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Doody's Review ServiceReviewer: Christopher J Graver, PhD, ABPP-CN(Madigan Healthcare System)
Description: Cognitive therapy has been expanding by leaps and bounds. This is a guide to metacognitive therapy (MCT) straight from the originator of this new variant.
Purpose: The purpose is to provide readers with an introduction to metacognitive therapy, illustrate parallels and areas of divergence with traditional cognitive therapy, and to prepare therapists to employ the skills necessary for this approach.
Audience: Unsurprisingly, this book will be relevant and of interest to psychologists, psychiatrists, and other mental health workers, as well as students of these disciplines. As the originator of this therapy, Dr. Wells is the logical author of this book.
Features: It begins with an introduction to MCT and a discussion of a key difference between MCT and CBT, that of metacognitions. While the distinction is clear, the reason why CBT theory is not sufficient does not emerge as a clear component of this chapter. The next chapter discusses assessment within the context of MCT and then moves on to the basics of working with patients. Sample questions and dialogues are provided, similar to the classic CBT texts. These are continued throughout the chapters on MCT in the treatment of generalized anxiety disorder, PTSD, and major depression. While the chapters delve deeply into the approach particularly for the first few sessions, appendixes at the end provide a long-term structure. Examples of assessment instruments are also included for both symptoms and relevant MCT techniques, such as case formulation interviews. However, more in-depth examples and sample dialogues throughout the process would be welcome, as would a companion workbook. The references are current and the index is adequate, but missing some key terms.
Assessment: For readers who have already bought into the necessity of metacognitive therapy, this book provides a reasonable introduction to the approach, as well as tools to help implement it. On the other hand, readers seeking scientific literature on the approach and its status as an empirically supported treatment should continue their search elsewhere.