Click here to download

Treatment of cognitive oriented metacognitive a schizophrenic patient: possible effect on cognitive functions
Author/s: Giovanna Castaldo, Anna Opera, Michele Procacci, Maurizio Sabia, Maurizio Cafari, Giampiero Russo 
Year:  2015 Issue: 36 Language: Italian 
Pages:  16 Pg. 117-132 FullText PDF:  117 KB
DOI:  10.3280/QPC2015-036009
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 

Over the years there have been carried out some researches with the purpose of investigating the correlation between metacognitive functions, and cognitive function in psychotic subjects. The present work aims to provide a further contribution to the deepening of the issues mentioned above, also wants to focus on the approach centered on psychotherapeutic metacognition applied to psychosis. The proposed research has been developed on an single case; to the subject in order to assess cognitive function, has been administered a battery of tests in two times, at time T0 and the time T1, respectively begin the therapeutic process, and about six months of treatment, also useful for the stage of follow-up test; in addition to has also begin to examine metacognitive function and the Indiana Psychiatric Illness Interview, an interview used specifically in our research, as transcribed excusively on which to assess metacognitive functions. The metacognitive functions have been investigated in order to verify which of these were in deficit and on which of these the treatment should focus. The purpose of this research is to examine the hypothesis that the application of a cognitive behavioral therapy to metacognitive orientation, can be effective in improving of the cognitive functions in a young subject with high schooling, suffering from psychotic disorder early onset. The results show a change in the medium an cognitive test between T0 and T1
Keywords: Metacognition, metacognitive functions, psychosis, cognitive functions, metacognitive interpersonal therapy

  1. Dimaggio G., Semerari A., a cura di (2003). I disturbi di personalità. Modelli e trattamento. Roma-Bari: Laterza.
  2. Dimaggio G., Semerari A. (2003). I disturbi di personalità. Modelli e trattamento. Stati mentali, metarappresentazione, cicli interpersonali. Roma-Bari: Laterza.
  3. Dimaggio G., Lysaker P.H., a cura di (2011a). Metacognizione e psicopatologia. Valutazione e trattamento. Milano: Raffaello Cortina.
  4. Appollonio I., Leone M., Isella V., Piamarta F., Consoli T., Villa M. L., Forapani E., Russo A., Nichelli P. (2005). The Frontal Assessment Battery (FAB): normative values in an Italian population sample. Neurological Sciences, 26(2): 108-116., DOI: 10.1007/s10072-005-0443-
  5. Barbarotto R., Laiacona M., Frosio R., Vecchio M., Farinato A., Capitani E. (1998). A normative study on visual reaction times and two Stroop colours word tests. The Italian Journal of Neurological Sciences, 19 (3): 161-170., DOI: 10.1007/BF0083156
  6. Brune M. (2003). Theory of mind and the role of IQ in chronic disorganized schizophrenia. Schizophrenia Research, 60: 57-64., DOI: 10.1016/S092
  7. Caffara P., Lezzadini G., Dieci F., Zonato F., Lenneri A. (2002). Rey-Osterrieth complex figure. Normative values in an italian population sample. Neurological. Sciences, 22(6): 443-44., DOI: 10.1007/s10072020000
  8. Carcione A., Dimaggio G., Fiore D., Nicolo G., Procacci M., Semerari A., Pedone R. (2008).
  9. An intensive case analysis of client metacognition in a good-outcome psychotherapy: Lisa’s case. Psychotherapy Research, 18(6): 667-676., DOI: 10.1080/1050330080222013
  10. Carcione A., Falcone M. (1999). Il concetto di metacognizione come costrutto clinico fondamentale per la psicoterapia. In: Semerari A., a cura di, Psicoterapia cognitiva del paziente grave. Metacognizione e relazione terapeutica. Milano: Raffaello Cortina Carcione A., Falcone M., Magnolfi G., Manaresi F. (1997). La funzione metacognitive in psicoterapia.
  11. Scala di valutazione della metacognizione (S.Va.M.). Psicoterapia, 9: 91-107.
  12. Carcione A., Semerari A., Nicolo G., Pedone R., Popolo R., Conti L., Fiore D., Procacci M., Dimaggio G. (2011). Metacognitive mastery dysfunctions in personality disorder psychotherapy. Psychiatry Research, 190: 60-71., DOI: 10.1016/j.psychres.2010.12.03
  13. Carcione A., Nicolo G., Procacci M., a cura di (2012). Manuale di terapia cognitiva delle psicosi. Milano: FrancoAngeli.
  14. Carcione A., Semerari A. (2006). Valutare il funzionamento meta cognitivo in psicoterapia.
  15. In: Dazzi N., Lingiardi V., Colli A., a cura di, La ricerca in psicoterapia. Modelli e strumenti. Milano: Raffaello Cortina.
  16. Carlesimo G.A., Caltagirone C., Ganotti G. (1996). The Manual deterioration Battery: normative data, diagnostic relability abd qualitative analyses of cognitive impairment. The group for the standardization of the mental deterioration battery. European Neurolology, 36(6): 378-384., DOI: 10.1159/00011729
  17. Dimaggio G., Procacci M., Nicolo G., Popolo R., Semerari A., Carcione A., Lysaker P.H. (2007). Poor Metacognition in Narcissistic and Avoidant Personality Disorders: Four Psychotherapy Patients Analysed Using the Metacognition Assessment Scale. Clinical Psychology and Psychotherapy, 14: 386-401., DOI: 10.1002/cpp.54
  18. Doody G.A., Gotz M., Johnstone, E.C., Frith D.G., Cunningham O. (1998). Theory of mind and psychoses. Psychological Medicine, 28: 397-405., DOI: 10.1017/s003329179700648
  19. Dubois B., Slachevsky A., Litvan I., Pillon B. (2000). The FAB: a frontal assessment battery at bedside. Neurology, 55 (11): 1621-1626., DOI: 10.1212/WNL.55.11.162
  20. Fonagy P., Target M. (1996). Playing with reality: I. Theory of mind and the normal development of psychic reality. Intern. Journal of Psychoanalysis, 77: 217-233.
  21. Frank L., Lloyd A., Flynn J.A., Kleinman L., Matza L.S., Margolis M.K., Bowman L., Bullock R. (2006). Impact of cognitive impairment on mild dementia patients and mild cognitive impairment patients and their informants. International Psychogeriatrics, 11: 1-12., DOI: 10.1017/s104161020500245
  22. Giovagnoli A.R., Del Pesce M., Mascheroni S., Simoncelli M., Laiacona M., Capitani E. (1996). Trail Making Test: normative values from 287 normal ADULT CONTROLS. The Italian Journal Neurological Sciences, 17 (4): 305-309., DOI: 10.1007/BF0199779
  23. Goldman-Rakic P. (1999). The “Psychic” Neuron of the Cerebral Cortex. Annals of the New York Academy of Science, 868: 13-26., DOI: 10.1111/j.1749-6632.1999.tb11270.
  24. Greig T.C., Bryson G.J., Bell, M.D. (2004). Theory of mind performance in schizophrenia: Diagnostic, Symptom and Neuropsychological Correlates. The Journal of Nervous of Mental Disorder, 192: 12-18., DOI: 10.1097/01.nmd.0000105995.67947.f
  25. Langdon R., Coltheart M., Ward P.B., Catts S.V. (2002). Disturbed communication in schizophrenia: the role of poor pragmatics and poor mind-reading. Psychological Medicine, 32: 1273-1284., DOI: 10.1017/s003329170200639
  26. Langdon R., Coltheart M., Ward P.B., Catts S.V. (2001). Mentalising, executive planning and disengagement in schizophrenia. Cognitive Neuropsychiatry, 6: 81-108., DOI: 10.1080/1354680004200006
  27. Lysaker P.H., Bell M.D., Zito, W.S., Bioty S.M. (1995) Social skill impairments at work: Deficits and predictors of improvement in schizophrenia. Journal of Nervous and Mental Disease, 183: 688-692.
  28. Lysaker P.H., Buck K.D. (2007). Neurocognitive deficits as a barrier to psychosocial function: Multidirectional effects on learning, coping and self conception. Journal of Psychosocial Nursing and Mental Health Services, 45: 24-30.
  29. Lysaker P.H., Buck K.D. (2008a). Is recovery from schizophrenia possible? An overview of concepts, evidence, and clinical implications. Primary Psychiatry, 15(6): 60-65.
  30. Lysaker P.H., Buck K.D., Ringer J. (2007). The recovery of metacognitive capacity in schizophrenia across 32 months of individual psychotherapy: A case study. Psychotherapy Research, 17: 713-720., DOI: 10.1080/1050330070125593
  31. Lysaker P.H., Buck K.D., Taylor A.C., Roe D. (2008a). Associations of metacognition, self stigma and insight with qualities of self experience narrative in schizophrenia. Psychiatry Research, 157: 31-38., DOI: 10.1016/j.psychres.2007.04.02
  32. Lysaker P.H., Carcione A., Di Maggio G., Johannesen J.K., Nicolo G., Procacci M., Semerari A. (2005). Metacognition amidst narratives of self and illness in schizophrenia: Associations with insight, neurocognition, symptom and quality of life. Acta Psychiatrica Scandinavica, 112: 64-71., DOI: 10.1111/j.1600-0447.2005.00514.
  33. Lysaker P.H., Clements C.A., Plascak-Hallberg C.D., Knipscheer S.J., Wright D.E. (2002). Insight and personal narratives of illness in schizophrenia. Psychiatry, 65: 197-206., DOI: 10.1521/psyc.
  34. Lysaker P.H., Daroyanni P. (2006). Facilitating the emergence of interpersonal relatedness in psychotherapy of schizophrenia: A case study. Bullettin of the Menninger Clinic, 70: 53-67., DOI: 10.1521/bumc.2006.70.1.5
  35. Lysaker P.H., Davis L.D., Eckert G.J., Strasburger A., Hunter N., Buck K.D. (2005). Changes in narratives structure and content in schizophrenia in long term individual psychotherapy: A single case study. Clinical Psychology and Psychotherapy, 12: 406-416., DOI: 10.1002/cpp.45
  36. Lysaker P.H., Lysaker J.T. (2008). Schizophrenia and The Fate of the Self. Oxford: University Press Oxford.
  37. Lysaker P.H., Buck K.D., Carcione A., Procacci M., Salvatore G., Nicolo G., Dimaggio G. (2011). Addressing metacognitive capacity for self reflection in the psychotherapy for schizophrenia: A conceptual model of the key tasksand processe. Psychology and Psychotherapy: Theory, Research and Practice, 84: 58-69., DOI: 10.1348/147608310X52043
  38. Lysaker P.H., Gumley A. (2009). Psychotherapeutic and relational processes and the development of metacognitive capacity following five years of individual psychotherapy: A case study of a person with psychotic symptoms. Psychosis, 2(1): 70-78., DOI: 10.1080/1752243090302638
  39. Measso G., Cavarzeran F., Zappala G., Lebowitz B.D., Crook T.H., Pirozzolo F.J, Amaducci L.A., Massari D., Grigoletto F. (1993). The Mini-Mental State Examination: normative study of an italian random sample. Developmental Neuropsycohology, 9: 77-85., DOI: 10.1080/8756564910954054
  40. Ownsworth T.L., Fleming J. (2005). The relative importance of metacognitive skills, emotional status and executive functioning in psychosocial adjustment following acquired brain injury. Journal of Head Trauma Rehabilitation, 20: 315-332., DOI: 10.1097/00001199-200507000-00004
  41. Pinkham A.E., Penn D.L., Perkins D.O., Lieberman J. (2003). Implications for the neural basis of social cognition for the study of schizophrenia. American Journal of Psychiatry, 160: 815-824., DOI: 10.1176/appi.ajp.160.5.81
  42. Rachman S., Shafran R. (1999). Cognitive distortions: Thought-action fusion. Clinical Psychology & Psychotherapy, 6: 80-85., DOI: 10.1002/(SICI)1099-0879(199905)6:2<80::AID-CPP188>3.0.CO;2-
  43. Semerari A., a cura di (1999). Psicoterapia cognitiva del paziente grave. Metacognizione e relazione terapeutica. Milano: Raffaello Cortina.
  44. Semerari A., Carcione A., Di Maggio G., Falcone M., Nicolo G., Procacci M., Alleva G. (2003). How to evaluate metacognitive function in psychotherapy? The Metacognition Assessment Scale and its applications. Clinical Psychology and Psychotherapy, 10: 238-261., DOI: 10.1002/cpp.36
  45. Semerari A., Carcione A., Dimaggio G., Nicolo G., Pedone R., Procacci M. (2005).
  46. Metarepresentative functions in borderline personality disorder. Journal of Personality Disorders, 19(6): 690-710., DOI: 10.1521/pedi.2005.19.6.69
  47. Semerari A. (2000). Storia, teorie e tecniche della psicoterapia cognitiva. Roma-Bari: Laterza.
  48. Spinnler H., Tognoni G. (1987). Standardizzazione e taratura italiana di una batteria di test neuropsicologici. The Italian Journal of Neurolological Sciences, 8, suppl. 6: 1-120.

Giovanna Castaldo, Anna Opera, Michele Procacci, Maurizio Sabia, Maurizio Cafari, Giampiero Russo, Treatment of cognitive oriented metacognitive a schizophrenic patient: possible effect on cognitive functions in "QUADERNI DI PSICOTERAPIA COGNITIVA" 36/2015, pp. 117-132, DOI:10.3280/QPC2015-036009


FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content