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Cognitive Control Processes in Paranoia: The Impact of Threat Induction on Strategic Cognition and Self-Focused Attention

Published online by Cambridge University Press:  29 October 2013

Laura Flower ,
Katherine Newman-Taylor  and
Lusia Stopa
Laura Flower
Affiliation:
University of Southampton, UK
Katherine Newman-Taylor*
Affiliation:
University of Southampton, and Southern Health NHS Foundation Trust, UK
Lusia Stopa
Affiliation:
University of Southampton, UK
*
Reprint requests to Katherine Newman Taylor, Department of Psychiatry, Royal South Hants Hospital, Southampton SO14 0YG, UK. E-mail: knt@soton.ac.uk
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Abstract

Background: Current clinical models emphasize certain cognitive processes in the maintenance of distressing paranoia. While a number of these processes have been examined in detail, the role of strategic cognition and self-focused attention remain under-researched. Aims: This study examined the deployment of cognitive strategies and self-focused attention in people with non-clinical paranoia. Method: An experimental design was used to examine the impact of a threat activation task on these processes, in participants with high and low non-clinical paranoia. Twenty-eight people were recruited to each group, and completed measures of anxiety, paranoid cognition, strategic cognition and self-focused attention. Results: The threat activation task was effective in increasing anxiety in people with high and low non-clinical paranoia. The high paranoia group experienced more paranoid cognitions following threat activation. This group also reported greater use of thought suppression, punishment and worry, and less use of social control strategies when under threat. No differences were found between the groups on measures of self-focused attention. Conclusions: This study shows that the threat activation task increased anxiety in people with high non-clinical paranoia, leading to increased paranoid thinking. The use of strategic cognition following threat activation varied dependent on level of non-clinical paranoia. If these differences are replicated in clinical groups, the strategies may be implicated in the maintenance of distressing psychosis, and may therefore be a valuable target for therapeutic intervention.

Keywords

Paranoiastrategic cognitionCBTpsychosis
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 1 , January 2015 , pp. 108 - 118
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Abramowitz, J., Tolin, D. and Street, G. (2001). Paradoxical effects of thought suppression: a meta-analysis of controlled studies. Clinical Psychology Review, 21, 683–703.Google Scholar
Abramowitz, J. S., Whiteside, S., Kalsy, S. A. and Tolin, D. (2003). Thought control strategies in obsessive-compulsive disorder: a replication and extension. Behaviour Research and Therapy, 41, 529–540.Google Scholar
Amir, N., Cashman, L. and Foa, E. B. (1997). Strategies of thought control in obsessive-compulsive disorder. Behaviour Research and Therapy, 35, 775–777. doi: 10.1016/S0005-7967(97)00030-2 CrossRefGoogle ScholarPubMed
Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. London: Penguin Books Ltd.Google Scholar
Bodner, E. and Mikulincer, M. (1998). Learned helplessness and the occurrence of depressive like and paranoid like responses: the role of attentional focus. Journal of Personality and Social Psychology, 74, 1010–1023.Google Scholar
Borkovec, T. D., Alcaine, O. and Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. In Heimberg, R. G., Turk, C. L. and Mennin, D. S. (Eds.), Generalized Anxiety Disorder: advances in research and practice (pp. 77–108). New York: Guilford Press.Google Scholar
Bryant, R. A., Moulds, M. L. and Guthrie, R. M. (2001). Cognitive strategies and the resolution of acute stress disorder. Journal of Traumatic Stress, 14, 213–219.Google Scholar
Clark, D. (1999). Anxiety disorders: why they persist and how to treat them. Behaviour Research and Therapy, 37, S5–27.Google Scholar
Clark, D. A. and Beck, A. T. (2010). Cognitive Therapy of Anxiety Disorders: science and practice. New York: Guilford Press.Google Scholar
Clark, D. and Wells, A. (1995). A cognitive model of social phobia. In Heimberg, R. (Ed.), Social Phobia: diagnosis, assessment and treatment (pp. 69–94). New York: Guilford Press.Google Scholar
Coles, M. and Heimberg, R. (2005). Thought control strategies in generalized anxiety disorder. Cognitive Therapy and Research, 29, 47–56.Google Scholar
Combs, D., Michael, C. and Penn, D. (2006). Paranoia and emotion perception across the continuum. British Journal of Clinical Psychology, 45, 19–31.Google Scholar
Ellett, L. and Chadwick, P. (2007). Paranoid cognitions and focus of attention in college students. Cognition and Emotion, 21, 558–576.Google Scholar
Fenigstein, A. (1984). Self-consciousness and the over-perception of self as a target. Journal of Personality and Social Psychology, 47, 860–870.CrossRefGoogle Scholar
Fenigstein, A. and Vanable, P. (1992). Paranoia and self consciousness. Journal of Personality and Social Psychology, 62, 129–138.CrossRefGoogle ScholarPubMed
Foster, C., Startup, H., Potts, L. and Freeman, D. (2010). A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions. Journal of Behavior Therapy and Experimental Psychiatry, 41, 45–51.Google Scholar
Freeman, D. (2007). Suspicious minds: the psychology of persecutory delusions. Clinical Psychology Review, 27, 425–457.CrossRefGoogle ScholarPubMed
Freeman, D. and Garety, P. A. (1999). Worry, worry processes and dimensions of delusions: an exploratory investigation of a role for anxiety processes in the maintenance of delusional distress. Behavioural and Cognitive Psychotherapy, 27, 47–52.Google Scholar
Freeman, D. and Garety, P. A. (2000). Comments of the content of persecutory delusions: does the definition need clarification? British Journal of Clinical Psychology, 39, 407–414.Google Scholar
Freeman, D. and Garety, P. (2004). Paranoia: the psychology of persecutory delusions. Hove: Psychology Press.Google Scholar
Freeman, D., Garety, P., Bebbington, P., Smith, B., Rollinson, R., Fowler, D., et al. (2005). Psychological investigation of the structure of paranoia in a non-clinical population. British Journal of Psychology, 186, 427–435.Google Scholar
Freeman, D., Garety, P., Kuipers, E., Fowler, D. and Bebbington, P. (2002). A cognitive model of persecutory delusions. British Journal of Clinical Psychology, 41, 331–347.Google Scholar
George, L. and Stopa, L. (2008). Private and public self-awareness in social anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 39, 57–72.Google Scholar
Govern, J. and Marsch, L. (2001). Development and validation of the Situational Self-Awareness Scale. Consciousness and Cognition, 10, 366–378.Google Scholar
Ingram, R. (1990). Self-focused attention in clinical disorders: review and a conceptual model. Psychological Bulletin, 107, 156–176.Google Scholar
Jones, S. and Fernyhough, C. (2008). Thought suppression and persecutory delusion like beliefs in a non clinical sample. Cognitive Neuropsychiatry, 13, 281–291.Google Scholar
Morrison, A. and Wells, A. (2000). Thought control strategies in schizophrenia: a comparison with non-patients. Behaviour Research and Therapy, 38, 1205–1209.CrossRefGoogle ScholarPubMed
Morrison, A. P., Wells, A. and Nothard, S. (2000). Cognitive factors in predisposition to auditory and visual hallucinations. British Journal of Clinical Psychology, 39, 67–78.Google Scholar
Newman Taylor, K., Graves, A. and Stopa, L. (2009). Strategic cognition in paranoia: the use of thought control strategies in a non clinical population. Behavioural and Cognitive Psychotherapy, 37, 25–28.CrossRefGoogle Scholar
Newman Taylor, K. and Stopa, L. (2013). The fear of others: a pilot study of social anxiety processes in paranoia. Behavioural and Cognitive Psychotherapy, 41, 66–88. doi:10.1017/S1352465812000690 Google Scholar
Spielberger, C., Gorsuch, R. and Lushene, R. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Spurr, J. and Stopa, L. (2002). Self focussed attention in social phobia and social anxiety. Clinical Psychology Review, 22, 947–975.Google Scholar
Startup, H., Freeman, D. and Garety, P. (2007). Persecutory delusions and catastrophic worry in psychosis: developing the understanding of delusion distress and persistence. Behaviour Research and Therapy, 45, S23–37.Google Scholar
Stopa, L. and Clark, D.M. (2000). Social phobia and the interpretation of social events. Behaviour Research and Therapy, 38, 273–283.Google Scholar
Tamir, M., Robinson, M. and Clore, G. (2002). The epistemic benefits of trait-consistent mood states: an analysis of extraversion and mood. Journal of Personality and Social Psychology, 83, 663–677.Google Scholar
Wegner, D. and Zanakos, S. (1994). Chronic thought suppression. Journal of Personality, 62, 615–640.Google Scholar
Wells, A. (2000). Emotional Disorders and Metacognition: innovative cognitive therapy. Chichester: Wiley.Google Scholar
Wells, A. and Davies, M. (1994). The thought control questionnaire: a measure of individual differences in the control of unwanted thoughts. Behaviour Research and Therapy, 32, 871–878.Google Scholar
Yamauchi, T., Sudo, A. and Tanno, Y. (2009). Paranoid thoughts and thought control strategies in a nonclinical population. World Academy of Science, Engineering and Technology, 54, 294–296.Google Scholar
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