Journal of Contemporary Psychotherapy

, Volume 36, Issue 1, pp 9–17

Group Cognitive Behavioral Therapy for Delusions: Helping Patients Improve Reality Testing


    • Weill Medical College of Cornell University
    • Department of PsychiatryWeill Medical College of Cornell University
  • Steven M. Silverstein
    • University of Illinois at Chicago
  • Fred Schwartz
    • Weill Medical College of Cornell University
  • Adam Savitz
    • Weill Medical College of Cornell University

DOI: 10.1007/s10879-005-9001-x

Cite this article as:
Landa, Y., Silverstein, S.M., Schwartz, F. et al. J Contemp Psychother (2006) 36: 9. doi:10.1007/s10879-005-9001-x

Group Cognitive Behavior Therapy (CBT) was used to treat residual delusions in patients with schizophrenia. Initially all patients (N = 6) reported delusions of various types, such as persecution, body/mind control, grandiosity, and religious themes. The group format allowed patients to share their experiences and beliefs, thereby eliminating shame and providing support and coping strategies; as well as allowing for peer–peer discussion of irrationalities and inconsistencies in each other's beliefs. After 13 sessions there was a statistically significant reduction in delusional conviction, unhappiness associated with thinking about a delusion, intensity of distress associated with delusion, and an increased ability to dismiss a delusional thought.


psychotherapycognitive behavioralgroupdelusionspsychosisschizophrenia

Copyright information

© Springer Scienc+Business Media, Inc. 2006