| Metacognitive mastery dysfunctions in personality disorder psychotherapy. | |
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MedLine Citation:
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PMID: 21329989 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Individuals with Personality Disorders (PDs) have difficulties to modulate mental states and cope with interpersonal problems according to a mentalistic formulation of the problem. In this article we analyzed the first 16 psychotherapy sessions of 14 PD patients in order to explore whether their abilities to master distress and interpersonal problems were actually impaired and how they changed during the early therapy phase. We used the Mastery Section of the Metacognition Assessment Scale, which assesses the use of mentalistic knowledge to solve problems and promote adaptation. We explored the hypotheses that a) PD patients had problems in using their mentalistic knowledge to master distress and solve social problems; b) the impairments were partially stable and only a minimal improvement could be observed during the analyzed period; c) patients' mastery preferences differed from one another; d) at the beginning of treatment the more effective strategies were those involving minimal knowledge about mental states. Results seemed to support the hypotheses; the patients examined had significant difficulties in mastery abilities and these difficulties persisted after 16 sessions. Moreover the attitudes towards problem-solving were not homogenous across the patients. We finally discuss implications for assessment and treatment of metacognitive disorders in psychotherapy. |
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Authors:
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Antonino Carcione; Giuseppe Nicolò; Roberto Pedone; Raffaele Popolo; Laura Conti; Donatella Fiore; Michele Procacci; Antonio Semerari; Giancarlo Dimaggio |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-2-15 |
Journal Detail:
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Title: Psychiatry research Volume: - ISSN: 0165-1781 ISO Abbreviation: - Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-2-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7911385 Medline TA: Psychiatry Res Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier Ltd. All rights reserved. |
Affiliation:
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Terzo Centro di Psicoterapia Cognitiva - Scuola di Psicoterapia Cognitiva (SPC) Training School in Cognitive Psychotherapy, Rome, Italy. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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