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Metacognitive Therapy: Cognition Applied To Regulating Cognition

Published online by Cambridge University Press:  01 November 2008

Adrian Wells*
Affiliation:
University of Manchester, UK
*
Reprint requests to Adrian Wells, University of Manchester, Academic Division of Clinical Psychology, Rawnsley Building, MRI, Manchester M13 9WL, UK. E-mail: adrian.wells@manchester.ac.uk

Abstract

The theory and principles of Metacognitive therapy (MCT) are described and data supporting its effects are summarized. MCT does not advocate challenging of negative automatic thoughts or traditional schemas. It proposes the existence of a universal maladaptive thinking style that causes disorder and focuses on helping patients regulate their cognition more adaptively. It aims to reduce worry and rumination and alter problematic patterns of attention and coping. In doing so it targets underlying metacognition that controls thinking and helps patients develop new ways of consciously experiencing inner events. Data from treatment studies suggest that individual MCT techniques and full treatment are highly effective. Further randomized trials are clearly warranted.

Type
New and Emerging Areas
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

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References

Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. New York: International Universities Press.Google Scholar
Cavanagh, M. J. and Franklin, J. (2000). Attention Training and Hypochondriasis: preliminary results of a controlled treatment trial. Paper presented at the World Congress of Behavioral and Cognitive Therapies, Vancouver, Canada.Google Scholar
Colbear, J. and Wells, A. (in preparation). A controlled trial of metacognitive therapy for PTSD.Google Scholar
Fisher, P. L. and Wells, A. (2005). Experimental modification of beliefs in obsessive-compulsive disorder: a test of the metacognitive model. Behaviour Research and Therapy, 43, 821829.CrossRefGoogle ScholarPubMed
Fisher, P. L. and Wells, A. (2008). Metacognitive therapy for obsessive-compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry, 39, 117132.CrossRefGoogle ScholarPubMed
Jacobson, N. S. and Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 1219.CrossRefGoogle ScholarPubMed
Papageorgiou, C. and Wells, A. (1998). Effects of attention training in hypochondriasis: a brief case series. Psychological Medicine, 28, 193200.CrossRefGoogle ScholarPubMed
Papageorgiou, C. and Wells, A. (2000). Treatment of recurrent major depression with attention training. Cognitive and Behavioral Practice, 7, 407413.CrossRefGoogle Scholar
Siegle, G. J., Ghinassi, F. and Thase, M. E. (2007). Neurobehavioral therapies in the 21st century: summary of an emerging field and an extended example of cognitive control training for depression. Cognitive Therapy and Research, 31, 235262.CrossRefGoogle Scholar
Simons, M., Schneider, S. and Herpertz-Dahlmann, B. (2006). Metacognitive therapy versus exposure and response prevention for pediatric obsessive compulsive disorder. Psychotherapy and Psychosomatics, 75, 257264.CrossRefGoogle ScholarPubMed
Valmaggia, L., Bouman, T. K. and Schuurman, L. (2007). Attention training with auditory hallucinations: a case study. Cognitive and Behavioral Practice, 14, 127133.CrossRefGoogle Scholar
Wells, A. (1990). Panic disorder in association with relaxation-induced anxiety: an attention training approach to treatment. Behavior Therapy, 21, 273280.CrossRefGoogle Scholar
Wells, A. (1995). Meta-cognition and worry: a cognitive model of generalized anxiety disorder. Behavioural and Cognitive Psychotherapy, 23, 301320.CrossRefGoogle Scholar
Wells, A. (2000). Emotional Disorders and Metacognition: innovative cognitive therapy. Chichester, UK: Wiley.Google Scholar
Wells, A. (2005). Detached mindfulness in cognitive therapy: a metacognitive analysis and ten techniques. Journal of Rational-Emotive and Cognitive- Behavior Therapy, 23, 337355.CrossRefGoogle Scholar
Wells, A. (2008). Metacognitive Therapy for Anxiety and Depression. New York: Guilford Press.Google Scholar
Wells, A., Fisher, P. L., Myers, S., Wheatley, J., Patel, T. and Brewin, C. (in press). Metacognitive therapy in recurrent and persistent depression: a multiple-baseline study of a new treatment. Cognitive Therapy and Research.Google Scholar
Wells, A., Fisher, P. L., Myers, S., Wheatley, J., Patel, T. and Brewin, C. (in preparation). An open trial of metacognitive therapy in major depressive disorder.Google Scholar
Wells, A. and King, P. (2006). Metacognitive therapy for generalized anxiety disorder: an open trial. Journal of Behavior Therapy and Experimental Psychiatry, 37, 206212.CrossRefGoogle ScholarPubMed
Wells, A. and Matthews, G. (1994). Attention and Emotion: a clinical perspective. Hove, UK: Erlbaum.Google Scholar
Wells, A. and Matthews, G. (1996). Modelling cognition in emotional disorder: the S-REF model. Behaviour Research and Therapy, 34, 881888.CrossRefGoogle ScholarPubMed
Wells, A. and Papageorgiou, C. (1998). Social phobia: effects of external attention on anxiety, negative beliefs, and perspective taking. Behavior Therapy, 29, 357370.CrossRefGoogle Scholar
Wells, A. and Sembi, S. (2004). Metacognitive therapy for PTSD: a preliminary investigation of a new brief treatment. Journal of Behavior Therapy and Experimental Psychiatry, 35, 307318.CrossRefGoogle ScholarPubMed
Wells, A., Welford, M., Fraser, J., King, P., Mendel, E., Wisely, J., Knight, A. and Rees, D. (2008). Chronic PTSD treated with metacognitive therapy: an open trial. Cognitive and Behavioral Practice, 15, 8592.CrossRefGoogle Scholar
Wells, A., Welford, M., King, P., Papageorgiou, C., Wisely, J. and Mendel, E. (in preparation). A randomized trial of metacognitive therapy versus applied relaxation in the treatment of generalized anxiety disorder.Google Scholar
Wells, A., White, J. and Carter, K. (1997). Attention training: effects on anxiety and beliefs in panic and social phobia. Clinical Psychology and Psychotherapy, 4, 226232.3.0.CO;2-M>CrossRefGoogle Scholar
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