Social Cognition and Metacognition in Schizophrenia

Social Cognition and Metacognition in Schizophrenia

Psychopathology and Treatment Approaches

1st Edition - July 4, 2014

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  • Editors: Paul Lysaker, Giancarlo Dimaggio, Martin Brune
  • eBook ISBN: 9780124051744
  • Hardcover ISBN: 9780124051720

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Deficits in social cognition and metacognition in schizophrenics makes it difficult for them to understand the speech, facial expressions and hence emotion and intention of others, as well as allowing little insight into their own mental state. These deficits are associated with poor social skills, fewer social relationships, and are predictive of poorer performance in a work setting. Social Cognition and Metacognition in Schizophrenia reviews recent research advances focusing on the precise nature of these deficits, when and how they manifest themselves, what their effect is on the course of schizophrenia, and how each can be treated. These deficits may themselves be why schizophrenia is so difficult to resolve; by focusing on the deficits, recovery may be quicker and long lasting. This book discusses such deficits in early onset, first episode, and prolonged schizophrenia; how the deficits relate to each other and to other forms of psychopathology; how the deficits affect social, psychological, and vocational functioning; and how best to treat the deficits in either individual or group settings.

Key Features

  • Summarizes the types of social cognitive and metacognitive deficits present in schizophrenia
  • Discusses how deficits are related to each other and to other forms of psychopathology
  • Describes how deficits impact function and affect the recovery process
  • Provides treatment approaches for these deficits


Researchers in clinical psychology, and clinicians treating schizophrenia, Secondary audience among researchers in social and cognitive psychology interested in social cognition and metacognition.

Table of Contents

    • List of Contributors
    • Preface
    • Chapter 1. Neurobiologic Underpinnings of Social Cognition and Metacognition in Schizophrenia Spectrum Disorders
      • Introduction
      • Animal Studies on Basic Social Cognition and Social Behavior with Schizophrenia Models
      • Neurotransmitters and Receptors Related to Social Cognition
      • Social Cognition in Schizophrenia: Neuroimaging Research
      • The Neurobiology of Metacognition
      • Biomarkers for Deficits in Social Cognition
      • Limitations and Future Suggestions
      • References
    • Chapter 2. Cross-Cultural Aspects of Social Cognitive Abilities in Schizophrenia
      • Introduction
      • Developmental Aspects of Social Cognition
      • Cross-Cultural Psychiatry
      • Cross-Cultural Differences in the Perception of Social Cues in Patients with Schizophrenia
      • Recent Cross-Cultural Research on Social Cognition
      • The Adaptation of Novel Paradigms and Approaches in Social Cognition Research in Schizophrenia: Ongoing Research and Future Research Directions
      • Summary
      • References
    • Chapter 3. Social Cognition during the Early Phase of Schizophrenia
      • Introduction
      • Domains of Social Cognition in Early-Phase Schizophrenia
      • Progression of Social Cognitive Impairment
      • Summary and Future Directions
      • References
    • Chapter 4. Empathy
      • Introduction
      • Definition of Empathy
      • Behavioral Empathy Deficits in Schizophrenia
      • Specificity of Empathic Deficits
      • Neural Correlates of Empathy
      • Neural Dysfunctions in Schizophrenia
      • Multimodal Empathy in Schizophrenia
      • Conclusion
      • References
    • Chapter 5. Memory-Related Metacognition in Patients with Schizophrenia
      • Consciousness and Cognitive Impairments as Core Symptoms of Schizophrenia
      • From Consciousness to Metacognition
      • From Metacognition to Metamemory
      • Metamemory Monitoring and Control
      • Metamemory Monitoring in Patients with Schizophrenia
      • Metamemory Control in Schizophrenia
      • The Dynamic Relationship Between Metamemory Monitoring and Control
      • The Relationships Between Metamemory Monitoring and Control in Patients with Schizophrenia
      • Conclusion
      • Acknowledgment
      • References
    • Chapter 6. Metacognition in Schizophrenia Spectrum Disorders: Methods of Assessment and Associations with Psychosocial Function, Neurocognition, Symptoms, and Cognitive Style
      • Introduction
      • Assessing Synthetic Aspects of Metacognition in Schizophrenia
      • The MAS-A: Psychometrics and Ability to Detect Metacognitive Deficits in Schizophrenia
      • Associations of Metacognition with Symptoms and Neurocognition
      • Associations of Metacognition with Reasoning, Awareness, and Learning
      • Metacognition and Functional Outcomes
      • Summary
      • References
    • Chapter 7. The Impact of Metacognition on the Development and Maintenance of Negative Symptoms
      • Introduction
      • Negative Symptoms: An Overview of Key Concepts and Distinctions
      • Negative Symptom Subtypes
      • Factors Affecting the Development and Course of Negative Symptoms
      • Psychological Therapies for Negative Symptoms
      • Applying a Metacognitive Perspective to Negative Symptoms
      • Potential Treatment Implications of the Metacognitive Perspective
      • References
    • Chapter 8. Metacognition as a Framework to Understanding the Occurrence of Aggression and Violence in Patients with Schizophrenia
      • Introduction
      • Violence and Aggression – A Definition of Concepts
      • Metacognition as a Framework to Understanding the Occurrence of Violence and Aggression in Schizophrenia
      • Conclusion
      • References
    • Chapter 9. Social Cognition and Interaction Training: The Role of Metacognition
      • Introduction
      • Social Cognition and Interaction Training
      • Metacognition in Social Cognition and Interaction Training: Subject Level
      • Metacognition in Social Cognition and Interaction Training: Intervention Level
      • Relevant Research Using Social Cognition and Interaction Training
      • Conclusion
      • References
    • Chapter 10. An Overview of Social Cognitive Treatment Interventions
      • Introduction
      • Types of Social Cognitive Interventions
      • Targeted Intervention Approaches
      • Comprehensive Intervention Approaches
      • Broad-Based Intervention Approaches
      • Conclusions and Future Directions
      • References
    • Chapter 11. Metacognitive Training and Therapy: An Individualized and Group Intervention for Psychosis
      • Introduction
      • Cognitive Biases Targeted by Metacognitive Training
      • Administration of the Program
      • Feasibility, Subjective, and Objective Effectiveness
      • Conclusion
      • Acknowledgments
      • References
    • Chapter 12. Metacognitively Focused Psychotherapy for People with Schizophrenia: Eight Core Elements That Define Practice
      • Introduction
      • Defining the Core Elements of a Metacognitive-Focused Psychotherapy for Psychosis
      • Assumptions about Metacognition in Schizophrenia from a Clinical Perspective
      • Psychotherapy and Metacognition in Schizophrenia: Six General Preconditions
      • Eight Elements of a Metacognitive Therapy for Schizophrenia
      • The Eight Elements Synthesis and Measurement of Adherence
      • Limitations
      • References
    • Chapter 13. Adapted-Metacognitive Interpersonal Therapy Applied to Paranoid Schizophrenia: Promoting Higher Levels of Reflection on One’s and Others’ Minds, Awareness of Interpersonal Schemas, Differentiation, and Mastery of Social Problems
      • Introduction
      • Promoting Higher-Order Metacognitive Functions with Adapted for Psychosis Metacognitive Interpersonal Therapy
      • Case Presentation: Background Information
      • Adapted-Metacognitive Interpersonal Therapy: General Principles and Summary of the First Part of Treatment
      • Awareness of a Disturbed Interpersonal Schema and Differentiation Between the Schema and Actual Relationships
      • Promoting Healthy Aspects of the Self
      • Promoting Reflection on Others’ Minds
      • Focus on Personally Relevant Goals, Social Exposure, and Metacognitive Mastery for Symptoms and Social Problems
      • Conclusions
      • References
    • Chapter 14. Triumphs and Tribulations in the Psychotherapy of Schizophrenia: Reflections from a Pilot Study of Metacognitive Narrative Psychotherapy
      • Introduction
      • A Dialogical Model of Impoverished Self-Experience in Schizophrenia
      • Treatment Model and Manual
      • Implementation of the Intervention
      • Treatment Outcome
      • Impediments in Developing and Implementing New Interventions
      • Paradigms, Prejudice, and Evidence-Based Practice
      • The Gate-Keeping Role of Established Health Services
      • Translating Results from Research Settings Into Everyday Practice
      • The Nature of the Intervention
      • Facilitating the Development and Implementation of New Interventions
      • Therapist Qualities
      • Therapist Support
      • Use of a Principle-Based Treatment Manual
      • Partnerships Between Researchers and Clinicians
      • Conclusions
      • References
    • Chapter 15. A Mentalization-Based Treatment Approach to Disturbances of Social Understanding in Schizophrenia
      • Introduction
      • Attachment and Mentalization
      • Attachment, Mentalization, and Psychosis
      • Mentalization-Based Treatment for Psychosis
      • Conclusion
      • References
    • Chapter 16. The Relationship Between Metacognitive Profile, Attachment Pattern, and Intersubjective Process in Psychotherapy of a Person Recovering from First-Episode Schizophrenia
      • Introduction
      • The Case of Camellia
      • Discussion: Metacognition, Attachment, and Psychotic Symptoms
      • References
    • Chapter 17. Metacognition-Oriented Social Skills Training
      • Introduction
      • Interventions for Social Recovery: The State of the Art
      • The Constructs of Metacognition and Regulation of the Therapy Relationship
      • Mosst: The Program
      • Metacommunication and Metacognitive Feedback: The Mater Model
      • Conclusions
      • References
    • Chapter 18. Experimental Usage of Oxytocin to Combat Deficits in Social Cognition in Schizophrenia
      • Introduction
      • Translational Work on the Effect of Oxytocin on Social Cognition
      • Oxytocin in Human Social Cognition
      • Oxytocin in Schizophrenia
      • Potential Pathways to Improve Social Cognitive Deficits in Schizophrenia by Oxytocin
      • Limitations and Future Directions
      • References
    • Chapter 19. Social Cognition and Metacognition in Schizophrenia: Research to Date and Directions for the Future
      • Introduction
      • The Biologic and Social Underpinnings of Disturbances in Social Cognition and Metacognition in Schizophrenia
      • Forms of Social Cognitive and Metacognitive Deficits Found in Schizophrenia
      • Developing Treatments for Social Cognitive and Metacognitive Deficits Found in Schizophrenia
      • Areas of Debate and Future Direction
      • Summary and Future Research
      • References
    • Index

Product details

  • No. of pages: 354
  • Language: English
  • Copyright: © Academic Press 2014
  • Published: July 4, 2014
  • Imprint: Academic Press
  • eBook ISBN: 9780124051744
  • Hardcover ISBN: 9780124051720

About the Editors

Paul Lysaker

Affiliations and Expertise

Roudebush VA Medical Center, Indianapolis, IN, USA

Giancarlo Dimaggio

Affiliations and Expertise

Centro di Terapia Metacognitiva Interpersonale, Rome, Italy

Martin Brune

Affiliations and Expertise

LWL-University Hospital, University of Bochum, Germany

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  • GARY M. Wed Jun 08 2022


    ....ordered his book! Thanks. PRRC-SELF-STUDIES ROUDEBUSH VAMC INDIANAPOLIS. THANKS, gary.