Arnon-Ribenfeld Nitzan, Bloom Rachel, Atzil-Slonim Dana, Peri Tuvia, de Jong Steven, Hasson-Ohayon Ilanit
Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel (Arnon-Ribenfeld, Bloom, Atzil-Slonim, Peri, Hasson-Ohayon); Department of Clinical Psychology, University of Amsterdam, Amsterdam (de Jong).
Am J Psychother. 2018 Dec 1;71(4):175-185. doi: 10.1176/appi.psychotherapy.20180037. Epub 2018 Nov 26.
People with schizophrenia spectrum disorder face a major challenge in the ability to reflect on their own and others' mental activities and about specific psychological problems in their lives. These deficits are associated with increased symptoms and lower functioning. Specific interventions have been designed to enhance these abilities, one of which is metacognitive reflection and insight therapy (MERIT). Several case studies and a recent pilot study have shown increased metacognitive abilities and a decrease in symptoms among clients after MERIT. This article presents two case studies of clients diagnosed with schizoaffective disorder whose psychotherapy, conducted in Israel, incorporated the MERIT protocol. Outcome measures were taken before and after treatment, and metacognitive abilities were assessed at five time points throughout treatment. Clinical implications and limitations are discussed.
精神分裂症谱系障碍患者在反思自己及他人的心理活动以及生活中特定心理问题方面面临重大挑战。这些缺陷与症状加重和功能降低有关。已设计出特定干预措施来提高这些能力，其中之一是元认知反思与洞察疗法（MERIT）。多项案例研究和最近的一项试点研究表明，接受MERIT治疗后，患者的元认知能力有所提高，症状有所减轻。本文介绍了两名被诊断为分裂情感性障碍患者的案例研究，他们在以色列接受的心理治疗采用了MERIT方案。在治疗前后进行了结果测量，并在整个治疗过程中的五个时间点评估了元认知能力。文中还讨论了临床意义和局限性。
