This paper presents a cognitive model of the positive symptoms of psychosis, integrating social, individual, and neurobiological factors. The model posits two primary routes to the development of positive symptoms: one involving cognitive and affective changes, and the other involving affective disturbance alone. It emphasizes the role of emotional changes and biased cognitive processes in generating and maintaining delusions and hallucinations. The model also highlights the importance of social factors, such as adverse childhood experiences and social marginalization, in creating cognitive vulnerabilities and negative schemas. These factors contribute to the formation and maintenance of psychotic symptoms by influencing appraisal processes and social functioning. The paper discusses the effectiveness of cognitive behavior therapy (CBT) and family interventions in treating these symptoms, suggesting that both approaches can help reduce symptom severity and improve outcomes. The model integrates existing theoretical and therapeutic studies, generating testable hypotheses and offering potential practical benefits for people with psychosis.This paper presents a cognitive model of the positive symptoms of psychosis, integrating social, individual, and neurobiological factors. The model posits two primary routes to the development of positive symptoms: one involving cognitive and affective changes, and the other involving affective disturbance alone. It emphasizes the role of emotional changes and biased cognitive processes in generating and maintaining delusions and hallucinations. The model also highlights the importance of social factors, such as adverse childhood experiences and social marginalization, in creating cognitive vulnerabilities and negative schemas. These factors contribute to the formation and maintenance of psychotic symptoms by influencing appraisal processes and social functioning. The paper discusses the effectiveness of cognitive behavior therapy (CBT) and family interventions in treating these symptoms, suggesting that both approaches can help reduce symptom severity and improve outcomes. The model integrates existing theoretical and therapeutic studies, generating testable hypotheses and offering potential practical benefits for people with psychosis.