Schizophrenia, recovery and the self: An introduction to the special issue on metacognition

Lysaker, Paul H.; Keane, J.; Culleton, Sara P.; Lundin, Nancy B.

doi:10.1016/j.scog.2019.100167

Cited by 11 publications

(5 citation statements)

References 39 publications

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“…Within a similar conception, Narrative therapies have reported good clinical outcomes among severe mental illness (Vromans & Schweitzer, 2011;Newberg, 2016). Also, psychotherapies based on metacognitive approach, which are focused on patients self-experiences and making them sense of the challenges through dialogue (Lysaker et al, 2020), have demonstrated the development of a sense of personal agency, a greater capacity to tolerate and manage painful affects and emotion (Jong et al, 2017) and a increasing sense of psychosocial challenges (Hasson-Ohayon et al, 2017). Hence, it is widely accepted the importance of facilitating the re-emergence of internal dialogue through external dialogue.…”

Section: Discussionmentioning

confidence: 99%

Exploring a dialogic approach in tackling psychotic diseases: A systematic review

2022

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Psychosis is a severe mental disorder traditionally treated from a purely biological approach, which often has led to a dehumanisation in psychiatric hospitals. To counteract this trend and aiming at tackling the disease with a more human approach, psychosocial interventions have increased. In this vein, interventions based on a dialogic approach, with specific features such as egalitarian dialogue, foster psychological and social transformations in different contexts. This review aims to analyse the clinical and social effects of psychological interventions based on these principles when treating patients with psychosis. A systematic review has been carried out, following PRISMA recommendations, in the Web of Science, Scopus and PsycInfo databases. After applying the inclusion criteria, thirteen empirical studies were selected and analysed, including a quality assessment. These studies show that when introducing a dialogic approach in treating psychosis, positive clinical and relational outcomes are obtained. Likewise, patients value positively these collaborative environments, where they feel listened and understood. Whereas dialogism emerges as a tool with potential benefits to tackle psychosis, more studies are needed to clearer determine the influence of specific dialogic features on improving psychotic patients’ mental health. La psicosis es un trastorno mental grave que tradicionalmente se ha tratado desde un enfoque puramente biológico, lo que a menudo ha conllevado una deshumanización en los hospitales psiquiátricos. Con el fin de contrarrestar esta tendencia y con el objetivo de abordar la enfermedad desde enfoque más humano, las intervenciones psicosociales han aumentado. En esta línea, las intervenciones basadas en un enfoque dialógico, con características específicas como el diálogo igualitario, fomentan transformaciones psicológicas y sociales en diferentes contextos. Esta revisión pretende analizar el impacto clínico y social de las intervenciones psicológicas basadas en principios dialógicos en pacientes con psicosis. Se ha realizado una revisión sistemática, siguiendo las recomendaciones PRISMA, en las bases de datos Web of Science, Scopus y PsycInfo. Tras aplicar los criterios de inclusión, se seleccionaron y analizaron trece estudios empíricos, además, se ha incluido una evaluación de la calidad de dichos estudios. Estos estudios muestran que, al incorporar un enfoque dialógico en el tratamiento de la psicosis, se obtienen resultados clínicos y relacionales positivos. De la misma manera, los pacientes valoran positivamente estos entornos de colaboración, donde se sienten escuchados y comprendidos. Aunque el dialogismo emerge como una herramienta eficaz para abordar la psicosis, se necesitan más estudios para determinar con mayor claridad la influencia de características dialógicas específicas en la salud mental de los pacientes.

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Section: Discussionmentioning

confidence: 99%

Exploring a dialogic approach in tackling psychotic diseases: A systematic review

2022

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“…It is currently not clear what factors contributed to the slow rate of AHs reductions observed in the Sheng et al study. However, schizophrenia is associated with reductions in selfawareness, introspection and metacognitive abilities (Cella et al, 2019;Lysaker et al, 2019;Silberstein and Harvey, 2019). These deficits may have contributed to the slow rate of improvement when meditation only was used as a therapeutic approach.…”

Section: Limitationsmentioning

confidence: 99%

Real-time fMRI neurofeedback reduces auditory hallucinations and modulates resting state connectivity of involved brain regions: Part 2: Default mode network -preliminary evidence

Bauer

Okano

Ghosh

et al. 2020

Psychiatry Research

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Auditory hallucinations (AHs) are one of the most distressing symptoms of schizophrenia (SZ) and are often resistant to medication. Imaging studies of individuals with SZ show hyperactivation of the default mode network (DMN) and the superior temporal gyrus (STG). Studies in SZ show DMN hyperconnectivity and reduced anticorrelation between DMN and the central executive network (CEN). DMN hyperconnectivity has been associated with positive symptoms such as AHs ‡

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“…Both involve specific and subtle dysfunctions that affect perception, thought, and mood, but which stem from atypical inference about-and faulty control over-one's higher-order states and processes. These are of higher order in that they govern the attribution of confidence to one's own perceptions (Lysaker et al, 2020;Palmer et al, 2017).…”

Section: Towards a Scientific Study Of Metacognitionmentioning

confidence: 99%

Towards a computational (neuro)phenomenology of mental action: modelling meta-awareness and attentional control with deep-parametric active inference

Sandved-Smith¹,

Hesp²,

Lutz³

et al. 2020

Preprint

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Metacognition refers to the capacity to access, monitor, and control aspects of one’s mental operations and is central to the human condition and experience. Disorders of metacognition are a hallmark of many psychiatric conditions and the training of metacognitive skills is central in education and in many psychotherapies. This paper provides first steps towards the development of a formal neurophenomenology of metacognition. To do so, we leverage the tools of the active inference framework, extending a previous computational model of implicit metacognition by adding a hierarchical level to model explicit (conscious) meta-awareness and the voluntary control of attention through covert action. Using the example of mind-wandering and its regulation in focused attention, we provide a computational proof of principle for an inferential architecture apt to enable the emergence of central components of metacognition: namely, the ability to access, monitor, and control cognitive states.

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Schizophrenia, recovery and the self: An introduction to the special issue on metacognition

Cited by 11 publications

References 39 publications

Exploring a dialogic approach in tackling psychotic diseases: A systematic review

Exploring a dialogic approach in tackling psychotic diseases: A systematic review

Real-time fMRI neurofeedback reduces auditory hallucinations and modulates resting state connectivity of involved brain regions: Part 2: Default mode network -preliminary evidence

Towards a computational (neuro)phenomenology of mental action: modelling meta-awareness and attentional control with deep-parametric active inference

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