Department of Psychology, Bar-Ilan University.
Eskenazi Health, Midtown Community Mental Health.
Psychotherapy (Chic). 2017 Sep;54(3):245-251. doi: 10.1037/pst0000114. Epub 2017 Jul 10.
Incorporating behavioral activation into psychotherapy with persons with psychosis requires adaptation in its conceptualization and application owing to special deficits in the self-experience. Persons with psychosis often experience a diminished or disorganized sense of self, and have deficits in coherently narrating the experience of the self and in the ability to make sense of how to take action and direct their own lives. Based on a metacognitive model of disability in psychosis, the current paper presents a therapy process of a woman coping with schizophrenia using Metacognitive Reflection and Insight Therapy (Lysaker and Dimaggio, 2014) in the framework of an intersubjective model for psychotherapy with persons with psychosis presented by Hasson-Ohayon, Kravetz, and Lysaker (2016a). The case in point and its following discussion highlight the important significance of metacognitive encouragement as a first step of behavioral activation. (PsycINFO Database Record
将行为激活纳入精神病患者的心理治疗需要对其概念和应用进行调整，因为自我体验存在特殊缺陷。精神病患者通常自我体验减弱或紊乱，在连贯地叙述自我体验以及理解如何采取行动和指导自己的生活方面存在缺陷。基于精神病中残疾的元认知模型，本文介绍了一位女性使用元认知反思和洞察疗法（Lysaker 和 Dimaggio，2014）应对精神分裂症的治疗过程，该疗法是 Hasson-Ohayon、Kravetz 和 Lysaker（2016a）提出的精神病患者心理治疗的主体间模型的一部分。这个案例及其后续讨论强调了元认知鼓励作为行为激活第一步的重要意义。
