Evidence map›Paper›PMID 41675403›Full record

ReviewFrontiers in psychology2026

Metacognitive reflection and insight therapy: a mini-review of advances, challenges, and future directions.

Courtney N Wiesepape, Bethany L Leonhardt, Jay A Hamm, Laura A Faith

Abstract readReview
In one paragraph

Review in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Courtney N WiesepapeDepartment of Psychology, Indiana State University, Terre Haute, IN, United States.
Bethany L LeonhardtSandra Eskenazi Mental Health Center, Eskenazi Health, Indianapolis, IN, United States.
Jay A HammSandra Eskenazi Mental Health Center, Eskenazi Health, Indianapolis, IN, United States.
Laura A FaithDepartment of Psychiatry, Richard L. Roudebush VA Medical Center, Indianapolis, IN, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metacognitive Reflection and Insight Therapy (MERIT) is a significant development in psychotherapy for schizophrenia spectrum disorders, emphasizing meaning-making, self-understanding, and self-directed recovery. Grounded in the integrated model of metacognition, MERIT aims to help individuals form more complex and integrated understandings of themselves, others, and their community. Recent studies support its impact on metacognition, functioning, and recovery, though its flexible, process-based nature presents challenges for research standardization and widespread dissemination. This mini review summarizes MERIT's theoretical foundations, empirical support, and clinical applications, while discussing current controversies and research gaps. We conclude by identifying future directions for expanding MERIT across diagnostic groups and furthering our understanding of metacognitive change as a mechanism of recovery.

Indexed as

MERITmetacognitionpsychosispsychotherapyrecoveryschizophrenia spectrum

Identifiers

PMID41675403
PMCPMC12886424

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.