Tracing Metacognition in Psychotherapy
- 10 September 2019
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Nervous & Mental Disease
- Vol. 207 (11), 936-943
- https://doi.org/10.1097/nmd.0000000000001051
Abstract
Deficits in metacognition have often been identified as a central feature in various forms of psychopathology. The current study explores changes in metacognition and symptoms during the process of psychodynamic-oriented psychotherapy conducted in a community setting among people with diverse psychological challenges. We examined the associations between metacognition and symptoms at both the within-client and the between-clients level. Nine good-outcome and nine poor-outcome cases of psychodynamic treatment were analyzed. In terms of metacognitive abilities, results showed that clients who were part of the good-outcome group had higher levels of decentration than did clients who were part of the poor-outcome group. In addition, clients' ability to understand the other's mind improved significantly only for clients in the good-outcome group. Furthermore, sessions in which clients' self-reflectivity was higher were followed by increased symptom levels (in the next session) beyond group (poor or good outcome group). Clinical implications regarding the improvement of metacognitive abilities and their associations with outcome measures are discussed.This publication has 56 references indexed in Scilit:
- Positive and negative caregiver experiences in first‐episode psychosis: Emotional overinvolvement, wellbeing and metacognitionPsychology and Psychotherapy: Theory, Research and Practice, 2013
- Mentalization‐based Therapeutic Interventions for FamiliesJournal of Family Therapy, 2011
- Mentalizing, motivation, and social mentalities: Theoretical considerations and implications for psychotherapyPsychology and Psychotherapy: Theory, Research and Practice, 2011
- The Disaggregation of Within-Person and Between-Person Effects in Longitudinal Models of ChangeAnnual Review of Psychology, 2011
- The efficacy of psychodynamic psychotherapy.American Psychologist, 2010
- Metacognitive interpersonal therapy in a case of obsessive–compulsive and avoidant personality disordersJournal of Clinical Psychology, 2008
- A Procedure for Evaluating Sensitivity to Within-Person Change: Can Mood Measures in Diary Studies Detect Change Reliably?Personality and Social Psychology Bulletin, 2006
- Metarepresentative Functions in Borderline Personality DisorderJournal of Personality Disorders, 2005
- A developmental approach to mentalizing communities: II. The Peaceful Schools experimentBulletin of the Menninger Clinic, 2005
- Distinctive features of short-term psychodynamic-interpersonal psychotherapy: A review of the comparative psychotherapy process literature.Clinical Psychology: Science and Practice, 2000