Metacognitive reflection and insight therapy (MERIT) is an integrative form of psychotherapy which seeks to help adults with serious mental illness make sense of the psychosocial challenges and possibilities they face and decide how to respond to them and direct their own recovery. In this article, we present an adaptation of MERIT to the context of an inpatient ward with an accompanied case illustration. Specifically, we describe how this approach is supported by a broad intersubjective framework, followed by a presentation of processes and contents of the treatment. Special attention is given to the concurrent improvements in reflective abilities and overall well-being of the patient. The unique role that psychotherapy in general, and approaches that emphasize reflective processes in particular, play during acute crises in an inpatient setting is discussed.

中文翻译：

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住院环境中的元认知反思和洞察力治疗：将弥赛亚主义转变为连贯的使命

元认知反思和洞察力疗法 (MERIT) 是心理疗法的一种综合形式，旨在帮助患有严重精神疾病的成年人了解他们面临的心理社会挑战和可能性，并决定如何应对这些挑战并指导他们自己的康复。在本文中，我们展示了 MERIT 对住院病房环境的改编，并附有案例说明。具体来说，我们描述了这种方法如何得到广泛的主体间框架的支持，然后介绍处理的过程和内容。特别关注患者反思能力和整体健康的同时改善。一般心理治疗的独特作用，以及特别强调反思过程的方法，