Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments.
Insight
Metacognition
Neurocognition
Recovery
Rehabilitation
Schizophrenia
Journal
Schizophrenia research. Cognition
ISSN: 2215-0013
Titre abrégé: Schizophr Res Cogn
Pays: United States
ID NLM: 101632223
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
30
12
2018
revised:
13
03
2019
accepted:
25
03
2019
entrez:
13
12
2019
pubmed:
13
12
2019
medline:
13
12
2019
Statut:
epublish
Résumé
Bleuler suggested that fragmentation of thought, emotion and volition were the unifying feature of the disorders he termed schizophrenia. In this paper we review research seeking to measure some of the aspects of fragmentation related to the experience of the self and others described by Bleuler. We focus on work which uses the concept of metacognition to characterize and quantify alterations or decrements in the processes by which fragments or pieces of information are integrated into a coherent sense of self and others. We describe the rationale and support for one method for quantifying metacognition and its potential to study the fragmentation of a person's sense of themselves, others and the relative place of themselves and others in the larger human community. We summarize research using that method which suggests that deficits in metacognition commonly occur in schizophrenia and are related to basic neurobiological indices of brain functioning. We also present findings indicating that the capacity for metacognition in schizophrenia is positively related to a broad range of aspects of psychological and social functioning when measured concurrently and prospectively. Finally, we discuss the evolution and study of one therapy that targets metacognitive capacity, Metacognitive Reflection and Insight Therapy (MERIT) and its potential to treat fragmentation and promote recovery.
Identifiants
pubmed: 31828019
doi: 10.1016/j.scog.2019.100142
pii: S2215-0013(18)30063-5
pii: 100142
pmc: PMC6889776
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
100142Informations de copyright
© 2019 Published by Elsevier Inc.
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