Metacognition, social cognition, and mentalizing in psychosis: are these distinct constructs when it comes to subjective experience or are we just splitting hairs?

dc.contributor.authorLysaker, P. H.
dc.contributor.authorCheli, S.
dc.contributor.authorDimaggio, G.
dc.contributor.authorBuck, B.
dc.contributor.authorBonfils, K.A.
dc.contributor.authorHuling, K.
dc.contributor.authorWiesepape, C.
dc.contributor.authorLysaker, J.T.
dc.contributor.departmentPsychiatry, School of Medicineen_US
dc.date.accessioned2023-01-25T19:31:09Z
dc.date.available2023-01-25T19:31:09Z
dc.date.issued2021-07-02
dc.description.abstractResearch using the integrated model of metacognition has suggested that the construct of metacognition could quantify the spectrum of activities that, if impaired, might cause many of the subjective disturbances found in psychosis. Research on social cognition and mentalizing in psychosis, however, has also pointed to underlying deficits in how persons make sense of their experience of themselves and others. To explore the question of whether metacognitive research in psychosis offers unique insight in the midst of these other two emerging fields, we have offered a review of the constructs and research from each field. Following that summary, we discuss ways in which research on metacognition may be distinguished from research on social cognition and mentalizing in three broad categories: (1) experimental procedures, (2) theoretical advances, and (3) clinical applications or indicated interventions. In terms of its research methods, we will describe how metacognition makes a unique contribution to understanding disturbances in how persons make sense of and interpret their own experiences within the flow of life. We will next discuss how metacognitive research in psychosis uniquely describes an architecture which when compromised - as often occurs in psychosis - results in the loss of persons' sense of purpose, possibilities, place in the world and cohesiveness of self. Turning to clinical issues, we explore how metacognitive research offers an operational model of the architecture which if repaired or restored should promote the recovery of a coherent sense of self and others in psychosis. Finally, we discuss the concrete implications of this for recovery-oriented treatment for psychosis as well as the need for further research on the commonalities of these approaches.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationLysaker PH, Cheli S, Dimaggio G, et al. Metacognition, social cognition, and mentalizing in psychosis: are these distinct constructs when it comes to subjective experience or are we just splitting hairs?. BMC Psychiatry. 2021;21(1):329. Published 2021 Jul 2. doi:10.1186/s12888-021-03338-4en_US
dc.identifier.urihttps://hdl.handle.net/1805/31014
dc.language.isoen_USen_US
dc.publisherBMCen_US
dc.relation.isversionof10.1186/s12888-021-03338-4en_US
dc.relation.journalBMC Psychiatryen_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.sourcePMCen_US
dc.subjectMentalizingen_US
dc.subjectMetacognitionen_US
dc.subjectPsychosisen_US
dc.subjectPsychotherapyen_US
dc.subjectRecoveryen_US
dc.subjectRehabilitationen_US
dc.subjectSchizophreniaen_US
dc.subjectSelfen_US
dc.subjectSocial cognitionen_US
dc.titleMetacognition, social cognition, and mentalizing in psychosis: are these distinct constructs when it comes to subjective experience or are we just splitting hairs?en_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
12888_2021_Article_3338.pdf
Size:
398.05 KB
Format:
Adobe Portable Document Format
Description:
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.99 KB
Format:
Item-specific license agreed upon to submission
Description: