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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 ,
Ruth Veckenstedt  and
Steffen Moritz
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: [email protected]
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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.

Keywords

SchizophreniapsychosisCBTdelusions
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 42 , Issue 1 , January 2014 , pp. 105 - 110
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

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