title: Changes in persistent delusions in schizophrenia using guided self-determination: a single case study.
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.
authors.affiliation: Aalborg Psychiatric Hospital, Mølleparkvej, Aalborg, Denmark. rijo@rn.dk
authors.forename: Rikke
authors.initials: R
authors.lastname: Jørgensen
authors.forename: Lars
authors.initials: L
authors.lastname: Hansson Professor
authors.forename: Vibeke
authors.initials: V
authors.lastname: Zoffmann
mesh_terms: D001521:Behavior Therapy; D003657:Decision Making; D003702:Delusions / Q000209:etiology / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D026684:Personal Autonomy; D012559:Schizophrenia / Q000175:diagnosis / Q000628:therapy*; D012565:Schizophrenic Psychology