Progressively promoting metacognition in a case of obsessive-compulsive personality disorder treated with metacognitive interpersonal therapy

Authors

  • Giancarlo Dimaggio,

    Corresponding author
    1. Third Center of Cognitive Psychotherapy – Training School in Cognitive
      Psychotherapy Associazione di Psicologia Cognitiva (APC), Rome, Italy
      Correspondence should be addressed to Dr Giancarlo Dimaggio, Terzo Centro di Psicoterapia Cognitiva, via Ravenna 9/c, 00161 Rome, Italy (e-mail: gdimaje@libero.it).
    Search for more papers by this author
  • Antonino Carcione,

    1. Third Center of Cognitive Psychotherapy – Training School in Cognitive
      Psychotherapy Associazione di Psicologia Cognitiva (APC), Rome, Italy
    Search for more papers by this author
  • Giampaolo Salvatore,

    1. Third Center of Cognitive Psychotherapy – Training School in Cognitive
      Psychotherapy Associazione di Psicologia Cognitiva (APC), Rome, Italy
    Search for more papers by this author
  • Giuseppe Nicolò,

    1. Third Center of Cognitive Psychotherapy – Training School in Cognitive
      Psychotherapy Associazione di Psicologia Cognitiva (APC), Rome, Italy
    Search for more papers by this author
  • Antonella Sisto,

    1. Third Center of Cognitive Psychotherapy – Training School in Cognitive
      Psychotherapy Associazione di Psicologia Cognitiva (APC), Rome, Italy
    Search for more papers by this author
  • Antonio Semerari

    1. Third Center of Cognitive Psychotherapy – Training School in Cognitive
      Psychotherapy Associazione di Psicologia Cognitiva (APC), Rome, Italy
    Search for more papers by this author

Correspondence should be addressed to Dr Giancarlo Dimaggio, Terzo Centro di Psicoterapia Cognitiva, via Ravenna 9/c, 00161 Rome, Italy (e-mail: gdimaje@libero.it).

Abstract

Background. Many persons with personality disorders (PD) have problems contemplating mental states and using psychological knowledge to cope with their suffering and solve social problems, the skill termed metacognition in this article. Therapists can focus on metacognitive dysfunctions in order to tailor PD treatment to clients' metacognitive skills.

Aims. To briefly summarize procedures for promoting clients' abilities to define problems in mentalistic terms and use this knowledge to develop new paths towards living an adapted social life, within the context of a continuous regulation of the therapy relationship.

Method. Qualitative analysis of session transcript excerpts from a good-outcome case treated with metacognitive interpersonal therapy.

Conclusion. A therapeutic focus on metacognitive dysfunctions and a regulation of the therapy relationship can lead to improvements in symptoms and interpersonal functioning. The possibility of generalizing the procedure and testing it empirically is discussed.

Ancillary