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Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia
Open accessAbstract
The present article provides a narrative review of empirical studies on metacognitive training in psychosis (MCT). MCT represents an amalgam of cognitive-behavioral therapy (CBT), cognitive remediation (CRT) and psychoeducation. The intervention is available in either a group (MCT) or an individualized (MCT+) format. By sowing the seeds of doubt in a playful and entertaining fashion, the program targets positive symptoms, particularly delusions. It aims to raise patients' awareness for common cognitive traps or biases (e.g., jumping to conclusions, overconfidence in errors, bias against disconfirmatory evidence) that are implicated in the formation and maintenance of psychosis. The majority of studies confirm that MCT meets its core aim, the reduction of delusions. Problems (e.g., potential allegiance effects) and knowledge gaps (i.e., outcome predictors) are highlighted. The preliminary data suggest that the individual MCT format is especially effective in addressing symptoms, cognitive biases and insight. We conclude that MCT appears to be a worthwhile complement to pharmacotherapy.
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Galletly, C., Castle, D., Dark, F., Humberstone, V., Jablensky, A., Killackey, E., Kulkarni, J., McGorry, P., Nielssen, O., & Tran, N. (2016) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867416641195 · Cited by 877
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Self-citationSustained and “Sleeper” Effects of Group Metacognitive Training for Schizophrenia
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Self-citation
Metadata
- Authors
- Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., & Woodward, T. S.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- University of British Columbia (CA)
- Flinders University (AU)
- Corresponding author
- Moritz, Steffen
- ORCID
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 34
- Issue
- 4
- Pages
- 358-366
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2125152710
- Cited by
- 325
- References
- 68
- Citations by year
- 2026: 20 · 2025: 17 · 2024: 17 · 2023: 19 · 2022: 27 · 2021: 20 · 2020: 32 · 2019: 45 · 2018: 35 · 2017: 31 · 2016: 27 · 2015: 28 · 2014: 6
- FWCI
- 4.26
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Clinical Psychology Review (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by-nc-sa)
- Funders
- National Alliance for Research on Schizophrenia and Depression
- Deutsche Forschungsgemeinschaft
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- metacognitive training, schizophrenia, psychosis, delusions, cognitive biases, jumping to conclusions, cognitive remediation, cognitive behavioral therapy, psychoeducation, insight, positive symptoms
- MeSH terms
- Emotions, Humans, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Self Concept, Cognitive Behavioral Therapy
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