Premium
Metacognitive reflection and insight therapy in an inpatient setting: Transforming messianism to a coherent mission
Author(s) -
CohenChazani Yael,
Lysaker Paul H.,
Roe David,
HassonOhayon Ilanit
Publication year - 2021
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.23209
Subject(s) - psychology , psychotherapist , metacognition , cognitive reframing , context (archaeology) , psychosocial , mental health , reflection (computer programming) , cognitive psychology , psychiatry , cognition , paleontology , biology , computer science , programming language
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.