Hostname: page-component-7c8c6479df-r7xzm Total loading time: 0 Render date: 2024-03-28T10:18:23.441Z Has data issue: false hasContentIssue false

Individualized Metacognitive Therapy Program for Patients with Psychosis (MCT+): Introduction of a Novel Approach for Psychotic Symptoms

Published online by Cambridge University Press:  01 May 2013

Francesca Bohn Vitzthum*
Affiliation:
University Medical Center Hamburg-Eppendorf, Germany
Ruth Veckenstedt
Affiliation:
University Medical Center Hamburg-Eppendorf, Germany
Steffen Moritz
Affiliation:
University Medical Center Hamburg-Eppendorf, Germany
*
Reprint requests to Francesca Bohn Vitzthum, University Medical Center Hamburg-Eppendorf, Department of Psychiatry and Psychotherapy, Martinistraße 52, D-20246 Hamburg, Germany. E-mail: f.bohn@uke.uni-hamburg.de

Abstract

Background: Metacognitive Group Training for Schizophrenia Patients (MCTg) focuses on dysfunctional thinking styles (e.g. cognitive biases) putatively involved in the formation and maintenance of delusions. Recently, the Individualized Metacognitive Therapy Program for Patients with Psychosis (MCT+), an extension of the group training, was released. MCT+ sessions aim to correct false metacognitive beliefs, which in turn should challenge a patient's personal delusional convictions. Aims: The present study demonstrates how MCT and MCT+ can be combined and how the contents are conveyed to the patient. Method: We present a single case study of a patient undergoing a combined treatment of MCT and MCT+. Before intervention and 4 weeks later the Positive and Negative Syndrome Scale (PANSS) and the Psychotic Symptom Rating Scales (PSYRATS) were administered. Results: The patient showed a substantial symptom reduction after 4 weeks of combined therapy of MCTg and MCT+ as measured with PANSS and PSYRATS. Conclusions: The present case history lends preliminary evidence for the feasibility of this new treatment approach in psychosis.

Type
Brief Clinical Reports
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bell, V., Halligan, P. W. and Ellis, H. D. (2006). Explaining delusions: a cognitive perspective. Trends in Cognitive Sciences, 10, 219226.CrossRefGoogle ScholarPubMed
Haddock, G., McCarron, J., Tarrier, N. and Faragher, E. B. (1999). Scales to measure dimensions of hallucinations and delusions: the Psychotic Symptom Rating Scales (PSYRATS). Psychological Medicine, 29, 879889.Google Scholar
Kay, S. R., Opler, L. A. and Lindenmayer, J. P. (1989). The Positive and Negative Syndrome Scale (PANSS): rationale and standardisation. British Journal of Psychiatry, 155(suppl. 7), 5967.CrossRefGoogle Scholar
Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. and Woodward, T. S. (2010a). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561569.Google Scholar
Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. and Woodward, T. S. (2010b). Metacognitive Training for Patients with Schizophrenia (MCT). Hamburg: VanHam Campus.Google Scholar
Moritz, S., Veckenstedt, R., Randjbar, S. and Vitzthum, F. (2011). Individualized Metacognitive Therapy Program for Patients with Psychosis (MCT+). Berlin: Springer.Google Scholar
Wykes, T., Steel, C., Everitt, B. and Tarrier, N. (2008). Cognitive behavior therapy for schizophrenia: effect sizes, clinical models, and methodological rigor. Schizophrenia Bulletin, 34, 523537.Google Scholar
Supplementary material: File

Vitzthum Supplementary Material

Vitzthum Supplementary Material

Download Vitzthum Supplementary Material(File)
File 711.2 KB
Submit a response

Comments

No Comments have been published for this article.