الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
It is thought that persecutory delusions are arising in individuals with deeply rooted low self-esteem. Paranoid individuals attempt to protect their self-esteem and avoid negative beliefs about the self by attributing threatening events to the actions of other people. Garety et al. (2001) also suggest that the content of hallucinations can reflect emotion (4). It is argued that emotion caused both the trigger of hallucinations and the actual experience of hallucinations feeds back into the content of voices
The early adverse experiences are proposed to create an enduring cognitive vulnerability, characterized by negative schematic models of the self and others (e.g. I am vulnerable, others are dangerous). Fowler (2000) suggests that the triggering of negative schematic beliefs in individuals vulnerable to psychosis may lead to hearing voices with threatening or critical content.
It remains unclear how negative schematic beliefs and emotional dysfunction interact in psychosis. In the last 10 years, advancements have been made in the understanding of cognitive and emotional factors relevant to delusions and this has been accompanied by advancements in psychological treatment. One route to improve treatment interventions is to further the understanding of pathways that lead to symptoms distress and persistence.
Heath team members must think about the emotional and cognitive pathways both in and out of psychosis, in order to consider the range of treatment strategies available. Thus, dis¬mantling the categorical nature of psychosis has encouraged more flexible thinking about therapy. Nurses are in the forefront of those required to care for patients with schizophrenia, thus, all emotional and cognitive factors underlying patients’ symptoms must be vividly understood to psychiatric nurses to improve their practice.