Metacognition, Self-Reflection and Recovery In Schizophrenia
Abstract
Metacognition reflects a spectrum of activities that includes discrete acts in which persons form ideas about specific thoughts and feelings, and synthetic acts in which persons integrate discrete thoughts and feelings into complex representations of themselves and others. This article reviews literature suggesting that persons with schizophrenia and related psychosis experience deficits across the spectrum of metacognitive activities and that these deficits play a key role in dysfunction, often mediating and moderating the impact of symptoms and social adversity on daily life. Treatment approaches including metacognitive training and adaptations of psychotherapy are still in their infancy. Future work is needed to study the etiology of deficits in discrete and synthetic metacognition, as well as their overlap with related constructs such as mentalization and social cognition.
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Poor insight may arise from metacognitive deficits.
“A fifth potential barrier to insight is metacognition, or the processes which allow persons to be aware of and form integrated and complex ideas about the self and others.”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [144]
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Self-citationImpact of interpersonal factors on insight in schizophrenia
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Hasson‐Ohayon, I., de Jong, S., Igra, L., Carter, S., Faith, L. A., & Lysaker, P. H. (2021) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2572 · Cited by 13 · see citing works
Self-citationAutobiographical memory in schizophrenia: The role of metacognition
Mediavilla, R., López-Arroyo, M., Gómez-Arnau, J., Wiesepape, C. N., Lysaker, P. H., & Lahera, G. (2021) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2021.152254 · Cited by 13 · see citing works
Self-citationGarcía‐Mieres, H., Montesano, A., Villaplana, A., Trujillo, A., Salla, M., Paz, C., Ochoa, S., & Feixas, G. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.05.015 · Cited by 12 · see citing works
Levy, M., Pauzner, M., Rosenblum, S., & Peleg, M. (2023) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2023.104414 · Cited by 11 · see citing works
Ofir‐Eyal, S., Hasson‐Ohayon, I., Bar‐Kalifa, E., Kravetz, S., & Lysaker, P. H. (2016) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12100 · Cited by 12 · see citing works
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Firmin, R. L., Luther, L., Lysaker, P. H., & Salyers, M. P. (2016) · American Journal of Psychiatric Rehabilitation · doi:10.1080/15487768.2016.1231642 · Cited by 12 · see citing works
Self-citationNeurocognitive and Metacognitive Profiles of Intact Social Cognition in Prolonged Schizophrenia
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Self-citationBröcker, A., Bayer, S., Stuke, F., Just, S. A., Bertram, G., Funcke, J., Grimm, I., Lempa, G., von Haebler, D., & Montag, C. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00269 · Cited by 9 · see citing works
Motut, A., Isaac, C., Castillo, M.-C., & Januel, D. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1285993 · Cited by 11 · see citing works
Musket, C. W., Bullock, J. S., Fiszdon, J. M., Stacy, M. A., Martino, S., James, A. V., Lysaker, P. H., & Martin, A. M. S. (2024) · Behavioral Sciences · doi:10.3390/bs14070520 · Cited by 8 · see citing works
Self-citationZhang, Z. J., Lo, H. H. M., Ho, W., Lau, E. N. S., Ng, S., Mak, W. W. S., Wong, S. Y. S., Hung, K. S. Y., Lai, I. Y. S., Lo, C. S. L., et al. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1460151 · Cited by 10 · see citing works
Linz, S. J., Hanrahan, N. P., DeCesaris, M., Petros, R., & Solomon, P. (2016) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20160420-04 · Cited by 8 · see citing works
Does the Beck Cognitive Insight Scale predict change in delusional beliefs?
Penzenstadler, L. E., Chatton, A., Lecomte, T., Huguelet, P., Lecardeur, L., Azoulay, S., Bartolomei, J., Brazo, P., Murys, E., Poupart, F., et al. (2019) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12253 · Cited by 8 · see citing works
A Preliminary Study of the Association Among Metacognition and Resting State EEG in Schizophrenia
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Metacognition in Schizophrenia Spectrum Disorders
Lysaker, P. H., Hillis, J. D., Leonhardt, B. L., Kukla, M., & Buck, K. D. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-405172-0.00006-5 · Cited by 7 · see citing works
Self-citation
- Authors
- Lysaker, P. H., Vohs, J. L., Ballard, R., Fogley, R., Salvatore, G., Popolo, R., & Dimaggio, G.
- Affiliations
- Richard L. Roudebush VA Medical Center (US)
- Indiana University (US)
- University of Indianapolis (US)
- Centro di Terapia Metacognitiva Interpersonale (IT)
- Venue
- Future Neurology
- Publisher
- Informa UK Limited
- Published
- 2012-12-14
- Volume
- 8
- Issue
- 1
- Pages
- 103-115
- ISSN
- 1479-6708 (ISSN-L)
- 1748-6971
- OpenAlex
- W2158954917
- Cited by
- 134
- References
- 132
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 7 · 2021: 7 · 2020: 5 · 2019: 10 · 2018: 21 · 2017: 11 · 2016: 17 · 2015: 11 · 2014: 20 · 2013: 8
- FWCI
- 8.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Future Neurology (publishedVersion)
- 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 › Psychoanalysis and Psychopathology Research
- Keywords
- metacognition, self-reflection, schizophrenia, psychosis, metacognitive deficits, metacognitive training, psychotherapy adaptation, mentalization, social cognition, recovery
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