The delusions and apparently irrational thinking actually represent a translation or transformation of familiar beliefs and wishes. The trick is to back-translate or re-transform the delusions into their original, normal sounding beliefs. When this is done, it is possible then to understand the individual’s idiosyncratic behavior and unusual thinking patterns. The
Second objective: guide individuals to do what comes naturally. The fundamentalists use the cognitive remediation approach to train individuals to improve supposed fundamental deficits in attention, recall, and flexibility, by practicing certain exercises on the computer. We
Rationale: The patients with negative symptoms are largely disengaged from interpersonal associations and productive work because of their low self-value and very low expectancies. We have already demonstrated the cycle from low self-worth to low expectancies for achievement or satisfaction, to low motivation, to poor performance. We have shown the cycle can be reversed when the individual engages in meaningful, potentially pleasurable activities, particularly, in a group. The trick is to facilitate activities that will engage the patient and thus, lead to the successful outcomes. The result is not only a negation of negative beliefs but also the activation of positive beliefs. The take-home message: negate negative beliefs, and activate positive beliefs.