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Giancarlo Dimaggio - Metacognition and Severe Adult Mental Disorders: From Research to Treatment

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Giancarlo Dimaggio Metacognition and Severe Adult Mental Disorders: From Research to Treatment
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Metacognition and Severe Adult Mental Disorders: From Research to Treatment: summary, description and annotation

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Many adults who experience severe mental illness also suffer from deficits in metacognition - put simply, thinking about ones own thought processes - limiting their abilities to recognize, express and manage naturally occurring painful emotions and routine social problems as well as to fathom the intentions of others.

This book presents an overview of the field, showing how current research can inform clinical practice. An international range of expert contributors provide chapters which look at the role of metacognitive deficit in personality disorders, schizophrenia, and mood disorders, and the implications for future psychotherapeutic treatment.

Divided into three parts, areas covered include:

  • how metacognitive deficits may arise and the different forms they might take
  • the psychopathology of metacognition in different forms of mental illness
  • whether specific deficits in metacognition might help us understand the difficulties seen in differing forms of severe mental illness.

Offering varying perspectives and including a wealth of clinical material, this book will be of great interest to all mental health professionals, researchers and practitioners.

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First published 2010 by Routledge 27 Church Road Hove East Sussex BN3 2FA - photo 1

First published 2010
by Routledge
27 Church Road, Hove, East Sussex BN3 2FA

Simultaneously published in the USA and Canada
by Routledge
270 Madison Avenue, New York, NY 10016

Routledge is an imprint of the Taylor & Francis Group, an Informa business

This edition published in the Taylor & Francis e-Library, 2010.


To purchase your own copy of this or any of Taylor & Francis or Routledges collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk.

Copyright 2010 Selection and editorial matter Giancarlo Dimaggio & Paul H. Lysaker; individual chapters, the Contributors

Cover design by Andrew Ward

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.

This publication has been produced with paper manufactured to strict environmental standards and with pulp derived from sustainable forests.

British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library

Library of Congress Cataloging-in-Publication Data
Metacognition and severe adult mental disorders: from research to treatment/edited by Giancarlo Dimaggio & Paul H.Lysaker.
p.; cm.
Includes bibliographical references.
ISBN 978-0-415-48423-7 (hardback)
1. Mental illness. 2. Metacognition. I. Dimaggio, Giancarlo. II. Lysaker, Paul H.
[DNLM: 1. Mental disorders. 2. Adult. 3. Awareness. 4. Cognition. WM 140 M587 2010]
RC454.M474 2010
616.89dc22 2009032563

ISBN 0-203-85578-7 Master e-book ISBN

ISBN: 978-0-415-48423-7 (Print Edition)

Contents


GIANCARLO DIMAGGIO AND PAUL H.LYSAKER


REBECCA SAXE AND SHANI OFFEN


JEREMY I.M.CARPENDALE AND CHARLIE LEWIS


ANDREW GUMLEY


PAUL H.LYSAKER


DANIELA SCHAUB, MONA ABDEL-HAMID AND MARTIN BRNE


KEVIN D.MORGAN AND ANTHONY S.DAVID


ELLIOT M.BELL, ROBYN LANGDON, RICHARD J.SIEGERT AND PETE M.ELLIS


GIOVANNI STANGHELLINI


SHIGENOBU KANBA, KAZUO YAMADA AND YUMIKO INOUE


STIJN VANHEULE, RUTH INSLEGERS, REITSKE MEGANCK, ELS OOMS AND MATTIAS DESMET


LIVIA COLLE, STEFANIA DANGERIO, RAFFAELE POPOLO AND GIANCARLO DIMAGGIO


GIOVANNI LIOTTI AND ELENA PRUNETTI


PAUL H.LYSAKER AND KELLY D.BUCK


ILANIT HASSON-OHAYON, SHLOMO KRAVETZ AND DAVID ROE


GIANCARLO DIMAGGIO, GIAMPAOLO SALVATORE, GIUSEPPE NICOL, DONATELLA FIORE AND MICHELE PROCACCI


ANTONIO SEMERARI


KATERINE OSATUKE AND WILLIAM B.STILES


PAUL H.LYSAKER AND GIANCARLO DIMAGGIO

Illustrations
Figures

1.1

The Adelson plaid illusion

1.2

A Kanizsa triangle

6.1

Decision-making sequence

6.2

Cognition across the compliance profile groups

9.1

Theory of Mind (TOM) battery

13.1

Modified metacognition assessment total score over 51 months: case of Grieg

Tables

6.1

Sample background characteristics

7.1

Operationalizing theory of mind (TOM): classification of TOM tasks used in research on schizophrenia and related psychotic illnesses of adulthood

7.2

Areas of coverage in a proposed approach to clinical evaluation of schizophrenia, with focus on a brief assessment of theory of mind

9.1

Theory of mind (TOM) and relapse

17.1

Assimilation of Problematic Experiences Scale (APES)

Dialogue tables

6.1

Presence of illness not acceptedno clear evidence of metacognition

6.2

Presence of illness acceptedno clear evidence of metacognition

6.3

Accounts of illness status with evidence of metacognition

6.4

Accounts of illness status when presented with hypothetical contradiction

6.5

Mismatch between treatment attitudes and treatment behaviour

6.6

The impact of compulsion and deference to medical professionals on attitudes toward treatment

6.7

Experiences and expectations of medication side effects on treatment attitudes and behaviour

Contributors

Mona Abdel-Hamid, PhD has been holding positions as a research and teaching assistant in the faculties of psychology and medicine of the University of Bochum, Germany as well as in the departments of psychiatry of the Universities of Bochum and Duisburg-Essen, Germany. Her primary research interests are social cognitive functioning in schizophrenic spectrum disorders and attention deficit hyperactivity disorder (ADHD) and cognitive behavioural therapy in ADHD. She is working as a cognitive behavioural therapist specializing in pain therapy.

Elliot M.Bell is a clinical psychologist and lecturer in the School of Medicine and Health Sciences at the University of Otago, Wellington. His research is focused on social cognition, particularly theory of mind and neurocognition in psychotic conditions.

Martin Brne, MD is a specialist in neurology, psychiatry and psychotherapy and Professor of Psychiatry at the University of Bochum, Germany. His main research interests are social cognition in psychiatric disorders, and psychopathology in evolutionary perspective including cross-species comparison. He has conducted research into theory of mind and nonverbal behaviour in various psychopathological conditions. He edited The Social BrainEvolution and Pathology (with Hedda Ribbert and Wulf Schiefenhvel, Wiley, 2003) and wrote Textbook of Evolutionary Psychiatry. The Origins of Psychopathology (Oxford University Press, 2008).

Kelly D.Buck is a clinical nurse specialist at the Roudebush VA Medical Center. She has over 20 years of experience in the treatment of severe mental illness and has a specialized interest in the provision and supervision of psychotherapy for adults with psychoses.

Jeremy I.M.Carpendale, Professor of Developmental Psychology at Simon Fraser University, has published in the areas of cognitive, social cognitive and moral development. His work focuses on the nature and development of thinking about social and moral matters and the role of language and social interaction in such development. He is author with Charlie Lewis of How Children Develop Social Understanding (Blackwell, 2006), co-editor of several books including the

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