Pathways to defense of the self: A theory of two types of paranoia

Author(s): Chadwick, P.

Journal/Book: Clin Psychol-Sci Practice. 1995; 2: Journals Dept, 2001 Evans Rd, Cary, NC 27513. Oxford Univ Press Inc. 263-278.

Abstract: Developments in cognitive therapies and theories for paranoid psychosis have constituted a significant breakthrough in our understanding of this disorder, offering a valid psychological alternative to biomedical approaches, which have been criticized on scientific, pragmatic, and ethical grounds. However, we have recently found evidence for two types of paranoia which, together with other conceptual and empirical work, show these cognitive theories to be insufficient. We propose an interpersonal theory of the self, which places the cognitive, emotional, and behavioral aspects of paranoia within a broader context of the perron. In this article, we (a) survey cognitive theories and the alternative interventions they imply; (b) describe new findings on two types of paranoia, which imply the need for significant theoretical adjustments; and (c) propose and describe a modified theory of paranoid threat and defense of the self, which, we argue, more adequately explains the phenomena.

Note: Article P Trower, Univ Birmingham, Sch Psychol, Birmingham B15 2TT, W Midlands, England

Keyword(s): paranoia; self; psychosis; cognitive; threat; defense; SCHIZOPHRENIA; DEPRESSION; ARGUMENTS

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