Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy

Metacognition refers to a spectrum of activities which spans from noticing discrete experiences to synthesizing them into a larger sense of the self and others. Evidence suggesting that deficits in metacognition are broadly present in schizophrenia and represent a potent barrier to recovery from sch...

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Main Authors: Paul H. Lysaker, Marina Kukla, Jenifer L. Vohs, Ashley M. Schnakenberg Martin, Kelly D. Buck, Ilanit Hasson Ohayon
Format: Article
Language:English
Published: SAGE Publishing 2019-01-01
Series:Journal of Experimental Psychopathology
Online Access:https://doi.org/10.1177/2043808718814992
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author Paul H. Lysaker
Marina Kukla
Jenifer L. Vohs
Ashley M. Schnakenberg Martin
Kelly D. Buck
Ilanit Hasson Ohayon
author_facet Paul H. Lysaker
Marina Kukla
Jenifer L. Vohs
Ashley M. Schnakenberg Martin
Kelly D. Buck
Ilanit Hasson Ohayon
author_sort Paul H. Lysaker
collection DOAJ
description Metacognition refers to a spectrum of activities which spans from noticing discrete experiences to synthesizing them into a larger sense of the self and others. Evidence suggesting that deficits in metacognition are broadly present in schizophrenia and represent a potent barrier to recovery from schizophrenia has led to increasing interest in the development of metacognitively oriented treatments. In this article, we will describe the development of one such treatment, metacognitive reflection and insight therapy (MERIT), an integrative form of psychotherapy defined by eight core elements. We will first discuss the concept of metacognition as a means to operationalize the processes which enable persons to have a sense of themselves and others available for reflection and that can then serve as the basis for effective and agentic responses to psychosocial challenges. We will then discuss methods for assessing metacognition, the development of MERIT as a treatment that targets metacognition, and how MERIT compares with other treatments. Next, we will discuss empirical support for MERIT’s role in recovery including its potential to assist persons to develop their own personally meaningful sense of their challenges and then decide how to effectively respond to those challenges and manage their own recovery.
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spelling doaj.art-f822ae0a53ba44eb83b6a00b9fa5899c2022-12-22T01:11:51ZengSAGE PublishingJournal of Experimental Psychopathology2043-80872019-01-011010.1177/2043808718814992Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapyPaul H. LysakerMarina KuklaJenifer L. VohsAshley M. Schnakenberg MartinKelly D. BuckIlanit Hasson OhayonMetacognition refers to a spectrum of activities which spans from noticing discrete experiences to synthesizing them into a larger sense of the self and others. Evidence suggesting that deficits in metacognition are broadly present in schizophrenia and represent a potent barrier to recovery from schizophrenia has led to increasing interest in the development of metacognitively oriented treatments. In this article, we will describe the development of one such treatment, metacognitive reflection and insight therapy (MERIT), an integrative form of psychotherapy defined by eight core elements. We will first discuss the concept of metacognition as a means to operationalize the processes which enable persons to have a sense of themselves and others available for reflection and that can then serve as the basis for effective and agentic responses to psychosocial challenges. We will then discuss methods for assessing metacognition, the development of MERIT as a treatment that targets metacognition, and how MERIT compares with other treatments. Next, we will discuss empirical support for MERIT’s role in recovery including its potential to assist persons to develop their own personally meaningful sense of their challenges and then decide how to effectively respond to those challenges and manage their own recovery.https://doi.org/10.1177/2043808718814992
spellingShingle Paul H. Lysaker
Marina Kukla
Jenifer L. Vohs
Ashley M. Schnakenberg Martin
Kelly D. Buck
Ilanit Hasson Ohayon
Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy
Journal of Experimental Psychopathology
title Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy
title_full Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy
title_fullStr Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy
title_full_unstemmed Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy
title_short Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy
title_sort metacognition and recovery in schizophrenia from research to the development of metacognitive reflection and insight therapy
url https://doi.org/10.1177/2043808718814992
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