Metacognition, self-reflection and recovery in schizophrenia

Paul H. Lysaker, Jenifer Vohs, Robin Ballard, Rebecca Fogley, Giampaolo Salvatore, Raffaele Popolo, Giancarlo Dimaggio

Research output: Contribution to journalArticle

78 Citations (Scopus)

Abstract

Metacognition reflects a spectrum of activities that includes discrete acts in which persons form ideas about specific thoughts and feelings, and synthetic acts in which persons integrate discrete thoughts and feelings into complex representations of themselves and others. This article reviews literature suggesting that persons with schizophrenia and related psychosis experience deficits across the spectrum of metacognitive activities and that these deficits play a key role in dysfunction, often mediating and moderating the impact of symptoms and social adversity on daily life. Treatment approaches including metacognitive training and adaptations of psychotherapy are still in their infancy. Future work is needed to study the etiology of deficits in discrete and synthetic metacognition, as well as their overlap with related constructs such as mentalization and social cognition.

Original languageEnglish
Pages (from-to)103-115
Number of pages13
JournalFuture Neurology
Volume8
Issue number1
DOIs
StatePublished - Jan 2013

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Schizophrenia
Emotions
Psychotherapy
Psychotic Disorders
Cognition
Metacognition

Keywords

  • agency
  • mentalization
  • metacognition
  • neurocognition
  • psychosis
  • quality of life
  • recovery
  • schizophrenia
  • social cognition
  • symptoms

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Lysaker, P. H., Vohs, J., Ballard, R., Fogley, R., Salvatore, G., Popolo, R., & Dimaggio, G. (2013). Metacognition, self-reflection and recovery in schizophrenia. Future Neurology, 8(1), 103-115. https://doi.org/10.2217/fnl.12.78

Metacognition, self-reflection and recovery in schizophrenia. / Lysaker, Paul H.; Vohs, Jenifer; Ballard, Robin; Fogley, Rebecca; Salvatore, Giampaolo; Popolo, Raffaele; Dimaggio, Giancarlo.

In: Future Neurology, Vol. 8, No. 1, 01.2013, p. 103-115.

Research output: Contribution to journalArticle

Lysaker, PH, Vohs, J, Ballard, R, Fogley, R, Salvatore, G, Popolo, R & Dimaggio, G 2013, 'Metacognition, self-reflection and recovery in schizophrenia', Future Neurology, vol. 8, no. 1, pp. 103-115. https://doi.org/10.2217/fnl.12.78
Lysaker PH, Vohs J, Ballard R, Fogley R, Salvatore G, Popolo R et al. Metacognition, self-reflection and recovery in schizophrenia. Future Neurology. 2013 Jan;8(1):103-115. https://doi.org/10.2217/fnl.12.78
Lysaker, Paul H. ; Vohs, Jenifer ; Ballard, Robin ; Fogley, Rebecca ; Salvatore, Giampaolo ; Popolo, Raffaele ; Dimaggio, Giancarlo. / Metacognition, self-reflection and recovery in schizophrenia. In: Future Neurology. 2013 ; Vol. 8, No. 1. pp. 103-115.
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