ABSTRACT

Background

This paper explores a possible dialogue between Metacognitive Training (MCT) for psychosis and the tradition of phenomenological psychopathol-ogy. MCT includes modules targeting cognitive and affective biases that are purported to be key mechanisms in the generation and maintenance of delusions in schizophrenia. Work in phenomenological psychopathology has also considered underlying psychological processes associated with delusions, emphasizing how distinct types of anomalous experiences may act as pathways to different types of delusions. Phenomenology’s emphasis on the variety of delusional experiences suggests the importance of considering whether particular modules of MCT might be especially suited to the treatment of specific delusion types.

Methods

A scoping review was used to determine whether module-specific effects on specific types of delusions occurring in SchizophreniaSpectrum Disorders (SSD) have been examined in research on MCT.

Results

Results suggest that although some module-specific research exists, the heterogeneity of delusions has not been fully considered in MCT research.

Discussion

We offer examples of possible ways in which particular MCT modules may be differentially effective, and we advocate placing greater focus on the phenomenology and measurement of different types of delusions in future research.

中文翻译：

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精神分裂症的元认知训练：范围审查和现象学评估

摘要

背景

本文探讨了精神病的元认知训练 (MCT) 与现象学精神病理学传统之间可能存在的对话。MCT 包括针对认知和情感偏见的模块，这些偏见据称是精神分裂症妄想的产生和维持的关键机制。现象学精神病理学的工作还考虑了与妄想相关的潜在心理过程，强调不同类型的异常经历如何充当不同类型妄想的途径。现象学对各种妄想经验的强调表明，考虑 MCT 的特定模块是否可能特别适合治疗特定妄想类型的重要性。

方法

范围审查用于确定模块对精神分裂症谱系障碍 (SSD) 中发生的特定类型妄想的影响是否已在 MCT 研究中得到检验。

结果

结果表明，尽管存在一些特定于模块的研究，但在 MCT 研究中尚未充分考虑错觉的异质性。

讨论

我们提供了特定 MCT 模块可能产生不同效果的可能方式的示例，我们主张在未来的研究中更加关注现象学和不同类型妄想的测量。