Schizophrenia Research Forum - A Catalyst for Creative Thinking
Home Profile Membership/Get Newsletter Log In Contact Us
 For Patients & Families
What's New
Recent Updates
SRF Papers
Current Papers
Search All Papers
Search Comments
News
Research News
Conference News
Plain English
Forums
Current Hypotheses
Idea Lab
Online Discussions
Virtual Conferences
Interviews
Resources
What We Know
SchizophreniaGene
Animal Models
Drugs in Trials
Research Tools
Grants
Jobs
Conferences
Journals
Community Calendar
General Information
Community
Member Directory
Researcher Profiles
Institutes and Labs
About the Site
Mission
History
SRF Team
Advisory Board
Support Us
How to Cite
Fan (E)Mail
The Schizophrenia Research Forum web site is sponsored by the Brain and Behavior Research Foundation and was created with funding from the U.S. National Institute of Mental Health.
Annotation

Moritz S, Woodward TS. Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Curr Opin Psychiatry . 2007 Nov ; 20(6):619-25. PubMed Abstract

Comments on Paper and Primary News
Comment by:  Jérôme Favrod
Submitted 30 October 2007 Posted 1 November 2007
  I recommend this paper

Cognitive behavior therapy (CBT) of psychotic symptoms is a useful adjunctive treatment to antipsychotic medication when patients do not respond fully to the medication. It is probably also a valuable way to help patients to integrate the psychotic experience in a more functional way. However, effect sizes of CBT stay moderate and there is a place for improvement.

Metacognitive training brings an essential complement to CBT since it helps patients to become aware of their cognitive biases through concrete exercises. I recommend actively reading this paper and connecting to the website.

Our first clinical experiences with the metacognitive skills training program show that it help patients to accept more easily that they are suffering from a mental illness. Indeed, the program has a powerful normalizing effect because it explains psychotic symptoms through experience and not only from a theoretical perspective.

Good reading and downloading.

References:

Zimmermann G, Favrod J, Trieu VH, Pomini V. The effect of cognitive behavioral treatment on the positive symptoms of schizophrenia spectrum disorders: a meta-analysis. Schizophrenia Research, 2005, 77:1-9. Abstract

Favrod J, Vianin P, Pomini V & Mast FW. A first step toward cognitive remediation of voices: a case study. Cognitive Behaviour Therapy. 2006, 35, 3:159-163. Abstract

View all comments by Jérôme Favrod


Comment by:  Mahesh Menon
Submitted 31 October 2007 Posted 4 November 2007
  I recommend this paper

I think the MCT approach would work well in combination with CBT for the reasons outlined by Moritz and Woodward. In addition, MCT might potentially serve to make clients more aware of their own thought processes—and this metacognition can make transition to CBT much smoother.

And it's nice to see direct knowledge translation of cognitive research in schizophrenia—going from an interesting academic finding to something that can directly impact the lives of our clients/patients.

View all comments by Mahesh Menon


Comment by:  Tania Lincoln
Submitted 9 November 2007 Posted 12 November 2007
  I recommend this paper

I greatly appreciated this paper. First, it provides a helpful summary of the findings on cognitive biases in psychosis. More importantly though, it introduces a treatment program that is directly derived from basic research. This is a necessary approach to take in developing and enhancing disorder-specific treatment and should have the potential to improve existing CBT-interventions for psychosis. While CBT already indirectly involves changing dysfunctional cognitive styles (e.g. in restructuring delusional interpretations of individual experiences) it does not focus on these styles or challenge them in a direct and global manner. Changes produced by the meta-cognitive training might thus be more likely to generalize to other situations. Also, so far it remains open whether the efficacy of CBT is due to changes in cognitive styles. Possibly a detailed evaluation of the meta-cognitive training could also shed some light on mechanisms of change in cognitive therapy of psychosis.

View all comments by Tania Lincoln

Submit a Comment on this Paper
Make a comment on this paper. 

If you already are a member, please login.
Not sure if you are a member? Search our member database.

*First Name  
*Last Name  
Affiliation  
Country or Territory  
*Login Email Address  
*Confirm Email Address  
*Password  
*Confirm Password  
Remember my Login and Password?  
Get SRF newsletter with recent commentary?  
 
Enter the code as it is shown below:
This code helps prevent automated registrations.

I recommend this paper

Please note: A member needs to be both registered and logged in to submit a comment.

Comment:

(If coauthors exist for this comment, please enter their names and email addresses at the end of the comment.)

References:


 
 
SRF News
SRF Comments
Text Size
Reset Text Size
Email this pageEmail this page

Share/Bookmark
Copyright © 2005- 2014 Schizophrenia Research Forum Privacy Policy Disclaimer Disclosure Copyright