Metacognitive reflection and insight therapy: Introduction and overview

Paul H. Lysaker, Reid Klion, Courtney Wiesepape, Aubrie Musselman, Ilanit Hasson-Ohayon

Research output: Contribution to journalArticlepeer-review

Abstract

The experience of psychosis often involves subtle but pervasive changes in how persons experience themselves and the world. On the other side of the coin, persons also recover from psychosis and these subtle changes are reversed. Metacognitive reflection and insight therapy (MERIT) is an example of one attempt to develop a recovery oriented therapy sensitive to these kinds of changes in persons’ experience of themselves and the world. MERIT seeks to promote metacognitive capacity or the ability to form integrated ideas of the self and others, thereby allowing persons diagnosed with psychosis to form coherent ideas about their mental health challenges and to decide how they want to manage them. To spur discussion and debate regarding this and related forms of treatment, this paper will explore the concept of metacognition and its measurement which underlies MERIT, and how metacognition has been studied in psychosis. We will then discuss the development of MERIT, along with its defining elements and points of convergence and divergence from other therapies often offered to persons diagnosed with psychosis. Finally, limitations and future directions will be presented.

Original languageEnglish
Pages (from-to)14-23
Number of pages10
JournalBPA Applied Psychology Bulletin
Volume2021
Issue number290
DOIs
StatePublished - 1 Jan 2021

Bibliographical note

Publisher Copyright:
© 2021, Giunti Psychometrics. All rights reserved.

Keywords

  • Intersubjectivity
  • Metacognition
  • Psychosis
  • Psychotherapy
  • Recovery
  • Schizophrenia
  • Social cognition

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