (1995). The measurement of explanatory style. En G. M. Buchanan y M.E.P. Seligman (Eds.), Explanatory style (pp. 71-98). Hillsdale, NJ: Erlbaimi.
  • Rosenberg, M. (1965). Society and the adolescent selfimage. Princenton: Princenton University Press.
  • Sanz, J. y Vázquez, C. (1998). El inventario para la Depresión de Beck (BDI) como instrumento para identificar sujetos deprimidos y no deprimidos en la investigación psicopatológica: Fiabilidad, validez y datos normativos en muestras universitarias. Psicothema, 10, 303-318.
  • Sartorius, N., Jablensky, A., Korten, A., Emberg, G., Andker, M., Cooper, J.E. y Day, R. (1986). Early manifestations and first-contact incidence of schizophrenia in different cultures. Psychological Medicine. 76,909-928.
  • Smith, N., Freeman, D., & Kuipers, E., (2005). Grandiose delusions: An experimental investigation of the delusion-as-defence hypothesis. Journal of Nervous and Mental Disease, 193, 480-487
  • Strauss, J.S. (1969). Hallucinations and delusions as points on continua fimction. Archives of General Psychiatry, 20, 581-586.
  • Sweeney, RD., Anderson, K. y Bailey, S. (1986). Attributional Style m Depression: A Meta-Analytic Review. Journal of Personality and Social Psychology, 50,974-991.
  • Taylor, R, Garety, R, Buchanan, A., Reed, A., Wesseley s., Ray, K., Dunn, G. y Grubin, D. (1994). Delusions and violence. En J. Monahan y H. Steadman (Eds.), Violence and mental disorder: developments in risk assesment. Chicago: Chicago University Press.
  • Trower, R y Chadwick, R (1995). Pathways to defence of the self: A theory of two types of paranoia. Clinical Psychology: Science and Practice, 2, 263-278.
  • Valiente, C. (2002). Alucinaciones y delirios. Madrid: Síntesis.
  • Vázquez, C. y Sanz, J. (1999). Fiabilidad y validez de la versión española del Inventario para la Depresión de Beck de 1978 en pacientes con trastomos psicológicos. Clínica y Salud, 10, 59-81.
  • Vázquez, C, Valiente, C. y Diez-Alegría, C. (1999). La evaluación del delirio: Desde los sistemas categoriales a la evaluación multidimensional. En F. Silva (Ed.), Avances en la Evaluación Psicológica (pp. 313-360). Valencia: Promolibro.
  • Winters, K.C. y Neale, J.M. (1985). Mania and low self-esteem. Journal ofAbnormal Psychology, 94, 282-290.
  • White, RA. (1991). Ambiguity in the intemal / external distinction in causal attribution. Journal of Experimental Social Psychology, 27, 259-270.
  • Zigler, E. & Glick, M. (1988). Is paranoid schizophrenia really camouflaged depression? American Psychologist, 43, 284-290.
  • Bentall, R.P. (2003). Madness explained: Psychosis and human nature. London: Alien Lane