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Changes in persistent delusions in schizophrenia using guided self-determination: a single case study

Rikke Jørgensen, Lars Hansson Professor, Vibeke Zoffmann

13 Citations (Scopus)

Abstract

Delusions in persons with schizophrenia who have limited insight have been targeted with different treatment modalities with equivocal results. Working with the Guided Self-Determination method used in shared decision-making and problem solving, a 55-year-old male diagnosed with schizophrenia gained insight into his own delusions during a period of six weeks with individual training. The case study is based on qualitative data, reflection sheets, and interview and field notes from the Guided Self-Determination training. The patient's new insight developed in a process from resistance to receptiveness and then from doubt to reaching a new system in his thoughts.

Original languageEnglish
JournalIssues in Mental Health Nursing
Volume33
Issue number5
Pages (from-to)293-300
Number of pages8
ISSN0161-2840
DOIs
Publication statusPublished - May 2012
Externally publishedYes

Keywords

  • Behavior Therapy
  • Decision Making
  • Delusions
  • Humans
  • Male
  • Middle Aged
  • Personal Autonomy
  • Schizophrenia
  • Schizophrenic Psychology

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