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Many adults who experience severe mental illness also suffer from deficits in metacognition - put simply, thinking about one’s 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.
Recovery, Meaning-Making, and Severe Mental Illness offers practitioners an integrative treatment model that will stimulate and harness their creativity, allowing for the formation of new ideas about wellness in the face of profound suffering. The model, Metacognitive Reflection and Insight Therapy (MERIT), complements current treatment modalities and can be used by practitioners from a broad range of theoretical backgrounds. By using metacognitive capacity as a guide to intervention, MERIT stretches and strengthens practitioners’ capacity for reflection and allows them to better use their unique knowledge to help people who are confronting the suffering and chaos that often comes from psychosis. Clinicians will come away from this book with a variety of tools for helping clients manage their own recovery and confront the issues that accompany an illness-based identity.
Metacognitive Interpersonal Therapy (MIT) remains unique in providing instruments for dealing with clients with prominent emotional inhibition and suppression, a population for whom treatment options are largely lacking. This book provides clinicians with techniques to treat this population, including guided imagery and re-scripting, two-chairs, role-play, body-oriented work and interpersonal mindfulness. Metacognitive Interpersonal Therapy is aimed at increasing clients’ awareness of their inner world, fostering a sense of agency over their experience, and dismantling the core, embodied aspects of the schemas. The techniques included also provide clients with fresh instruments to overcome pain and act creatively in their everyday life. Using an improved version of the MIT decision-making procedure, the authors have provided a set of techniques aimed at modifying mental imagery, body states, and behaviour, as well as at steering attention to avoid falling prey to rumination. The book is structured to gently push clients towards change, but also to always prioritize the clients’ goals and needs. Metacognitive Interpersonal Therapy serves as an important guide for clinicians of any orientation.
Psychometrics and Psychological Assessment: Principles and Applications reports on contemporary perspectives and models on psychological assessment and their corresponding measures. It highlights topics relevant to clinical and neuropsychological domains, including cognitive abilities, adaptive behavior, temperament, and psychopathology.Moreover, the book examines a series of standard as well as novel methods and instruments, along with their psychometric properties, recent meta-analytic studies, and their cross-cultural applications. - Discusses psychometric issues and empirical studies that speak to same - Explores the family context in relation to children's behavioral outcomes - Features major personality measures as well as their cross cultural variations - Identifies the importance of coping and resilience in assessing personality and psychopathology - Examines precursors of aggression and violence for prediction and prevention
Using Psychodynamic Thinking to Enhance CBT in Clients with Psychosis presents a comprehensive method for linking clients’ symptoms to their personal development and life problems. Using concrete examples and extensive case descriptions that often span many years, the chapters show clinicians how to construct a psychodynamic case conceptualisation and how to then guide the direction of the therapy. The book will be of interest to experienced clinicians, therapists in training, and anyone looking for an integrative approach to the psychotherapy of clients with psychotic presentations.
Rather than arguing for one best approach for treating personality disorder, this pragmatic book emphasizes the benefits of weaving together multiple well-established intervention strategies to meet each patient's needs. A framework is provided for constructing a comprehensive case formulation, planning treatment, and developing a strong therapeutic alliance. The clinician is guided to utilize techniques from all major therapeutic orientations to address transdiagnostic personality symptoms and problems involving emotion regulation, interpersonal functioning, and self and identity. Showing how to pick and choose from "what works" in a thoughtful, coordinated fashion, the book features rich clinical illustrations, including a chapter-length case example. See also Handbook of Personality Disorders, Second Edition, edited by W. John Livesley and Roseann Larstone, the leading reference that surveys theory, research, and evidence-based treatments.
Deficits in social cognition and metacognition in schizophrenics makes it difficult for them to understand the speech, facial expressions and hence emotion and intention of others, as well as allowing little insight into their own mental state. These deficits are associated with poor social skills, fewer social relationships, and are predictive of poorer performance in a work setting. Social Cognition and Metacognition in Schizophrenia reviews recent research advances focusing on the precise nature of these deficits, when and how they manifest themselves, what their effect is on the course of schizophrenia, and how each can be treated. These deficits may themselves be why schizophrenia is so difficult to resolve; by focusing on the deficits, recovery may be quicker and long lasting. This book discusses such deficits in early onset, first episode, and prolonged schizophrenia; how the deficits relate to each other and to other forms of psychopathology; how the deficits affect social, psychological, and vocational functioning; and how best to treat the deficits in either individual or group settings. - Summarizes the types of social cognitive and metacognitive deficits present in schizophrenia - Discusses how deficits are related to each other and to other forms of psychopathology - Describes how deficits impact function and affect the recovery process - Provides treatment approaches for these deficits
The vast majority of mental health clinicians and researchers rely on diagnostic systems based on operational criteria. However, in their everyday practice, many clinicians also pay attention to their own feelings or intuitions about the patient. For an even greater number of clinicians, this process may occur inadvertently. Scholars from various fields are increasingly stressing the importance of complementing the emphasis on operational criteria with thoughtful attention to the subjective and intersubjective elements involved in a thorough psychopathological evaluation. This book aims at capturing the essence, implications and full potential of the clinician’s subjective experience in the diagnosis and treatment of mental disorders. It gathers contributions from several different disciplines, such as phenomenology, neuroscience, the cognitive sciences, and psychoanalysis. It also presents the development, validation, and clinical application of a psychometric instrument that reliably investigates the clinician’s feelings, thoughts, and perceptions related to the clinical encounter.
This book proposes an integrated model of treatment for Personality Disorders (PDs) that goes beyond outdated categorical diagnoses, aiming to treat the general factors underlying the pathology of personality. The authors emphasize the development of metacognitive functions and the integration of procedures and techniques of different psychotherapies. The book addresses the treatment of complex cases that present with multiform psychopathological features, outlining clinical interventions that focus on structures of personal meaning, metacognition and interpersonal processes. In addition, this book: Provides an overview of pre-treatment phase procedures such as assessment interviews Explains the Metacognitive Interpersonal Therapy (MIT) approach and summarizes MIT clinical guidelines Outlines pharmacological treatment for patients with PDs Includes checklists and other useful resources for therapists evaluating their adherence to the treatment method Complex Cases of Personality Disorders: Metacognitive and Interpersonal Therapy is both an insightful reexamining of the theoretical underpinnings of personality disorder treatment and a practical resource for clinicians.