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Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments

Bleuler suggested that fragmentation of thought, emotion and volition were the unifying feature of the disorders he termed schizophrenia. In this paper we review research seeking to measure some of the aspects of fragmentation related to the experience of the self and others described by Bleuler. We...

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Autores principales: Lysaker, Paul H., Minor, Kyle S., Lysaker, John T., Hasson-Ohayon, Ilanit, Bonfils, Kelsey, Hochheiser, Jesse, Vohs, Jenifer L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889776/
https://www.ncbi.nlm.nih.gov/pubmed/31828019
http://dx.doi.org/10.1016/j.scog.2019.100142
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author Lysaker, Paul H.
Minor, Kyle S.
Lysaker, John T.
Hasson-Ohayon, Ilanit
Bonfils, Kelsey
Hochheiser, Jesse
Vohs, Jenifer L.
author_facet Lysaker, Paul H.
Minor, Kyle S.
Lysaker, John T.
Hasson-Ohayon, Ilanit
Bonfils, Kelsey
Hochheiser, Jesse
Vohs, Jenifer L.
author_sort Lysaker, Paul H.
collection PubMed
description Bleuler suggested that fragmentation of thought, emotion and volition were the unifying feature of the disorders he termed schizophrenia. In this paper we review research seeking to measure some of the aspects of fragmentation related to the experience of the self and others described by Bleuler. We focus on work which uses the concept of metacognition to characterize and quantify alterations or decrements in the processes by which fragments or pieces of information are integrated into a coherent sense of self and others. We describe the rationale and support for one method for quantifying metacognition and its potential to study the fragmentation of a person's sense of themselves, others and the relative place of themselves and others in the larger human community. We summarize research using that method which suggests that deficits in metacognition commonly occur in schizophrenia and are related to basic neurobiological indices of brain functioning. We also present findings indicating that the capacity for metacognition in schizophrenia is positively related to a broad range of aspects of psychological and social functioning when measured concurrently and prospectively. Finally, we discuss the evolution and study of one therapy that targets metacognitive capacity, Metacognitive Reflection and Insight Therapy (MERIT) and its potential to treat fragmentation and promote recovery.
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spelling pubmed-68897762019-12-11 Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments Lysaker, Paul H. Minor, Kyle S. Lysaker, John T. Hasson-Ohayon, Ilanit Bonfils, Kelsey Hochheiser, Jesse Vohs, Jenifer L. Schizophr Res Cogn SI: Metacognition Article Bleuler suggested that fragmentation of thought, emotion and volition were the unifying feature of the disorders he termed schizophrenia. In this paper we review research seeking to measure some of the aspects of fragmentation related to the experience of the self and others described by Bleuler. We focus on work which uses the concept of metacognition to characterize and quantify alterations or decrements in the processes by which fragments or pieces of information are integrated into a coherent sense of self and others. We describe the rationale and support for one method for quantifying metacognition and its potential to study the fragmentation of a person's sense of themselves, others and the relative place of themselves and others in the larger human community. We summarize research using that method which suggests that deficits in metacognition commonly occur in schizophrenia and are related to basic neurobiological indices of brain functioning. We also present findings indicating that the capacity for metacognition in schizophrenia is positively related to a broad range of aspects of psychological and social functioning when measured concurrently and prospectively. Finally, we discuss the evolution and study of one therapy that targets metacognitive capacity, Metacognitive Reflection and Insight Therapy (MERIT) and its potential to treat fragmentation and promote recovery. Elsevier 2019-04-24 /pmc/articles/PMC6889776/ /pubmed/31828019 http://dx.doi.org/10.1016/j.scog.2019.100142 Text en © 2019 Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle SI: Metacognition Article
Lysaker, Paul H.
Minor, Kyle S.
Lysaker, John T.
Hasson-Ohayon, Ilanit
Bonfils, Kelsey
Hochheiser, Jesse
Vohs, Jenifer L.
Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments
title Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments
title_full Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments
title_fullStr Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments
title_full_unstemmed Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments
title_short Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments
title_sort metacognitive function and fragmentation in schizophrenia: relationship to cognition, self-experience and developing treatments
topic SI: Metacognition Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889776/
https://www.ncbi.nlm.nih.gov/pubmed/31828019
http://dx.doi.org/10.1016/j.scog.2019.100142
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