Subclinical delusional functioning in judicial contexts: a conceptual and methodological framework for forensic psychological assessment
DOI:
https://doi.org/10.71112/j7abt610Keywords:
Forensic psychological assessment, Subclinical delusional beliefs, Belief updating, Metacognition, Cognitive biases.Abstract
The differentiation between clinical delusions, overvalued ideas, and rigid inferential configurations constitutes a central methodological challenge in forensic assessment. While DSM-5-TR and ICD-11 define delusional disorders, a conceptual gap persists between normative cognition and structured psychosis. This paper introduces Contextual Subclinical Delusive Functioning (CSDF) as an analytical framework to describe rigid inferential configurations in judicial contexts without expanding psychiatric nosography. Integrating dimensional psychopathology, dual-process theory, and belief-updating models, CSDF is defined by high conviction, asymmetric evidence updating, and resistance to alternative hypotheses, while maintaining preserved reality testing and general functioning. A methodological framework is proposed for its forensic operationalization through structured interviews and explicit hypothesis-testing procedures. The objective is to enhance the inferential transparency of forensic reports and provide a replicable tool for analyzing complex judicial contexts, ensuring a rigorous technical assessment without unnecessary pathologization.
Downloads
References
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.; DSM-5-TR). American Psychiatric Publishing. DOI: https://doi.org/10.1176/appi.books.9780890425787
Bebbington, P. E., McBride, O., Steel, C., Kuipers, E., Radovanović, M., Brugha, T., Jenkins, R., Meltzer, H., & Freeman, D. (2013). The structure of paranoia in the general population. The British Journal of Psychiatry, 202(6), 419–427. https:/ doi:10.1192/bjp.bp.112.119032 DOI: https://doi.org/10.1192/bjp.bp.112.119032
Bortolotti, L. (2018). Delusions in context. Oxford University Press. https://doi.org/10.1007/978-3-319-97202-2 DOI: https://doi.org/10.1007/978-3-319-97202-2
Bravo, O. A. (Ed.) (2023). Aportes teóricos y prácticos para una salud mental alternativa. Editorial Universidad Icesi. https://doi.org/10.18046/EUI/escr.25.2023 DOI: https://doi.org/10.18046/EUI/escr.25.2023
Castro-Alzate, E. S., Cardona-Marín, A., Pacheco, C., Gamboa-Proaño, A., Bustos, C., & Saldivia, S. (2021). Modelo explicativo de discapacidad en población con trastornos mentales graves: un estudio multicéntrico en tres países de Sudamérica. Revista Ciencias de la Salud, 19(2), 1–19. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.10713 DOI: https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.10713
Coltheart, M., Langdon, R., & McKay, R. (2011). Delusional belief. Annual Review of Psychology, 62, 271–298. https://doi.org/10.1146/annurev.psych.121208.131622 DOI: https://doi.org/10.1146/annurev.psych.121208.131622
Corlett, P. R., Taylor, J. R., Wang, X.-J., Fletcher, P. C., & Krystal, J. H. (2010). Toward a neurobiology of delusions. Progress in Neurobiology, 92(3), 345–369. https://doi.org/10.1016/j.pneurobio.2010.06.007 DOI: https://doi.org/10.1016/j.pneurobio.2010.06.007
Evans, J. St. B. T. (2017). Dual-process theories of cognition: Foundations and applications. Oxford University Press.
Freeman, D. (2007). Suspicious minds: The psychology of persecutory delusions. Clinical Psychology Review, 27(4), 425–457. https://doi.org/10.1016/j.cpr.2006.10.004 DOI: https://doi.org/10.1016/j.cpr.2006.10.004
Freeman, D. (2016). Persecutory delusions: A cognitive perspective on understanding and treatment. The Lancet Psychiatry, 3(7), 685–692. https://doi.org/10.1016/S2215-0366(16)00066-3 DOI: https://doi.org/10.1016/S2215-0366(16)00066-3
Freeman, D. (2024). Understanding and treating persecutory delusions. Schizophrenia Bulletin, 50(2), 233–235. https://doi.org/10.1093/schbul/sbae012 DOI: https://doi.org/10.1093/schbul/sbae012
Fromm, S., Katthagen, T., Deserno, L., Heinz, A., Kaminski, J., & Schlagenhauf, F. (2022). Belief updating in subclinical and clinical delusions. Schizophrenia Bulletin Open, 4(1), sgac074. https://doi.org/10.1093/schizbullopen/sgac074 DOI: https://doi.org/10.1093/schizbullopen/sgac074
Garety, P. A., & Freeman, D. (2013). The past and future of delusions research: From the inexplicable to the treatable. The British Journal of Psychiatry, 203(5), 327–333. https://doi.org/10.1192/bjp.bp.113.126953 DOI: https://doi.org/10.1192/bjp.bp.113.126953
Gibbs-Dean, T., Katthagen, T., Tsenkova, I., Ali, R., Liang, X., Spencer, T., & Diederen, K. M. J. (2023). Belief updating in psychosis, depression and anxiety disorders: A systematic review across computational modelling approaches. Neuroscience & Biobehavioral Reviews, 151, 105087. https://doi.org/10.1016/j.neubiorev.2023.105087 DOI: https://doi.org/10.1016/j.neubiorev.2023.105087
Kahneman, D. (2011). Thinking, fast and slow. Farrar, Straus and Giroux.
Kästner, L. (2022). Modelado de la psicopatología: los multicines 4D al rescate. Sintetizar.
Kelly, J. B., & Johnston, J. R. (2001). The alienated child: A reformulation of parental alienation syndrome. Family Court Review, 39(3), 249–266. https://doi.org/10.1111/j.174-1617.2001.tb00609.x DOI: https://doi.org/10.1111/j.174-1617.2001.tb00609.x
Lysaker, P. H., Cheli, S., Dimaggio, G., Buck, B., Bonfils, K. A., Huling, K., Wiesepape, C., & Lysaker, J. T. (2021). Metacognition, social cognition, and mentalizing in psychosis: Are they distinct or overlapping constructs? BMC Psychiatry, 21, 378. https://doi.org/10.1186/s12888-021-03338-4 DOI: https://doi.org/10.1186/s12888-021-03338-4
Malegiannaki, A. C., Chatzopoulos, G., & Tsagkaridis, K. (2025). Evaluación del uso y la comprensión por parte de los jueces de la toma de decisiones heurísticas cognitivas. Frontiers in Cognition [Publicación anticipada].
Martín, M., & Valiña, M. D. (2023). Heuristics, Biases and the Psychology of Reasoning: State of the Art. Psychology, 14(3), 264–294. https://doi.org/10.4236/psych.2023.142016 DOI: https://doi.org/10.4236/psych.2023.142016
McGrath, J. J., Saha, S., Al-Hamzawi, A., Alonso, J., Andrade, L., Borges, G., Bromet, E. J., Bruffaerts, R., de Girolamo, G., de Graaf, R., Florescu, S., Gureje, O., Haro, J. M., Hu, C., Karam, E. G., Kovess-Masfety, V., Lee, S., Lepine, J. P., Navarro-Mateu, F., … Kessler, R. C. (2015). Psychotic experiences in the general population: A cross-national analysis based on 31,261 respondents from 18 countries. JAMA Psychiatry, 72(7), 697–705. https://doi.org/10.1001/jamapsychiatry.2015.0575 DOI: https://doi.org/10.1001/jamapsychiatry.2015.0575
Moritz, S., & Lysaker, P. H. (2018). Metacognition—What di James H. Flavell really say and the implications for the conceptualization and design of metacognitive interventions. Schizophrenia Research, 201, 20–26. https://doi.org/10.1016/j.schres.2018.06.001 DOI: https://doi.org/10.1016/j.schres.2018.06.001
Moritz, S., Scheunemann, J., Lüdtke, T., Westermann, S., Pfuhl, G., Balzan, R. P., & Andreou, C. (2020). Prolonged rather than hasty decision-making in schizophrenia using the box task. Must we rethink the jumping to conclusions account of paranoia? Schizophrenia Research, 222, 408–414. https://doi.org/10.1016/j.schres.2020.05.021 DOI: https://doi.org/10.1016/j.schres.2020.05.056
Muñoz, J. M., González-Guerrero, L., & Arch, M. (2026). Orientaciones prácticas y propuestas de mejora para la elaboración del informe pericial psicológico en el contexto legal español. Papeles del Psicólogo, 45(1). https://www.infocop.es/wp-content/uploads/2026/02/3077.pdf
Neal, T. M. S., & Brodsky, S. L. (2016). Forensic psychologists’ perceptions of bias and potential correction strategies in forensic mental health evaluations. Psychology, Public Policy, and Law, 22(1), 58–76. https://doi.org/10.1037/law0000077 DOI: https://doi.org/10.1037/law0000077
Neal, T. M. S., Martire, K. A., Johan, J. L., Mathers, E. M., & Otto, R. K. (2022). The law meets psychological expertise: Eight best practices to improve forensic psychological assessment. Annual Review of Law and Social Science, 18, 169–192. https://doi.org/10.1146/annurev-lawsocsci-050420-010148 DOI: https://doi.org/10.1146/annurev-lawsocsci-050420-010148
Rachlinski, J. J., & Wistrich, A. J. (2012). How lawyers’ intuitions prolong litigation [Ponencia]. 7th Annual Conference on Empirical Legal Studies, Ithaca, NY, Estados Unidos. http://dx.doi.org/10.2139/ssrn.2097774 DOI: https://doi.org/10.2139/ssrn.2097774
Raharjanti, N. W., Wiguna, T., Purwadianto, A., Soemantri, D., Bardosono, S., Poerwandari, E. K., Mahajudin, M. S., Ramadianto, A. S., Alfonso, C. A., Findyartini, A., Nugrahadi, N. R., Lazuardi, M. Q., Subroto, P. A. M., Saroso, O. J. D. A., & Levania, M. K. (2021). Clinical reasoning in forensic psychiatry: Concepts, processes, and pitfalls. Frontiers in Psychiatry, 12, 691377. https://doi.org/10.3389/fpsyt.2021.691377 DOI: https://doi.org/10.3389/fpsyt.2021.691377
Rogers, R. (2018). Clinical assessment of malingering and deception (4th ed.). Guilford Press.
Ross, R. M., McKay, R., Coltheart, M., & Langdon, R. (2015). Jumping to conclusions about the beads task? A meta-analysis of delusional ideation and data-gathering. Schizophrenia Bulletin, 41(5), 1183–1191. https://doi.org/10.1093/schbul/sbu187 DOI: https://doi.org/10.1093/schbul/sbu187
Stephens, C., & Cox, J. (2025). Forensic evaluators’ considerations of contextual information sources in competence-to-stand-trial cases. Psychology, Public Policy, and Law, 31(2), 147–164. https://doi.org/10.1037/law0000450 DOI: https://doi.org/10.1037/law0000450
Subijana, I. J., & Echeburúa, E. (2022). El conflicto de roles con respecto a la prueba pericial psicológica en el proceso judicial. Anuario de Psicología Jurídica, 32, 107–114. https://doi.org/10.5093/apj2021a22 DOI: https://doi.org/10.5093/apj2021a22
van Os, J., & Reininghaus, U. (2016). Psychosis as a transdiagnostic and extended phenotype in the general population. World Psychiatry. https://doi.org/10.1002/wps.20310 DOI: https://doi.org/10.1002/wps.20310
World Health Organization. (2019). International classification of diseases for mortality and morbidity statistics (11th ed.). https://icd.who.int/
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Miguel Angel Torres Villavicencio (Autor/a)

This work is licensed under a Creative Commons Attribution 4.0 International License.






