Schizophrenia affects about 23 million people around the world. As one of its core positive symptoms, delusions are characterized by the fact that they cannot be easily corrected in the face of counter-evidence, which has become a difficult point for clinical intervention. Different theoretical schools have put forward systematic explanations of the formation and maintenance of delusions from their own perspectives, but there is a lack of sufficient cross-comparison and integration between these theories. This paper adopts the methods of narrative literature review and cross-theoretical comparison to carry out a systematic analysis from the three theoretical perspectives of the cognitive model, the psychodynamic model and the predictive processing model. The cognitive model emphasizes the role of interpretive bias and attention bias, the psychodynamic model focuses on the function of externalization and defense mechanisms of internal conflict, and the predictive processing model explains delusions from the perspective of an imbalance in the precision weighting of prediction errors. The three theories are different in their levels of interpretation, but they are complementary at the level of the interaction between cognition and experience. The integrated framework proposed in this article suggests that future research should promote the understanding of delusions from a multi-level and multi-method perspective. Clinical intervention should integrate cognitive-behavioral techniques and relational treatment strategies, and optimize individualized intervention plans with the help of computational models.
Research Article
Open Access