Lysaker Paul H, Keane Jennifer E, Culleton Sara Poirier, Lundin Nancy B
Roudebush Veteran Affairs Medical Center, Indiana University School of Medicine, USA.
Indiana State University, USA.
Schizophr Res Cogn. 2019 Nov 4;19:100167. doi: 10.1016/j.scog.2019.100167. eCollection 2020 Mar.
In this special issue, work is presented linking metacognition among persons with schizophrenia with a range of psychosocial outcomes including vocational functioning, empathy, motivation, self-evaluation, and other cognitive functions. This overview will highlight how these works allow for the quantitative study of processes which underpin alterations in self-experience in schizophrenia, which in turn allows self-experience to be studied as part of a larger set of brain-based and social phenomena whose interaction influences the trajectory of one's life and illness. We explore the hypothesis that metacognitive capacity, as a node in a larger biopsychosocial network, may be accessible by psychosocial treatment and, if successfully targeted, may disrupt the processes which perpetuate disability. Limitations and directions for future research are also discussed.
在本期特刊中,展示了一系列研究成果,这些研究将精神分裂症患者的元认知与一系列心理社会结果联系起来,包括职业功能、同理心、动机、自我评估和其他认知功能。本综述将重点介绍这些研究如何有助于对精神分裂症自我体验改变背后的过程进行定量研究,进而使自我体验能够作为一组更大的基于大脑和社会现象的一部分进行研究,这些现象的相互作用会影响一个人的生活和疾病轨迹。我们探讨了这样一个假设:元认知能力作为一个更大的生物心理社会网络中的一个节点,可能通过心理社会治疗来改善,如果成功靶向,可能会破坏导致残疾持续存在的过程。还讨论了研究的局限性和未来研究方向。