Many adults who experience severe mental illness also suffer from deficits in metacognition - put simply, thinking about ones own thought processes - limiting their abilities to recognize, express and manage naturally occurring painful emotions and routine social problems as well as to fathom the intentions of others.
This book presents an overview of the field, showing how current research can inform clinical practice. An international range of expert contributors provide chapters which look at the role of metacognitive deficit in personality disorders, schizophrenia, and mood disorders, and the implications for future psychotherapeutic treatment.
Divided into three parts, areas covered include:
how metacognitive deficits may arise and the different forms they might take
the psychopathology of metacognition in different forms of mental illness whether specific deficits in metacognition might help us understand the difficulties seen in differing forms of severe mental illness.
Offering varying perspectives and including a wealth of clinical material, this book will be of great interest to all mental health professionals, researchers and practitioners.
Recenzijas
"Traditional cognitive domains, such as language, memory or perception, do not properly capture the problems experienced by people with severe mental disorders like schizophrenia. Their problems lie rather with insight and with the ability to monitor the mental and emotional states of themselves and others. In this book the editors have recognised that these disparate problems can be brought together under the heading of Metacognition. As the contents of the book so admirably show, this very important insight provides a framework for guiding both theory and practice in the study of severe mental disorders." - Chris Frith, UCL, UK & University of Aarhus, Denmark
"Dimaggio and Lysaker have assembled a stellar cast of contributors who apply the latest developments in theory and research on metacognition to our understanding of the both the development and treatment of severe mental disorders. Although all of the contributions are subsumed under the general topic of metacognition, the authors are in fact addressing a number of vitally important and timely areas. These include: theory of mind, reflective functioning, mentalization, attachment, affect regulation, and the therapeutic relationship. The end result is a lively, engaging and thought provoking collection of essays that will be of tremendous interest to theorists, researchers and psychotherapists of all orientations." - Jeremy D. Safran, Professor and Director of Clinical Psychology, New School for Social Research, President, International Association for Relational Psychoanalysis and Psychotherapy, New York, USA "Traditional cognitive domains, such as language, memory or perception, do not properly capture the problems experienced by people with severe mental disorders like schizophrenia. Their problems lie rather with insight and with the ability to monitor the mental and emotional states of themselves and others. In this book the editors have recognised that these disparate problems can be brought together under the heading of Metacognition. As the contents of the book so admirably show, this very important insight provides a framework for guiding both theory and practice in the study of severe mental disorders." - Chris Frith, UCL, UK & University of Aarhus, Denmark
"Dimaggio and Lysaker have assembled a stellar cast of contributors who apply the latest developments in theory and research on metacognition to our understanding of the both the development and treatment of severe mental disorders. Although all of the contributions are subsumed under the general topic of metacognition, the authors are in fact addressing a number of vitally important and timely areas. These include: theory of mind, reflective functioning, mentalization, attachment, affect regulation, and the therapeutic relationship. The end result is a lively, engaging and thought provoking collection of essays that will be of tremendous interest to theorists, researchers and psychotherapists of all orientations." - Jeremy D. Safran, Professor and Director of Clinical Psychology, New School for Social Research, President, International Association for Relational Psychoanalysis and Psychotherapy, New York, USA
Dimaggio, Lysaker, The Metacognitive System: Theory, Evidence and
Implications for Treatment. Part I: Theory: The Neural and Social Basis For
Metacognition and its Disorders. Saxe, Offen, Seeing Ourselves: What Vision
Can Teach Us About Metacognition. Carpendale, Lewis, Social Understanding
Through Social Interaction. Gumley, The Developmental Roots of Compromised
Mentalization in Complex Mental Health Disturbances of Adulthood: An
Attachment. Part II: Metacognitive Disorders in Different Clinical
Populations, its Relation with Symptoms, Interpersonal Functioning and
Adaptation. Lysaker, Metacognition in Schizophrenia Spectrum Disorders:
Methods of Assessing Metacognition within Narrative and Links with
Neurocognition. Schaub, Abdel-Hamid, Brüne, Schizophrenia and Social
Functioning: The Role of Impaired Metacognition. Morgan, David, Awareness is
Not the Same as Acceptance: Exploring the Thinking Behind Insight and
Compliance. Bell, Langdon, Siegert, Ellis, The Assessment of Theory of Mind
in Schizophrenia. Stanghellini, Commonsense, Disembodiment, and Delusions in
Schizophrenia. Kanba, Yamada, Inoue, Deficit of Theory of Mind in Depression
and its Correlation with Poor Clinical Outcomes. Vanheule, Inslegers,
Meganck, Ooms, Desmet, Interpersonal Problems in Alexithymia: A Review.
Colle, DAngerio, Popolo, Dimaggio, Different Profiles of Metacognitive
Dysfunctions in Personality Disorders. Liotti, Prunetti, Metacognitive
Deficits in Trauma-related Disorders: Contingent on Interpersonal
Motivational Contexts? Part III: Treatment of Metacognitive Disturbances in
Severe Adult Disorders. Lysaker, Buck, Metacognitive Capacity as a Focus of
Individual Psychotherapy in Schizophrenia. Hasson-Ohayon, Kravetz, Roe,
Empathic and Theory of Mind Processes: The Dialogical Core of a Metacognitive
Approach to Psychiatric Rehabilitation. Dimaggio, Salvatore, Nicolņ, Fiore,
Procacci, Enhancing Mental State Understanding in Over-constricted
Personality Disorder Using Metacognitive Interpersonal Therapy. Semerari, The
Impact of Metacognitive Dysfunctions in Personality Disorders on the
Therapeutic Relationship and Intervention Technique. Osatuke, Stiles, Change
in PTSD: An Assimilation Model Account. Conclusions. Lysaker, Dimaggio,
Metacogntion and Mental Illness: Commentary.
Giancarlo Dimaggio is a psychiatrist and a psychotherapist at the Third Center of Cognitive Psychotherapy in Rome. He is currently involved in clinical work and research on pathology and treatment of personality disorders.
Paul H. Lysaker is a clinical psychologist at the Roudebush Virginia Medical Center in Indianapolis Indiana and an Associate Professor of Clinical Psychology in the Department of Psychiatry Indianapolis School of Medicine. His current research interests include the development of metacognitive capacity through individual psychotherapy for persons with schizophrenia.
