Abstract
It has been suggested that an exaggerated self-serving bias may underlie the formation of paranoia. One goal of the present study was to explore whether an abnormality of attributional style is confined to patients with persecutory delusions or extends to currently non-deluded patients. A second goal was to test whether paranoid patients show an external-personal rather than an external-situational attributional style for blame. An attributional styles questionnaire was administered to psychiatric patients diagnosed with schizophrenia (n = 35), depression (n = 18), and anxiety disorders (n = 34), as well as a healthy control group (n = 28). For each event (positive or negative outcome) participants were asked to write down what may have led to this event, and then to endorse the degree to which this event was caused by others/circumstances or themselves. Assessment of the Likert scale ratings demonstrated that while healthy subjects displayed a significant self-serving bias, currently paranoid and non-paranoid schizophrenia patients performed intermediately between healthy participants and depressed patients. Analysis of coded verbal statements indicated that irrespective of event type (positive, negative) patients with persecutory delusions had an even-handed attribution bias, whereas all other groups predominantly regarded themselves as causal. The latter finding indicates that acute paranoia may be associated with a decreased locus of internal control, which may promote the occurrence of certain paranoid beliefs (e.g., feelings of alien control and passivity experiences, respectively).
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Notes
In the present article, the term paranoid will be used in a broad sense and is not confined to persecutory delusions.
References
Adler, A. (1914/1929). Melancholia and paranoia. In A. Adler (Eds.), The practice and theory of individual psychology. London: Routledge & Kegan Paul Ltd.
Alloy, L. B., Abramson, L. Y., Whitehouse, W. G., Hogan, M. E., Tashman, N. A., Steinberg, D. L., et al. (1999). Depressogenic cognitive styles: Predictive validity, information processing and personality characteristics, and developmental origins. Behaviour Research and Therapy, 37, 503–531.
Beck, A. T., & Steer, R. A. (1987). Beck depression inventory-manual. San Antonio: The Psychological Corporation.
Bedford, N. J., Morgan, C., & Rossell, S. L. (2004). Lack of self-serving bias and excessive internalising of blame in the attributional style of schizophrenia-prone individuals. Schizophrenia Research, 67(Suppl.), 242.
Bentall, R. P. (1994). Cognitive biases and abnormal beliefs: Towards a model of persecutory delusions. In A. S. David, & J. Cutting (Eds.), The neuropsychology of schizophrenia (pp. 337–360). London: Erlbaum.
Brunstein, J. C. (1986). Attributionsstil und Depression: Erste Befunde zur Reliabilität und Validität eines deutschsprachigen Attributionsstil-Fragebogens [Attributional style and depression: First results on the reliability and validity of a German attributional styles questionnaire]. Zeitschrift für Differentielle und Diagnostische Psychologie, 7, 45–53.
Candido, C. L., & Romney, D. M. (1990). Attributional style in paranoid vs. depressed patients. British Journal of Medical Psychology, 63, 355–363.
Fear, C., Sharp, H., & Healy, D. (1996). Cognitive processes in delusional disorders. British Journal of Psychiatry, 168, 61–67.
Garety, P. A., & Freeman, D. (1999). Cognitive approaches to delusions: A critical review of theories and evidence. British Journal of Clinical Psychology, 38, 113–154.
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56–62.
Janssen, I., Versmissen, D., Campo, J. A., Myin-Germeys, I., Os, J. V., & Krabbendam, L. (2006). Attribution style and psychosis: Evidence for an externalizing bias in patients but not in individuals at high risk. Psychological Medicine, 36, 771–778.
Jolley, S., Garety, P., Bebbington, P., Dunn, G., Freeman, D., Kuipers, E., et al. (in press). Attributional style in psychosis-The role of affect and belief type. Behaviour Research and Therapy.
Kaney, S., & Bentall, R. P. (1989). Persecutory delusions and attributional style. British Journal of Medical Psychology, 62, 191–198.
Kinderman, P., & Bentall, R. P. (1997). Causal attributions in paranoia and depression: internal, personal, and situational attributions for negative events. Journal of Abnormal Psychology, 106, 341–345.
Kinderman, P., Kaney, S., Morley, S., & Bentall, R. P. (1992). Paranoia and the defensive attributional style: Deluded and depressed patients’ attributions about their own attributions. British Journal of Medical Psychology, 65, 371–383.
Krstev, H., Jackson, H., & Maude, D. (1999). An investigation of attributional style in first-episode psychosis. British Journal of Clinical Psychology, 38, 181–194.
Lyon, H. M., Kaney, S., & Bentall, R. P. (1994). The defensive function of persecutory delusions. Evidence from attribution tasks. British Journal of Psychiatry, 164, 637–646.
Martin, J. A., & Penn, D. L. (2001). Social cognition and subclinical paranoid ideation. British Journal of Clinical Psychology, 40, 261–265.
McKay, R., Langdon, R., & Coltheart, M. (2005). Paranoia, persecutory delusions and attributional biases. Psychiatry Research, 136, 233–245.
Moritz, S., Woodward, T. S., & Burlon, M. (2005). Metacognitive skill training for schizophrenia patients (MCT). Hamburg: VanHam Campus Press.
Moritz, S., Werner, R., & von Collani, G. (2006). The inferiority complex in paranoia re-addressed. A study with the Implicit Association Test. Cognitive Neuropsychiatry, 11, 402–415.
Overall, J. E., & Gorham, D. R. (1988). The Brief Psychiatric Rating Scale (BPRS): Recent developments in ascertainment and scaling. Psychopharmacology Bulletin, 24(1), 97–99.
Seligman, M. E. P., Abramson, L. Y., Semmel, A., & Baeyer, C. V. (1979). Depressive attributional style. Journal of Abnormal Psychology, 88, 242–247.
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The MINI International Neuropsychiatric Interview (MINI): The development and validation of a structured diagnostic psychiatric interview. Journal of Clinical Psychiatry, 59(Suppl. 20), 22–33.
Young, H. F., & Bentall, R. P. (1997). Social reasoning in individuals with persecutory delusions: The effects of additional information on attributions for the observed behaviour of others. British Journal of Clinical Psychology, 36, 569–573.
Zuckerman, M. (1979). Attribution of success and failure revisited, or the motivational bias is alive and well in attribution theory. Journal of Personality, 47, 245–287.
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Moritz, S., Woodward, T.S., Burlon, M. et al. Attributional Style in Schizophrenia: Evidence for a Decreased Sense of Self-Causation in Currently Paranoid Patients. Cogn Ther Res 31, 371–383 (2007). https://doi.org/10.1007/s10608-006-9070-5
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DOI: https://doi.org/10.1007/s10608-006-9070-5