Enhancing sense of recovery and self‐reflectivity in people with schizophrenia: A pilot study of Metacognitive Narrative Psychotherapy

Bargenquast, Rebecca; Schweitzer, Robert

doi:10.1111/papt.12019

Cited by 72 publications

(63 citation statements)

References 47 publications

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“…In particular, psychotherapies or related kinds of intervention that involve explicit attention to self-experience could protect against the development and worsening of negative symptoms, ultimately opening the door for improvements in quality of life and subjective sense of recovery. Consistent with this is preliminary evidence that these forms of psychotherapy are related to improvements in personal sense of agency and greater levels of coherence of self-experience (Bargenquast and Schweitzer, 2014;Lysaker et al, in press-b).…”

Section: Discussionmentioning

confidence: 69%

Metacognitive deficits predict future levels of negative symptoms in schizophrenia controlling for neurocognition, affect recognition, and self-expectation of goal attainment

Lysaker

Kukla

Dubreucq

et al. 2015

Schizophrenia Research

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Section: Discussionmentioning

confidence: 69%

Metacognitive deficits predict future levels of negative symptoms in schizophrenia controlling for neurocognition, affect recognition, and self-expectation of goal attainment

Lysaker

Kukla

Dubreucq

et al. 2015

Schizophrenia Research

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“…This finding provides preliminary support for narrative reflexivity as a potential mechanism of therapeutic change underlying the demonstrated effectiveness of Metacognitive Narrative Psychotherapy (Bargenquast & Schweitzer, 2013). Although there was an overall association between narrative reflexivity and recovery for six of the nine clients from start-to end-treatment, the two measures did not always directly track one another.…”

Section: Discussionmentioning

confidence: 79%

Mechanisms of Change in Psychotherapy for People Diagnosed with Schizophrenia: The Role of Narrative Reflexivity in Promoting Recovery

Greben

Schweitzer

Bargenquast

2014

The Australian Journal of Rehabilitation Counselling

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N arrative reflexivity was investigated as a potential mechanism of therapeutic change during a 12-18 month trial of Metacognitive Narrative Psychotherapy for people diagnosed with schizophrenia. Participants were nine adult clients (8 male, 1 female) aged between 25-65 years (M = 44, SD = 12.76) with a diagnosis of schizophrenia consistent with DSM-IV criteria and seven female provisional psychologists aged between 25-29 years (M = 26.8 years, SD = 1.47 years). Recovery and narrative reflexivity were measured at three time points using the Recovery Assessment Scale (RAS) and the Narrative Processes Coding System (NPCS). Results were reported descriptively due to limited sample size (n = 9). The majority of clients (n = 7) reported an increase in recovery over the course of treatment. For six clients, an overall increase in recovery was associated with an increase in narrative reflexivity. This study provides preliminary support for narrative reflexivity as a potential mechanism of therapeutic change in the psychotherapy of people diagnosed with schizophrenia.

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“…Van Donkersgoed et al 2014). To date, evidence supporting this approach includes case studies (Buck and Lysaker 2009;Lysaker et al 2007;Salvatore et al 2012;Hillis et al 2015) and two small open trials (Bargenquast and Schweitzer 2014;De Jong et al submitted).…”

Section: Introductionmentioning

confidence: 92%

Metacognitive Reflective and Insight Therapy for a Person Who Gained Maximal Levels of Metacognitive Capacity and Was Able to Terminate Therapy

Buck

George

2016

J Contemp Psychother

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Schizophrenia often involves a loss of metacognitive capacity, or the ability to form a complex and integrated sense of self and others. Independent of symptoms and impairments in neurocognition, metacognitive deficits are a barrier to the formation and sustenance of goal-directed activities of daily life and ultimately to recovery. Metacognitive reflective and insight therapy (MERIT) is a form of psychotherapy intended to assist patients to recover metacognitive capacity through intensive individual therapy. This paper presents a case illustration of how MERIT assisted a patient with prolonged schizophrenia and significant metacognitive deficits to develop a robustly complex understanding of himself and others and then to use that knowledge to agentically monitor his own experiences and effectively respond to life challenges. The eight elements of MERIT that stimulate and promote metacognitive capacity are presented with an emphasis on how they were implemented when the patient had reached some of the higher levels of metacognitive function.

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Enhancing sense of recovery and self‐reflectivity in people with schizophrenia: A pilot study of Metacognitive Narrative Psychotherapy

Cited by 72 publications

References 47 publications

Metacognitive deficits predict future levels of negative symptoms in schizophrenia controlling for neurocognition, affect recognition, and self-expectation of goal attainment

Metacognitive deficits predict future levels of negative symptoms in schizophrenia controlling for neurocognition, affect recognition, and self-expectation of goal attainment

Mechanisms of Change in Psychotherapy for People Diagnosed with Schizophrenia: The Role of Narrative Reflexivity in Promoting Recovery

Metacognitive Reflective and Insight Therapy for a Person Who Gained Maximal Levels of Metacognitive Capacity and Was Able to Terminate Therapy

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