Affect regulation and metacognition in psychotherapy of psychosis: An integrative approach

Susanne Harder, Sofie Folke

    28 Citations (Scopus)

    Abstract

    Although the role of cognitive processes in psychosis has long been appreciated, the impact of affect regulation and attachment on development and intervention in psychosis has only recently been more broadly acknowledged. This article explores the role of affect regulation in an intersubjective field from a developmental perspective. Attachment and intersubjective models for regulation of affect and social interactive attention based on empirical infant research are applied to the field of psychosis, and the impact of impaired affect regulation on metacognitive functioning is explored. In an effort to synthesize these elements, an integrative psychotherapy framework is offered, integrating attachment and intersubjective thinking into a contemporary supportive psychodynamic approach to psychosis. A case is provided for illustration.

    Original languageEnglish
    JournalJournal of Psychotherapy Integration
    Volume22
    Issue number4
    Pages (from-to)330-343
    Number of pages14
    ISSN1053-0479
    Publication statusPublished - Dec 2012

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