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Social Cognition and Metacognition in Schizophrenia
Psychopathology and Treatment Approaches
1st Edition - July 4, 2014
Editors: Paul Lysaker, Giancarlo Dimaggio, Martin Brüne
Language: English
Hardback ISBN:9780124051720
9 7 8 - 0 - 1 2 - 4 0 5 1 7 2 - 0
eBook ISBN:9780124051744
9 7 8 - 0 - 1 2 - 4 0 5 1 7 4 - 4
Deficits in social cognition and metacognition in schizophrenics makes it difficult for them to understand the speech, facial expressions and hence emotion and intention of ot…Read more
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Deficits in social cognition and metacognition in schizophrenics makes it difficult for them to understand the speech, facial expressions and hence emotion and intention of others, as well as allowing little insight into their own mental state. These deficits are associated with poor social skills, fewer social relationships, and are predictive of poorer performance in a work setting. Social Cognition and Metacognition in Schizophrenia reviews recent research advances focusing on the precise nature of these deficits, when and how they manifest themselves, what their effect is on the course of schizophrenia, and how each can be treated. These deficits may themselves be why schizophrenia is so difficult to resolve; by focusing on the deficits, recovery may be quicker and long lasting.
This book discusses such deficits in early onset, first episode, and prolonged schizophrenia; how the deficits relate to each other and to other forms of psychopathology; how the deficits affect social, psychological, and vocational functioning; and how best to treat the deficits in either individual or group settings.
Summarizes the types of social cognitive and metacognitive deficits present in schizophrenia
Discusses how deficits are related to each other and to other forms of psychopathology
Describes how deficits impact function and affect the recovery process
Provides treatment approaches for these deficits
Researchers in clinical psychology, and clinicians treating schizophrenia, Secondary audience among researchers in social and cognitive psychology interested in social cognition and metacognition.
List of Contributors
Preface
Chapter 1. Neurobiologic Underpinnings of Social Cognition and Metacognition in Schizophrenia Spectrum Disorders
Introduction
Animal Studies on Basic Social Cognition and Social Behavior with Schizophrenia Models
Neurotransmitters and Receptors Related to Social Cognition
Social Cognition in Schizophrenia: Neuroimaging Research
The Neurobiology of Metacognition
Biomarkers for Deficits in Social Cognition
Limitations and Future Suggestions
References
Chapter 2. Cross-Cultural Aspects of Social Cognitive Abilities in Schizophrenia
Introduction
Developmental Aspects of Social Cognition
Cross-Cultural Psychiatry
Cross-Cultural Differences in the Perception of Social Cues in Patients with Schizophrenia
Recent Cross-Cultural Research on Social Cognition
The Adaptation of Novel Paradigms and Approaches in Social Cognition Research in Schizophrenia: Ongoing Research and Future Research Directions
Summary
References
Chapter 3. Social Cognition during the Early Phase of Schizophrenia
Introduction
Domains of Social Cognition in Early-Phase Schizophrenia
Progression of Social Cognitive Impairment
Summary and Future Directions
References
Chapter 4. Empathy
Introduction
Definition of Empathy
Behavioral Empathy Deficits in Schizophrenia
Specificity of Empathic Deficits
Neural Correlates of Empathy
Neural Dysfunctions in Schizophrenia
Multimodal Empathy in Schizophrenia
Conclusion
References
Chapter 5. Memory-Related Metacognition in Patients with Schizophrenia
Consciousness and Cognitive Impairments as Core Symptoms of Schizophrenia
From Consciousness to Metacognition
From Metacognition to Metamemory
Metamemory Monitoring and Control
Metamemory Monitoring in Patients with Schizophrenia
Metamemory Control in Schizophrenia
The Dynamic Relationship Between Metamemory Monitoring and Control
The Relationships Between Metamemory Monitoring and Control in Patients with Schizophrenia
Conclusion
Acknowledgment
References
Chapter 6. Metacognition in Schizophrenia Spectrum Disorders: Methods of Assessment and Associations with Psychosocial Function, Neurocognition, Symptoms, and Cognitive Style
Introduction
Assessing Synthetic Aspects of Metacognition in Schizophrenia
The MAS-A: Psychometrics and Ability to Detect Metacognitive Deficits in Schizophrenia
Associations of Metacognition with Symptoms and Neurocognition
Associations of Metacognition with Reasoning, Awareness, and Learning
Metacognition and Functional Outcomes
Summary
References
Chapter 7. The Impact of Metacognition on the Development and Maintenance of Negative Symptoms
Introduction
Negative Symptoms: An Overview of Key Concepts and Distinctions
Negative Symptom Subtypes
Factors Affecting the Development and Course of Negative Symptoms
Psychological Therapies for Negative Symptoms
Applying a Metacognitive Perspective to Negative Symptoms
Potential Treatment Implications of the Metacognitive Perspective
References
Chapter 8. Metacognition as a Framework to Understanding the Occurrence of Aggression and Violence in Patients with Schizophrenia
Introduction
Violence and Aggression – A Definition of Concepts
Metacognition as a Framework to Understanding the Occurrence of Violence and Aggression in Schizophrenia
Conclusion
References
Chapter 9. Social Cognition and Interaction Training: The Role of Metacognition
Introduction
Social Cognition and Interaction Training
Metacognition in Social Cognition and Interaction Training: Subject Level
Metacognition in Social Cognition and Interaction Training: Intervention Level
Relevant Research Using Social Cognition and Interaction Training
Conclusion
References
Chapter 10. An Overview of Social Cognitive Treatment Interventions
Introduction
Types of Social Cognitive Interventions
Targeted Intervention Approaches
Comprehensive Intervention Approaches
Broad-Based Intervention Approaches
Conclusions and Future Directions
References
Chapter 11. Metacognitive Training and Therapy: An Individualized and Group Intervention for Psychosis
Introduction
Cognitive Biases Targeted by Metacognitive Training
Administration of the Program
Feasibility, Subjective, and Objective Effectiveness
Conclusion
Acknowledgments
References
Chapter 12. Metacognitively Focused Psychotherapy for People with Schizophrenia: Eight Core Elements That Define Practice
Introduction
Defining the Core Elements of a Metacognitive-Focused Psychotherapy for Psychosis
Assumptions about Metacognition in Schizophrenia from a Clinical Perspective
Psychotherapy and Metacognition in Schizophrenia: Six General Preconditions
Eight Elements of a Metacognitive Therapy for Schizophrenia
The Eight Elements Synthesis and Measurement of Adherence
Limitations
References
Chapter 13. Adapted-Metacognitive Interpersonal Therapy Applied to Paranoid Schizophrenia: Promoting Higher Levels of Reflection on One’s and Others’ Minds, Awareness of Interpersonal Schemas, Differentiation, and Mastery of Social Problems
Introduction
Promoting Higher-Order Metacognitive Functions with Adapted for Psychosis Metacognitive Interpersonal Therapy
Case Presentation: Background Information
Adapted-Metacognitive Interpersonal Therapy: General Principles and Summary of the First Part of Treatment
Awareness of a Disturbed Interpersonal Schema and Differentiation Between the Schema and Actual Relationships
Promoting Healthy Aspects of the Self
Promoting Reflection on Others’ Minds
Focus on Personally Relevant Goals, Social Exposure, and Metacognitive Mastery for Symptoms and Social Problems
Conclusions
References
Chapter 14. Triumphs and Tribulations in the Psychotherapy of Schizophrenia: Reflections from a Pilot Study of Metacognitive Narrative Psychotherapy
Introduction
A Dialogical Model of Impoverished Self-Experience in Schizophrenia
Treatment Model and Manual
Implementation of the Intervention
Treatment Outcome
Impediments in Developing and Implementing New Interventions
Paradigms, Prejudice, and Evidence-Based Practice
The Gate-Keeping Role of Established Health Services
Translating Results from Research Settings Into Everyday Practice
The Nature of the Intervention
Facilitating the Development and Implementation of New Interventions
Therapist Qualities
Therapist Support
Use of a Principle-Based Treatment Manual
Partnerships Between Researchers and Clinicians
Conclusions
References
Chapter 15. A Mentalization-Based Treatment Approach to Disturbances of Social Understanding in Schizophrenia
Introduction
Attachment and Mentalization
Attachment, Mentalization, and Psychosis
Mentalization-Based Treatment for Psychosis
Conclusion
References
Chapter 16. The Relationship Between Metacognitive Profile, Attachment Pattern, and Intersubjective Process in Psychotherapy of a Person Recovering from First-Episode Schizophrenia
Introduction
The Case of Camellia
Discussion: Metacognition, Attachment, and Psychotic Symptoms
References
Chapter 17. Metacognition-Oriented Social Skills Training
Introduction
Interventions for Social Recovery: The State of the Art
The Constructs of Metacognition and Regulation of the Therapy Relationship
Mosst: The Program
Metacommunication and Metacognitive Feedback: The Mater Model
Conclusions
References
Chapter 18. Experimental Usage of Oxytocin to Combat Deficits in Social Cognition in Schizophrenia
Introduction
Translational Work on the Effect of Oxytocin on Social Cognition
Oxytocin in Human Social Cognition
Oxytocin in Schizophrenia
Potential Pathways to Improve Social Cognitive Deficits in Schizophrenia by Oxytocin
Limitations and Future Directions
References
Chapter 19. Social Cognition and Metacognition in Schizophrenia: Research to Date and Directions for the Future
Introduction
The Biologic and Social Underpinnings of Disturbances in Social Cognition and Metacognition in Schizophrenia
Forms of Social Cognitive and Metacognitive Deficits Found in Schizophrenia
Developing Treatments for Social Cognitive and Metacognitive Deficits Found in Schizophrenia
Areas of Debate and Future Direction
Summary and Future Research
References
Index
No. of pages: 354
Language: English
Edition: 1
Published: July 4, 2014
Imprint: Academic Press
Hardback ISBN: 9780124051720
eBook ISBN: 9780124051744
PL
Paul Lysaker
Affiliations and expertise
Roudebush VA Medical Center, Indianapolis, IN, USA
GD
Giancarlo Dimaggio
Affiliations and expertise
Centro di Terapia Metacognitiva Interpersonale, Rome, Italy
MB
Martin Brüne
Affiliations and expertise
LWL-University Hospital, University of Bochum, Germany
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