Cited by 102Schizophrenia research and treatmentMental Health and Patient InvolvementMental Health and Psychiatry

Promoting recovery from severe mental illness: implications from research on metacognition and metacognitive reflection and insight therapy.

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Lysaker, Paul Henry, Hamm, Jay A, Hasson-Ohayon, Ilanit, Pattison, Michelle L, Leonhardt, Bethany L·2018·World Journal of Psychiatry

Abstract

Research indicates that individuals with schizophrenia recover. Recovery, however means different things to different individuals and regardless of what kind of experiences define recovery, the individual diagnosed with the serious mental illness must feel ownership of their recovery. This raises the issue of how mental health services should systematically promote recovery. This paper explores the practical implications for research on metacognition in schizophrenia for this issue. First, we present the integrated model of metacognition, which defines metacognition as the spectrum of activities which allow individual to have available to themselves an integrated sense of self and others as they appraise and respond to the unique challenges they face. Second, we present research suggesting that many with schizophrenia experience deficits in metacognition and that those deficits compromise individuals' abilities to manage their lives and mental health challenges. Third, we discuss a form of psychotherapy inspired by this research, Metacognitive Reflection and Insight Therapy which assists individuals to recapture the ability to form integrated ideas about themselves and others and so direct their own recovery. The need for recovery oriented interventions to focus on process and on patient's purposes, assess metacognition and consider the intersubjective contexts in which this occurres is discussed.

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  • The intervention's overarching emphasis on transdiagnostic metacognitive change mechanisms (cognitive insight and cognitive defusion) fits in a new generation of treatments promoting recovery from serious mental illnesses including psychosis.

    “Our intervention’s overarching emphasis on transdiagnostic metacognitive change mechanisms (cognitive insight and cognitive defusion) furthermore fits in a new generation of treatments promoting recovery from serious mental illnesses including psychosis (104, 138).”

    From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [138]

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3 of the 76 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. [4]Slade M Personal recovery and mental illness 2010 Cambridge (GB) Cambridge University Press
  2. [17]Wells A Emotional Disorders and Metacognition: Innovative Cognitive Therapy 2000 New York John Wiley and Sons
  3. [68]Kingdon DG Turkington D Guides to Individualized Evidence-Based Treatment. Cognitive Therapy of Schizophrenia 2005 New York, NY The Guildford Press

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Authors
Lysaker, P. H., Hamm, J. A., Hasson-Ohayon, I., Pattison, M. L., & Leonhardt, B. L.
Affiliations
  • Richard L. Roudebush VA Medical Center (US)
  • Eskenazi Health (US)
  • University of Indianapolis (US)
  • Indiana University Indianapolis (US)
Venue
World Journal of Psychiatry
Published
2018-03-22
Volume
8
Issue
1
Pages
1-11
ISSN
2220-3206 (ISSN-L)
OpenAlex
W2794407239
Cited by
102
References
76
Citations by year
2026: 12 · 2025: 9 · 2024: 9 · 2023: 14 · 2022: 3 · 2021: 6 · 2020: 11 · 2019: 21 · 2018: 17
FWCI
2.12
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • World Journal of Psychiatry (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords
schizophrenia, metacognition, Metacognitive Reflection and Insight Therapy, metacognitive deficits, recovery-oriented interventions, self-awareness, intersubjectivity

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