Metacognition and Severe Adult Mental Disorders: From Research to Treatment / Edition 1

by Giancarlo Dimaggio, Paul H. Lysaker

Overview

Many adults who experience severe mental illness also suffer from deficits in metacognition - put simply, thinking about one’s own thought processes - limiting their abilities to recognize, express and manage naturally occurring painful emotions and routine social problems as well as to fathom the intentions of others.

This book presents an overview of the field, showing how current research can inform clinical practice. An international range of expert contributors provide chapters which look at the role of metacognitive deficit in personality disorders, schizophrenia, and mood disorders, and the implications for future psychotherapeutic treatment.

Divided into three parts, areas covered include:

• how metacognitive deficits may arise and the different forms they might take
• the psychopathology of metacognition in different forms of mental illness
• whether specific deficits in metacognition might help us understand the difficulties seen in differing forms of severe mental illness.

Offering varying perspectives and including a wealth of clinical material, this book will be of great interest to all mental health professionals, researchers and practitioners.

Product Details

ISBN-13:	9780415484237
Publisher:	Taylor & Francis
Publication date:	03/12/2010
Pages:	344
Product dimensions:	6.40(w) x 9.30(h) x 1.30(d)

About the Author

Giancarlo Dimaggio is a psychiatrist and a psychotherapist at the Third Center of Cognitive Psychotherapy in Rome. He is currently involved in clinical work and research on pathology and treatment of personality disorders.

Paul H. Lysaker is a clinical psychologist at the Roudebush Virginia Medical Center in Indianapolis Indiana and an Associate Professor of Clinical Psychology in the Department of Psychiatry Indianapolis School of Medicine. His current research interests include the development of metacognitive capacity through individual psychotherapy for persons with schizophrenia.

Table of Contents

List of illustrations viii

List of contributors x

Introduction Giancarlo Dimaggio Paul H. Lysaker 1

Part 1 Theory: the neural and social basis for metacognition and its disorders 11

1 Seeing ourselves: what vision can teach us about metacognition Rebecca Saxe Shani Offen 13

2 Social understanding through social interaction Jeremy I. M. Carpendale Charlie Lewis 30

3 The developmental roots of compromised mentalization in complex mental health disturbances of adulthood: an attachment-based conceptualization Andrew Gumley 45

Part 2 Metacognitive disorders in different clinical populations: its relation with symptoms, interpersonal functioning and adaptation 63

4 Metacognition in schizophrenia spectrum disorders: methods of assessing metacognition within narrative and links with neurocognition Paul H. Lysaker 65

5 Schizophrenia and social functioning: the role of impaired metacognition Daniel A Schaub Mona Abdel-Hamid Martin BrÛne 83

6 Awareness is not the same as acceptance: exploring the thinking behind insight and compliance Kevin D. Morgan Anthony S. David 95

7 The assessment of theory of mind in schizophrenia Elliot M. Bell Robyn Langdon Richard J. Siegert Pete M. Ellis 115

8 Commonsense, disembodiment and delusions in schizophrenia Giovanni Stanghellini 134

9 Deficit of theory of mind in depression and its correlation with poor clinical outcomes Shigenobu Kanba Kazuo Yamada Yumiko Inoue 150

10 Interpersonal problems in alexithymia: a review Stun Vanheule Ruth Inslegers Reitske Meganck Els Ooms Mattias Desmet 161

11 Different profiles of metacognitive dysfunctions in personality disorders Livia Colle Stefania D'Angerio Raffaele Popolo Giancarlo Dimaggio 177

12 Metacognitive deficits in trauma-related disorders: contingent on interpersonal motivational contexts? Giovanni Liotti Elena Prunetti 196

Part III Treatment of metacognitive disturbances in severe adult disorders 215

13 Metacognitive capacity as a locus of individual psychotherapy in schizophrenia Paul H. Lysaker Kelly D. Buck 217

14 Empathic and theory of mind processes: the dialogical core of a metacognitive approach to psychiatric rehabilitation Ilanit Hasson Ohayon Shlomo Kravetz David Roe 233

15 Enhancing mental state understanding in over-constricted personality disorder using metacognitive interpersonal therapy Giancarlo Dimaggio Giampaolo Salvatore Giuseppe Nicolo Donatella Fiore Michele Procacci 247

16 The impact of metacognitive dysfunctions in personality disorders on the therapeutic relationship and intervention technique Antonio Semerari 269

17 Change in post traumatic stress disorder: an assimilation model account Katerine Osatuke Willam B. Stiles 285

Conclusion Paul H. Lysaker Giancarlo Dimaggio 301

Index 310

Editorial Reviews

"Traditional cognitive domains, such as language, memory or perception, do not properly capture the problems experienced by people with severe mental disorders like schizophrenia. Their problems lie rather with insight and with the ability to monitor the mental and emotional states of themselves and others. In this book the editors have recognised that these disparate problems can be brought together under the heading of Metacognition. As the contents of the book so admirably show, this very important insight provides a framework for guiding both theory and practice in the study of severe mental disorders."  - Chris Frith, UCL, UK & University of Aarhus, Denmark

"Dimaggio and Lysaker have assembled a stellar cast of contributors who apply the latest developments in theory and research on metacognition to our understanding of the both the development and treatment of severe mental disorders. Although all of the contributions are subsumed under the general topic of metacognition, the authors are in fact addressing a number of vitally important and timely areas. These include: theory of mind, reflective functioning, mentalization, attachment, affect regulation, and the therapeutic relationship. The end result is a lively, engaging and thought provoking collection of essays that will be of tremendous interest to theorists, researchers and psychotherapists of all orientations." - Jeremy D. Safran, Professor and Director of Clinical Psychology, New School for Social Research, President, International Association for Relational Psychoanalysis and Psychotherapy, New York, USA

From the Publisher