ReviewPsychology research and behavior management2020
Metacognitive Reflection and Insight Therapy: A Recovery-Oriented Treatment Approach for Psychosis.
Review in Psychology research and behavior management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Compassion and Metacognition Based Therapy for Schizotypal Personality Disorder: A Pilot Non-inferiority Randomized Controlled Trial on Repeated Measures.
Metacognitive Training for Negative Symptoms (MCT Minus)
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.
- Reconceptualizing Schizophrenia through a Patient-Oriented Perspective: a Systematic Review and Qualitative Meta-Synthesis.Schizophrenia bulletin · 2026Pooled it
- Trial
- Personalizing interventions using real-world interactions: Improving symptoms and social functioning in schizophrenia with tailored metacognitive therapy.Journal of consulting and clinical psychology · 2022Trial
- Metacognition and Self-Disturbances in Schizophrenia: Implications for Psychological and Neurocognitive Therapy.Brain sciences · 2026Review
- The Mediating Role of Metacognitive Beliefs in Self-Compassion and Schizophrenia Recovery.Brain and behavior · 2026Article
- Exploring the Link Between Metacognitive Skills with Psychological Resilience and Post-Traumatic Growth in Cancer Survivors.Journal of clinical psychology in medical settings · 2026Article
- Transdiagnostic and symptom-domain associations between mental illnesses and future self-connectedness versus future self-valence.JCPP advances · 2026Article
- Distinct pattern of associations of cognitive insight and clinical insight with theory-of-mind and empathy in schizophrenia patients.Schizophrenia research. Cognition · 2026Article
- Bridging psychiatric and educational metacognition: a perspective on insight and learning.Frontiers in psychiatry · 2026Article
- Metacognitive reflection and insight therapy: a mini-review of advances, challenges, and future directions.Frontiers in psychology · 2026Review
- Assessing directional connections between symptoms, cognition, insight, and real-life functioning in schizophrenia: a partial ancestor graphs analysis.Frontiers in psychiatry · 2026Article
- Interventions targeting identity in adults with psychosis, severe mental illness, brain injury, or intellectual disability: a transdiagnostic scoping review.Frontiers in psychiatry · 2026Review
- Turkish adaptation study of the Metacognition Assessment Scale-Abbreviated in psychotic disorders.Frontiers in psychology · 2026Article
- The role of metacognition and social cognition in childhood trauma effecting on prognosis: 1-year follow-up study in patients with first-episode schizophrenia.BMC psychiatry · 2025Article
- Personal Narratives in Trauma-Related Disorders: Contributions from a Metacognitive Approach and Treatment Considerations.Behavioral sciences (Basel, Switzerland) · 2025Review
- Evolution of Linguistic Markers of Agency, Centrality and Content During Metacognitive Therapy for Psychosis: A Pilot Exploratory Study.Early intervention in psychiatry · 2025Article
- Making Sense of Recovery From First Psychosis With Antipsychotic Medication: A Qualitative Phenomenological Study.Schizophrenia bulletin · 2024Article
- Recent Advances in Prevention and Recovery in People with Schizophrenia and Related Disorders.Behavioral sciences (Basel, Switzerland) · 2024Article
- Targeting metacognitive change mechanisms in acute inpatients with psychotic symptoms: feasibility and acceptability of a modularized group intervention.European archives of psychiatry and clinical neuroscience · 2024Article
- How Does Individual Psychotherapy Promote Recovery for Persons with Psychosis? A Systematic Review of Qualitative Studies to Understand the Patient's Experience.Behavioral sciences (Basel, Switzerland) · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Recent research has suggested that recovery from psychosis is a complex process that involves recapturing a coherent sense of self and personal agency. This poses important challenges to existing treatment models. While current evidence-based practices are designed to ameliorate symptoms and skill deficits, they are less able to address issues of subjectivity and self-experience. In this paper, we present Metacognitive Insight and Reflection Therapy (MERIT), a treatment approach that is explicitly concerned with self-experience in psychosis. This approach uses the term metacognition to describe those cognitive processes that underpin self-experience and posits that addressing metacognitive deficits will aid persons diagnosed with psychosis in making sense of the challenges they face and deciding how to effectively manage them. This review will first explore the conceptualization of psychosis as the interruption of a life and how persons experience themselves, and then discuss in more depth the construct of metacognition. We will next examine the background, practices and evidence supporting MERIT. This will be followed by a discussion of how MERIT overlaps with other emerging treatments as well as how it differs. MERIT's capacity to engage patients who reject the idea that they have mental illness as well as cope with entrenched illness identities is highlighted. Finally, limitations and directions for future research are discussed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.