Metacognitive reflective and insight therapy for people in early phase of a schizophrenia spectrum disorder

Jaclyn D. Hillis, Bethany L. Leonhardt, Jenifer L. Vohs, Kelly D. Buck, Giampaolo Salvatore, Raffaele Popolo, Giancarlo Dimaggio, Paul H. Lysaker

Research output: Contribution to journalArticle

67 Scopus citations

Abstract

Schizophrenia often involves a loss of metacognitive capacity, the ability to form complex and integrated representations of self and others. Independent of symptoms and neurocognition, deficits in synthetic metacognition are related to difficulties of engaging in goal-directed activities in social and vocational settings. Within this backdrop, we provide a case report of the effects of Metacognitive Reflective Insight Therapy (MERIT) that assisted a patient suffering from first episode schizophrenia during 2 years of individual psychotherapy. A total of 8 elements of MERIT that stimulate and promote metacognitive capacity are presented. As illustrated in this report, these procedures helped the patient move from a state in which he had virtually no complex ideas about himself or others to one in which he had developed integrated and realistic ideas about his own identity and the identity of others. He then could use these representations to understand and effectively respond to life challenges.

Original languageEnglish (US)
Pages (from-to)125-135
Number of pages11
JournalJournal of Clinical Psychology
Volume71
Issue number2
DOIs
StatePublished - Feb 1 2015

    Fingerprint

Keywords

  • Cognition
  • First episode psychosis
  • Metacognition
  • Psychotherapy
  • Recovery
  • Schizophrenia

ASJC Scopus subject areas

  • Clinical Psychology
  • Arts and Humanities (miscellaneous)
  • Medicine(all)

Cite this

Hillis, J. D., Leonhardt, B. L., Vohs, J. L., Buck, K. D., Salvatore, G., Popolo, R., Dimaggio, G., & Lysaker, P. H. (2015). Metacognitive reflective and insight therapy for people in early phase of a schizophrenia spectrum disorder. Journal of Clinical Psychology, 71(2), 125-135. https://doi.org/10.1002/jclp.22148