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Metacognitive training (MCT) is an approach for treating the symptoms of psychosis in schizophrenia, [1] especially delusions, [2] which has been adapted for other disorders such as depression, obsessive–compulsive disorder and borderline over the years (see below). It was developed by Steffen Moritz and Todd Woodward.
For the diagnosis to be made, auditory and visual hallucinations cannot be prominent, though olfactory or tactile hallucinations related to the content of the delusion may be present. [7] The delusions cannot be due to the effects of a drug , medication , or general medical condition , and delusional disorder cannot be diagnosed in an ...
Delusions include odd or unusual beliefs such as grandiosity or paranoia. Both hallucinations and delusions are inconsistent with reality. Other symptoms of schizophrenia include bizarre behavior, odd posture or movements, facial grimacing, loss of, or indifference to self-help skills (grooming, washing, toileting, feeding, etc.).
Auditory hallucinations have two essential components: audibility and alienation. [7] This differentiates it from thought insertion. While auditory hallucination does share the experience of alienation (patients cannot recognize that the thoughts they are having are self-generated), thought insertion lacks the audibility component (experiencing the thoughts as occurring outside of their mind ...
A delusion [a] is a false fixed belief that is not amenable to change in light of conflicting evidence. [2] As a pathology, it is distinct from a belief based on false or incomplete information, confabulation, dogma, illusion, hallucination, or some other misleading effects of perception, as individuals with those beliefs are able to change or readjust their beliefs upon reviewing the evidence.
Hallucinations may command a person to do something potentially dangerous when combined with delusions. [19] So-called "minor hallucinations", such as extracampine hallucinations, or false perceptions of people or movement occurring outside of one's visual field, frequently occur in neurocognitive disorders, such as Parkinson's disease. [20]
A thought disorder (TD) is a disturbance in cognition which affects language, thought and communication. [1] [2] Psychiatric and psychological glossaries in 2015 and 2017 identified thought disorders as encompassing poverty of ideas, neologisms, paralogia (a reasoning disorder characterized by expression of illogical or delusional thoughts), word salad, and delusions—all disturbances of ...
Half of patients experience more than one kind of delusion. [2] Delusions occur without hallucinations in about one-half to two-thirds of patients with psychotic depression. [2] Hallucinations can be auditory, visual, olfactory (smell), or tactile (touch), and are congruent with delusional material. [2] Affect is sad, not flat.