Metacognition as a Predictor of Improvements in Personality Disorders
| Autor: | Antonino Carcione, Ilaria Riccardi, Elena Bilotta, Luigi Leone, Roberto Pedone, Laura Conti, Livia Colle, Donatella Fiore, Giuseppe Nicolò, Giovanni Pellecchia, Michele Procacci, Antonio Semerari |
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| Přispěvatelé: | Carcione, Antonino, Riccardi, Ilaria, Bilotta, Elena, Leone, Luigi, Pedone, Roberto, Conti, Laura, Colle, Livia, Fiore, Donatella, Nicolò, Giuseppe, Pellecchia, Giovanni, Procacci, Michele, Semerari, Antonio |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
psychotherapy outcome
media_common.quotation_subject lcsh:BF1-990 Personality pathology Metacognition medicine.disease Personality disorders mentalization Interpersonal relationship lcsh:Psychology Mentalization Cognitive psychotherapy medicine Psychology Personality psychotherapeutic process personality disorders metacognition General Psychology Original Research Clinical psychology Psychopathology media_common |
| Zdroj: | Frontiers in Psychology, Vol 10 (2019) Frontiers in Psychology |
| ISSN: | 1664-1078 |
| DOI: | 10.3389/fpsyg.2019.00170/full |
| Popis: | Personality Disorders (PDs) are particularly hard to treat and treatment drop-out rates are high. Several authors have agreed that psychotherapy is more successful when it focuses on the core of personality pathology. For this reason, therapists dealing with PDs need to understand the psychopathological variables that characterize this pathology and exactly what contributes to maintaining psychopathological processes. Moreover, several authors have noted that one key problem that characterizes all PDs is an impairment in understanding mental states – here termed metacognition – which could also be responsible for therapy failures. Unfortunately, a limited number of studies have investigated the role of mentalization in the process of change during psychotherapy. In this paper, we assume that poor metacognition corresponds to a core element of the general pathology of personality, impacts a series of clinical variables, generates symptoms and interpersonal problems, and causes treatment to be slower and less effective. We explored whether changes in metacognition predicted an improvement among different psychopathological variables characterizing PDs; 193 outpatients were treated at the Third Center of Cognitive Psychotherapy in Rome, Italy, and followed a structured path tailored for the different psychopathological variables that emerged from a comprehensive psychodiagnostic assessment that considered patients’ symptoms, metacognitive abilities, interpersonal relationships, personality psychopathology, and global functioning. The measurements were repeated after a year of treatment. The results showed that changes in metacognitive abilities predicted improvements in the analyzed variables. |
| Databáze: | OpenAIRE |
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