Correspondence between delusions and personal goals: a qualitative analysis.

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  • Author(s): Rhodes JE;Rhodes JE; Jakes S
  • Source:
    The British journal of medical psychology [Br J Med Psychol] 2000 Jun; Vol. 73 ( Pt 2), pp. 211-25.
  • Publication Type:
    Case Reports; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: British Psychological Society Country of Publication: England NLM ID: 0370640 Publication Model: Print Cited Medium: Print ISSN: 0007-1129 (Print) Linking ISSN: 00071129 NLM ISO Abbreviation: Br J Med Psychol Subsets: MEDLINE
    • Publication Information:
      Publication: Letchworth Eng : British Psychological Society
      Original Publication: London [etc.]
    • Subject Terms:
      Cognitive Behavioral Therapy* ; Delusions* ; Schizophrenia*; Adult ; Female ; Humans ; Male ; Motivation ; Self Concept
    • Abstract:
      Objectives: This pilot study describes a qualitative method for exploring delusions in terms of motivational themes.
      Design: A semi-structured interview schedule was developed on the basis of an elementary conceptual frame specifying research questions. The analysis of each case uses a structured format. Triangulation was used to check: (i) reliability of motive categories; (ii) their consistent application to delusions.
      Methods of Analysis: All patients had delusions and were diagnosed as having a psychotic disorder. Two types of analysis were used: (i) Interpretative phenomenological analysis with features of grounded analysis was used to classify motives. Data from 14 participants was used for this. (ii) The second phase was an examination of a possible correspondence of themes and involved: (a) a category-led thematic analysis of the delusion in terms of motivations; (b) a category-led thematic analysis of life goals and problems again in terms of motivations; and (c) an examination of correspondence between (a) and (b).
      Results: The classification of goals and difficulties suggested six main categories: social connection; competence; experiential base (i.e. states of mind and body); material base (e.g. housing); direction; and evaluation (i.e. how a person evaluates himself or believes others evaluate him). Four cases are presented, each exploring the correspondence of themes.
      Conclusion: The methods of analysis seemed coherent and useful. In the cases presented, the delusions appeared to relate to fundamental concerns in a person's life.
    • Publication Date:
      Date Created: 20000630 Date Completed: 20001101 Latest Revision: 20190915
    • Publication Date:
      20221213
    • Accession Number:
      10.1348/000711200160435
    • Accession Number:
      10874480