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espanolLos deficits en el funcionamiento social son un sintoma caracteristico de la esquizofrenia y han sido ampliamente descritos en la literatura. Como resultado, el entrenamiento en habilidades sociales (EHS) se considera una parte esencial del tratamiento integral para la esquizofrenia y su inclusion se recomienda en diversas guias clinicas internacionales del trastorno. Sin embargo, diferentes estudios han revelado que los programas actuales de EHS tienen un efecto limitado en cuanto a sus beneficios potenciales sobre el funcionamiento psicosocial cotidiano de los pacientes. El presente trabajo tiene por objetivo presentar un nuevo marco de intervencion que integra el entrenamiento metacognitivo y el EHS para pacientes con esquizofrenia: el entrenamiento en habilidades sociales orientado a la metacognicion (MOSST). La justificacion teorica de MOSST se sustenta en los recientes hallazgos que sugieren el papel central de los deficits metacognitivos en el funcionamiento psicosocial de estos pacientes. Por este motivo, MOSST pretende no solo entrenar las habilidades interpersonales sino tambien mejorar la comprension de los estados mentales propios y ajenos, asi como la relacion entre estos y el comportamiento social efectivo. Para facilitar la descripcion de MOSST, su implementacion se ilustra a traves de un paciente con esquizofrenia que finalizo con exito el programa completo. Por ultimo, se discuten las implicaciones clinicas de los resultados disponibles hasta la fecha con MOSST, sus limitaciones y las direcciones futuras de investigacion. EnglishMetacognition-oriented Social Skills Training (MOSST): Theoretical Framework, Working Methodology and Treatment Description for Patients with Schizophrenia. The presence of social deficits in schizophrenia has been widely described in literature as well as the negative impact of these deficits on psychosocial functioning. As a result, social skills training (SST) has emerged as a well-validated intervention that is recommended in several treatment guidelines for schizophrenia. However, different studies have found that the effects and generalizability of current SST programmes are limited regarding the potential benefits on daily psychosocial functioning of these patients. This paper aims to describe a newly developed intervention model that integrates metacognitive remediation into SST for patients affected by schizophrenia: metacognition-oriented social skills training (MOSST). Theoretical model of MOSST is based on recent findings suggesting the central role of metacognitive deficits to successful psychosocial functioning in schizophrenia. Thereby, MOSST focuses not only on train interpersonal skills but also on improving the understanding of one’s own mental states and those of the others as well as the connection between mental states and effective social behaviour. In order to facilitate the treatment description, a case report of an adult diagnosed by schizophrenia who successfully completed the programme is presented. Finally, clinical implications and limitations of available evidence on MOSST are discussed, and future research directions with this programme are pointed out.

papeles del psicólogo

Entrenamiento en habilidades sociales orientado a la Metacognición (MOSST): Marco teórico, metodología de trabajo y descripción del tratamiento para pacientes con Esquizofrenia