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lüll A clinically based rule of thumb for classifying delusions Walkup JSchizophr Bull 1995[]; 21 (2): 323-31Conventional psychodynamic treatment assumptions sometimes warned against direct confrontation of a patient's delusions because delusions were believed to serve defensive functions. Based in part on research findings some have recently asserted that it can be beneficial for the clinician to challenge a patient's delusional beliefs. Short-term positive results from such confrontations have been reported. I review clinical and research considerations that may aid the clinician in deciding when confrontation may be beneficial. I identify a class of delusions that are unlikely to respond to confrontation. Alternative clinical responses to this class are suggested.|*Psychoanalytic Therapy[MESH]|*Schizophrenic Psychology[MESH]|Awareness[MESH]|Defense Mechanisms[MESH]|Delusions/*classification/psychology[MESH]|Humans[MESH]|Schizophrenia/*therapy[MESH]|Treatment Outcome[MESH] |