Abstract
People with schizophrenia spectrum disorders may exhibit different combinations of metacognitive deficits related to various types of difficulties and symptoms. Based on an intensive analysis of a single case, this chapter discusses a specific metacognitive profile. The client is more able to sense and understand her own inner emotional processes and needs than to be receptive to and able to interpret other people's mental processes and states, and she struggles to use her metacognitive understanding to solve interpersonal problems. Particular emphasis is put on how an understanding of attachment-related dynamics may inform our conceptualization of the metacognitive problems and psychotic symptoms of the client, drawing on theoretical models from intersubjective, psychodynamic, and attachment approaches. Material from an Adult Attachment Interview and transcribed sessions from 2.5 years of psychotherapy is analyzed, focusing on the centrality of changes in metacognitive deficits and the process through which a person with first-episode psychosis moves from disorder to recovery and to reestablishing a meaningful life perspective. Further, the chapter illustrates how metacognitive deficits can be addressed therapeutically, using an integrative therapeutic approach.
| Original language | English |
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| Title of host publication | Social cognition and metacognition in schizophrenia : Psychopathology and treatment approaches |
| Editors | Paul Lysaker, Giancarlo Dimaggio, Martin Brüne |
| Number of pages | 23 |
| Place of Publication | Amsterdam |
| Publisher | Elsevier |
| Publication date | 10 Jul 2014 |
| Pages | 261-283 |
| Chapter | 16 |
| ISBN (Print) | 978-0-12-05172-0 |
| ISBN (Electronic) | 9780124051744 |
| Publication status | Published - 10 Jul 2014 |