Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia
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Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. / Moritz, Steffen; Andreou, Christina; Schneider, Brooke C ; Wittekind, Charlotte E; Menon, Mahesh; Balzan, Ryan P; Woodward, Todd S.
in: CLIN PSYCHOL REV, Jahrgang 34, Nr. 4, 06.05.2014, S. 358-366.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia
AU - Moritz, Steffen
AU - Andreou, Christina
AU - Schneider, Brooke C
AU - Wittekind, Charlotte E
AU - Menon, Mahesh
AU - Balzan, Ryan P
AU - Woodward, Todd S
N1 - Copyright © 2014 Elsevier Ltd. All rights reserved.
PY - 2014/5/6
Y1 - 2014/5/6
N2 - 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.
AB - 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.
U2 - 10.1016/j.cpr.2014.04.004
DO - 10.1016/j.cpr.2014.04.004
M3 - SCORING: Journal article
C2 - 24866025
VL - 34
SP - 358
EP - 366
JO - CLIN PSYCHOL REV
JF - CLIN PSYCHOL REV
SN - 0272-7358
IS - 4
ER -