Abstract
ABSTRACT Background: Mental imagery is implicated in the maintenance and treatment of persecutory delusions, yet there is little experimental evidence for the effects of imagery on paranoia, anxiety and core beliefs – key therapeutic targets in CBT for psychosis. Aims: This pilot study examined the impact of a repeated imagery task in people with high levels of non-clinical paranoia, to determine whether a fully powered study is warranted. Method: Twenty-four people participated in a 3 × 3 mixed model design comparing paranoia, anxiety and core beliefs between imagery conditions (positive/negative/neutral) and across time-points (pre/post/follow-up). Results: The imagery task yielded large effects on paranoia, anxiety and core self-beliefs. Conclusions: Rehearsing interpersonal imagery in which the person experiences themselves as safe, secure, and able to trust others, may have large, sustained effects. A fully powered clinical study is warranted.
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