Addressing metacognitive capacity for self reflection in the psychotherapy for schizophrenia: A conceptual model of the key tasks and processes
Article first published online: 15 FEB 2011
© 2010 The British Psychological Society
Psychology and Psychotherapy: Theory, Research and Practice
Special Issue: Metacognitive disturbances amongst individuals with complex mental health problems: Psychopathology and treatment
Volume 84, Issue 1, pages 58–69, March 2011
How to Cite
Lysaker, P. H., Buck, K. D., Carcione, A., Procacci, M., Salvatore, G., Nicolò, G. and Dimaggio, G. (2011), Addressing metacognitive capacity for self reflection in the psychotherapy for schizophrenia: A conceptual model of the key tasks and processes. Psychology and Psychotherapy: Theo, Res, Pra, 84: 58–69. doi: 10.1348/147608310X520436
- Issue published online: 15 FEB 2011
- Article first published online: 15 FEB 2011
- Received 1 December 2009; revised version received 1 June 2010
Purpose. Recognition that recovery from schizophrenia may involve a deepening of the experience of being in the world has led to the possibility that psychotherapy may play a key role in treatment by enhancing metacognition, or the capacity to think about thinking. While the potential of psychotherapy to enhance metacognition in non-psychotic disorders has been discussed in depth, little has been written about how psychotherapy may systematically address metacognition in schizophrenia. Accordingly, the current paper formulates a model of how psychotherapy might address one specific element of metacognition, namely self-reflectivity.
Methods. Procedures are outlined for assessing clients' capacity for self-reflectivity within narrative contexts during psychotherapy.
Results. Targeted interventions are identified which are tailored to clients' capacities in the moment and which assist clients to think about their own thinking at the level of which they are capable. This may lead clients over time to develop a greater ability to engage in acts of increasingly complex self-reflectivity.
Conclusions. Individual psychotherapy can be modified and utilized to assist persons with schizophrenia to move towards recovery by assisting them to develop the capacity for self-reflectivity. This may lead to clients having a fuller experience of themselves as a being in the world with a richer and more coherent personal narrative.