Abstract:
BACKGROUND/AIMS:Disturbances in first person experience is a broadly noted feature of schizophrenia, which cannot be reduced to the expression of psychopathology. Yet, though categorically linked with profound suffering, these disturbances are often ignored by most contemporary treatment models. METHODS:In this paper, we present a model, which suggests that deficits in metacognition and their later resolution parsimoniously explain the development of self-disturbance and clarify how persons can later recover. We define "metacognition" as processes integral to the availability of a sense of self and others within the flow of life and report research suggesting its contribution to schizophrenia and link to self-disturbance. RESULTS:We describe a newly emerging integrative form of psychotherapy, Metacognitive Reflection and Insight Therapy (MERIT), designed to target metacognition and enhance the recovery of healthy self-experience. We describe eight measurable core elements that allow MERIT to be operationalized and discuss about how to address disturbances in self-experience. CONCLUSIONS:We detail research that provides evidence of the feasibility, acceptability, and effectiveness of MERIT across a broad range of patients, including those who might not otherwise be offered psychotherapy. MERIT represents one form of psychotherapy that may address self-disorders among adults with schizophrenia.
journal_name
Psychopathologyjournal_title
Psychopathologyauthors
Lysaker PH,Dimaggio G,Hamm JA,Leonhardt BL,Hochheiser J,Lysaker JTdoi
10.1159/000495297subject
Has Abstractpub_date
2019-01-01 00:00:00pages
135-142issue
2eissn
0254-4962issn
1423-033Xpii
000495297journal_volume
52pub_type
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