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Metacognitive Therapy: Distinctive Features (CBT Distinctive by Peter Fisher

By Peter Fisher

Metacognitive treatment relies at the precept that fear and rumination are common strategies resulting in emotional sickness. those methods are associated with misguided ideals approximately considering and unhelpful self-regulation options. Metacognitive treatment: particular gains is an creation to the theoretical foundations and healing rules of metacognitive remedy. Divided into sections, conception and perform and utilizing thirty key issues, the authors discover how metacognitive treatment can permit humans to flee from repetitive considering styles that frequently bring about lengthy mental misery. This publication is a useful source for either scholars and practitioners wishing to enhance a easy figuring out of metacognitive remedy and the way it compares and contrasts with conventional types of cognitive behavioural treatment.

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These can be either positive, “rituals give me peace of mind”, or negative, “my rituals are out of control”. No other approach explicitly formulates positive and negative beliefs about rituals, although such beliefs may be modified fortuitously during cognitive and behavioural interventions. As is the case with the other disorders, the case formulation in PTSD is concerned with conveying how the cognitive attentional syndrome maintains PTSD symptoms, described in detail in Points 14 and 30. g. “the belief that worry keeps me safe will drive me to continue to use worry”.

The image might be in black and white or colour; it doesn’t matter, just notice the tiger. The tiger might move, but don’t make it move; just watch how the image develops over time, but do not try to influence it; simply watch the image of the tiger in a passive way. These tasks are practised in session, but can also be used as homework tasks to promote detached mindfulness. The ultimate goal for patients is to “do nothing” upon noticing an intrusive thought, whether it occurs in the form of a worry, a negative automatic thought, an obsession, an aversive memory or an image.

However, worry/rumination postponement is only one way of modifying uncontrollability beliefs. The MCT therapist could utilize loss of control experiments, in which the patient is specifically requested to try and lose control of their worrying. This can be done in session or as a homework task. There is a paradoxical effect when patients conduct this experiment, as patients view their worrying as more controllable, thus demonstrating that loss of control is not possible. In OCD, patients believe they will lose control of their thoughts or will not have peace of mind if they do not remove an obsessional doubt.

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