Metacognitive capacities for reflection in schizophrenia: Implications for developing treatments

Schizophrenia Bulletin

Volumn 40, Issue 3, 2014, Pages 487-491

  Lysaker, Paul H ^a,b   Dimaggio, Giancarlo ^c  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c Centro di Terapia Metacognitiva Interpersonale   (Italy)

Author keywords

metacognition; neurocognition; psychotherapy; recovery; rehabilitation; schizophrenia; social cognition; theory of mind

Indexed keywords

ARTICLE; COGNITIVE DEFECT; DISEASE ASSOCIATION; HUMAN; PRIORITY JOURNAL; PSYCHOTHERAPY; RELIABILITY; SCHIZOPHRENIA; SELF CONCEPT; SOCIAL COGNITION; VALIDITY; COGNITION DISORDERS; PERCEPTION; PSYCHOLOGY; SOCIAL ADAPTATION; THEORY OF MIND;

COGNITION DISORDERS; HUMANS; SCHIZOPHRENIA; SCHIZOPHRENIC PSYCHOLOGY; SOCIAL PERCEPTION; SOCIAL SKILLS; THEORY OF MIND;

EID: 84898964971     PISSN: 05867614     EISSN: 17451701     Source Type: Journal    
DOI: 10.1093/schbul/sbu038     Document Type: Article

References (60)

1. Bleuler E. Dementia Praecox or the Group of Schizophrenias. New York, NY: International Universities Press; 1950.
2. Kean CS. Silencing the self: Schizophrenia as a self-disturbance. Schizophr Bull. 2009;35:1034-1036.
3. Dimaggio G, Vanheule S, Lysaker PH, Carcione A, Nicolò G. Impaired self-reflection in psychiatric disorders among adults: A proposal for the existence of a network of semi independent functions. Conscious Cogn. 2009;18:653-664.
4. Andresen R, Oades L, Caputi P. The experience of recovery from schizophrenia: Towards an empirically validated stage model. Aust N Z J Psychiatry. 2003;37:586-594.
5. Brüne M, Dimaggio G, Lysaker PH. Metacognition and social functioning in schizophrenia: Evidence, mechanisms of influence and treatment implications. Curr Psychiatry Rev. 2011;7:239-247.
6. Keshavan MS, Clementz BA, Pearlson GD, Sweeney JA, Tamminga CA. Reimagining psychoses: An agnostic approach to diagnosis. Schizophr Res. 2013;146:10-16.
7. Nemeroff CB, Weinberger D, Rutter M, et al. DSM-5: A collection of psychiatrist views on the changes, controversies, and future directions. BMC Med. 2013;11:202.
8. Lysaker PH, Bob P, Pec O, et al. Metacognition as a link which connects brain to behavior in schizophrenia. Transl Neurosci. 2013;4:368-377.
9. Lysaker PH, Vohs J, Ballard R, et al. Metacognition, self reflection and recovery in schizophrenia: Review of the literature. Future Neurol. 2013;8:103-115.
10. Semerari A, Carcione A, Dimaggio G, et al. How to evaluate metacognitive functioning in psychotherapy? The Metacognition Assessment scale and its applications. Clin Psychol Psychother. 2003;10, 238-261.
11. Pinkham AE, Penn DL, Green MF, et al. The social cognition psychometric evaluation study: Results of the expert survey and RAND panel. Schizophr Bull. In press.
12. Bacon E, Izaute M. Metacognition in schizophrenia: Processes underlying patients' reflections on their own episodic memory. Biol Psychiatry. 2009;66:1031-1037.
13. Fourneret P, de Vignemont F, Franck N, Slachevsky A, Dubois B, Jeannerod M. Perception of self-generated action in schizophrenia. Cogn Neuropsychiatry. 2002;7:139-156.
14. Koren D, Seidman LJ, Poyurovsky M, et al. The neuropsychological basis of insight in first-episode schizophrenia: A pilot metacognitive study. Schizophr Res. 2004;70:195-202.
15. Fonagy P, Gergely G, Jurist EL, Target M. Affect Regulation, Mentalization, and the Development of the Self. New York, NY: Other Press; 2002.
16. Lysaker PH, Clements CA, Plascak-Hallberg CD, Knipscheer SJ, Wright DE. Insight and personal narratives of illness in schizophrenia. Psychiatry. 2002;65:197-206.
17. Lysaker PH, Carcione A, Dimaggio G, et al. Metacognition amidst narratives of self and illness in schizophrenia: Associations with neurocognition, symptoms, insight and quality of life. Acta Psychiatr Scand. 2005;112:64-71.
18. Lysaker PH, Hillis J, Leonhardt BL, Kukla M, Buck KD. Metacognition in schizophrenia spectrum disorders: Methods of assessment and associations with psychosocial function, neurocognition, symptoms, and cognitive style. In: Lysaker PH, Dimaggio G, Brüne M, eds. Metacognition and Social Cognition in Schizophrenia. New York, NY: Elsevier Press. In press.
19. Lysaker PH, Dimaggio G, Buck KD, Carcione A, Nicolò G. Metacognition within narratives of schizophrenia: Associations with multiple domains of neurocognition. Schizophr Res. 2007;93:278-287.
20. Hamm JA, Renard SB, Fogley RL, et al. Metacognition and social cognition in schizophrenia: Stability and relationship to concurrent and prospective symptom assessments. J Clin Psychol. 2012;68:1303-1312.
21. Nicolò G, Dimaggio G, Popolo R, et al. Associations of metacognition with symptoms, insight, and neurocognition in clinically stable outpatients with schizophrenia. J Nerv Ment Dis. 2012;200:644-647.
22. Lysaker PH, Warman DM, Dimaggio G, et al. Metacognition in schizophrenia: Associations with multiple assessments of executive function. J Nerv Ment Dis. 2008;196:384-389.
23. Lysaker PH, Dimaggio G, Daroyanni P, et al. Assessing metacognition in schizophrenia with the Metacognition Assessment Scale: Associations with the Social Cognition and Object Relations Scale. Psychol Psychother. 2010;83:303-315.
24. Lysaker PH, Erickson M, Ringer J, et al. Metacognition in schizophrenia: The relationship of mastery to coping, insight, self-esteem, social anxiety, and various facets of neurocognition. Br J Clin Psychol. 2011;50:412-424.
25. Fridberg DJ, Brenner A, Lysaker PH. Verbal memory intrusions in schizophrenia: Associations with self-reflectivity, symptomatology, and neurocognition. Psychiatry Res. 2010;179:6-11.
26. Luedtke BL, Kukla M, Renard S, Dimaggio G, Buck KD, Lysaker PH. Metacognitive functioning and social cognition as predictors of accuracy of self-Appraisals of vocational function in schizophrenia. Schizophr Res. 2012;137:260-261.
27. Biedermann F, Frajo-Apor B, Hofer A. Theory of mind and its relevance in schizophrenia. Curr Opin Psychiatry. 2012;25:71-75.
28. Sprong M, Schothorst P, Vos E, Hox J, van Engeland H. Theory of mind in schizophrenia: Meta-Analysis. Br J Psychiatry. 2007;191:5-13.
29. Lysaker PH, Ringer JM, Buck KD, et al. Metacognitive and social cognition deficits in patients with significant psychiatric and medical adversity: A comparison between participants with schizophrenia and a sample of participants who are HIVpositive. J Nerv Ment Dis. 2012;200:130-134.
30. Vohs JL, Lysaker PH, Francis M, et al. Metacognition, social cognition, and symptoms in patients with first episode and prolonged psychosis. Schizophr Res. In press.
31. Rabin SJ, Hasson-Ohayon I, Avidan M, et al. Metacognition in schizophrenia and schizotypy: Relations to symptoms and social quality of life. Isr J Psychiatry. In press.
32. Tas C, Brown EC, Esen-Danaci A, Lysaker PH, Brüne M. Intrinsic motivation and metacognition as predictors of learning potential in patients with remitted schizophrenia. J Psychiatr Res. 2012;46:1086-1092.
33. Vohs JL, Lysaker PH. Metacognitive mastery and intrinsic motivation in schizophrenia. J Nerv Ment Dis. 2014;202:74-77.
34. Lysaker PH, McCormick BP, Snethen G, et al. Metacognition and social function in schizophrenia: Associations of mastery with functional skills competence. Schizophr Res. 2011;131:214-218.
35. Kukla M, Lysaker PH, Salyers MP. Do persons with schizophrenia who have better metacognitive capacity also have a stronger subjective experience of recovery? Psychiatry Res. 2013;209:381-385.
36. Davis LW, Eicher AC, Lysaker PH. Metacognition as a predictor of therapeutic alliance over 26 weeks of psychotherapy in schizophrenia. Schizophr Res. 2011;129:85-90.
37. Nabors LM, Yanos PT, Roe D, et al. Stereotype endorsement, metacognitive capacity, and self-esteem as predictors of stigma resistance in persons with schizophrenia. Compr Psychiatry. In press.
38. Bo S, Abu-Akel A, Kongerslev M, Haahr UH, Bateman A. Mentalizing mediates the relationship between psychopathy and type of aggression in schizophrenia. J Nerv Ment Dis. 2014;202:55-63.
39. Bo S, Abu-Akel A, Bertelsen P, Kongerslev M, Haahr UH. Attachment, mentalizing and personality pathology severity in premeditated and impulsive aggression in schizophrenia. Int J Forensic Ment Health. 2013;12:126-138.
40. Lysaker PH, Dimaggio G, Carcione A, et al. Metacognition and schizophrenia: The capacity for self-reflectivity as a predictor for prospective assessments of work performance over six months. Schizophr Res. 2010;122:124-130.
41. Lysaker PH, Shea AM, Buck KD, et al. Metacognition as a mediator of the effects of impairments in neurocognition on social function in schizophrenia spectrum disorders. Acta Psychiatr Scand. 2010;122:405-413.
42. Mitchell LJ, Gumley AI, Reilly ES, et al. Metacognition in forensic patients with schizophrenia and a past history of interpersonal violence: An exploratory study. Psychosis. 2012;4:42-51.
43. Macbeth A, Gumley A, Schwannauer M, et al. Metacognition, symptoms and premorbid functioning in a First Episode Psychosis sample. Compr Psychiatry. 2014;55:268-273.
44. Lysaker PH, Gumley A, Brüne M, Vanheule S, Buck KD, Dimaggio G. Deficits in the ability to recognize one's own affects and those of others: Associations with neurocognition, symptoms and sexual trauma among persons with schizophrenia spectrum disorders. Conscious Cogn. 2011;20:1183-1192.
45. Silverstein SM, Bellack AS. A scientific agenda for the concept of recovery as it applies to schizophrenia. Clin Psychol Rev. 2008;28:1108-1124.
46. Lysaker PH, Buck KD, Carcione A, et al. Addressing metacognitive capacity for self reflection in the psychotherapy for schizophrenia: A conceptual model of the key tasks and processes. Psychol Psychother. 2011;84:58-69; discussion 98.
47. Bateman A, Fonagy P. Psychotherapy for Borderline Personality Disorder: Mentalization-Based Treatment. Oxford, UK: Oxford University Press; 2004.
48. Choi-Kain LW, Gunderson JG. Mentalization: Ontogeny, assessment, and application in the treatment of borderline personality disorder. Am J Psychiatry. 2008;165:1127-1135.
49. Dimaggio G, Semerari A, Carcione A, Nicolò G, Procacci M. Psychotherapy of Personality Disorders: Metacognition, States of Mind and Interpersonal Cycles. London, UK: Routledge; 2007.
50. Bateman A, Fonagy P. Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. Am J Psychiatry. 2009;166:1355-1364.
51. Bargenquast R, Schweitzer RD. Enhancing sense of recovery and self-reflectivity in people with schizophrenia: A pilot study of Metacognitive Narrative Psychotherapy. Psychol Psychother. In press.
52. Brent B. Mentalization-based psychodynamic psychotherapy for psychosis. J Clin Psychol. 2009;65:803-814.
53. Gumley A, Clark S. Risk of arrested recovery following first episode psychosis: An integrative approach to psychotherapy. J Psychother Integr. 2012;22:298-313.
54. Harder S, Folke S. Affect regulation and metacognition in psychotherapy of psychosis: An integrative approach. J Psychother Integr. 2012;22:330-343.
55. Hasson-Ohayon I. Integrating cognitive behavioral-based therapy with an intersubjective approach: Addressing metacognitive deficits among people with schizophrenia. J Psychother Integr. 2012;22:356-374.
56. Lysaker PH, Buck KD, Fogley R, et al. The mutual development of intersubjectivity and metacognitive capacity in the psychotherapy for persons with schizophrenia with severe paranoid delusions. J Contemp Psychother. 2013;43:63-72.
57. Ottavi P, D'Alia D, Lysaker PH, et al. Metacognition-Oriented social skills training for individuals with long-Term schizophrenia: Methodology and clinical illustration. Clin Psychol Psychother. In press.
58. Salvatore G, Russo B, Russo M, Popolo R, Dimaggio G. Metacognition- oriented therapy for psychosis: The case of a woman with delusional disorder and paranoid personality disorder. J Psychother Integr. 2012;22:314-329.
59. Moritz S, Woodward TS. Metacognitive training in schizophrenia: From basic research to knowledge translation and intervention. Curr Opin Psychiatry. 2007;20:619-625.
60. Moritz S. Woodward TS. Metacognitive training for schizophrenia patients (MCT): A pilot study on feasibility, treatment adherence, and subjective efficacy. Ger J Psychiatry. 2007;10:69-78.