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[精神分裂症患者的元认知训练:方法描述与临床实践经验]

[The metacognitive training for schizophrenia patients: description of method and experiences from clinical practice].

作者信息

Gaweda Łukasz, Moritz Steffen, Kokoszka Andrzej

机构信息

II Klinika Psychiatryczna, Warszawski Uniwersytet Medyczny.

出版信息

Psychiatr Pol. 2009 Nov-Dec;43(6):683-92.

Abstract

The aim of this article is to describe a structuralised cognitive group therapy - the meta-cognitive training for schizophrenia patients, developed in 2005 by S. Moritz and T. S. Woodward. This method is based on research results regarding cognitive biases observed in schizophrenia patients, which were briefly described. The metacognitive training could be administered by a therapist with group experience with psychotic patients, who donot have any formal psychotherapeutic certification. The metacognitive training for schizophrenia included eight modules, each designed in order to manage particular cognitive biases. The aim of each is clearly formulated and each session has its own, designed for separate cognitive bias, exercise set. These are the following sessions: 1) attribution style; 2) jumping to conclusion: part 1; 3) changing beliefs; 4) Theory of Mind: to empathize 1; 5) Memory; 6) Theory of Mind: to empathize 2; 7) jumping to conclusion: part 2; 8) self-esteem and mood. Each training module with relevant training set is described. Literature review suggested, that metacognitive training could decrease symptom severity and increase insight ratings. Preliminary clinical experiences of the Polish metacognitive training for schizophrenia were discussed.

摘要

本文旨在描述一种结构化认知团体疗法——精神分裂症患者的元认知训练,该疗法由S. 莫里茨和T. S. 伍德沃德于2005年开发。本文简要描述了该方法所基于的有关精神分裂症患者认知偏差的研究结果。元认知训练可由具有精神病患者团体治疗经验但没有任何正规心理治疗资质认证的治疗师实施。精神分裂症的元认知训练包括八个模块,每个模块都是为处理特定的认知偏差而设计的。每个模块的目标都明确制定,且每个疗程都有针对各自认知偏差设计的练习集。这些疗程如下:1)归因风格;2)草率下结论:第一部分;3)信念改变;4)心理理论:共情1;5)记忆;6)心理理论:共情2;7)草率下结论:第二部分;8)自尊与情绪。文中描述了每个带有相关训练集的训练模块。文献综述表明,元认知训练可降低症状严重程度并提高领悟评分。文中还讨论了波兰针对精神分裂症的元认知训练的初步临床经验。

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