AI Article Synopsis
- The article discusses how early theories of schizophrenia highlight a decrease in individuals' ability to develop cohesive self and social concepts, which leads to diminished complex goal-oriented behaviors.
- It reviews evidence that people with schizophrenia suffer from significant metacognitive deficits, meaning they struggle to form and utilize complex ideas about themselves and their surroundings, affecting their responses to various challenges.
- The text also summarizes research that connects these metacognitive issues to poorer psychosocial functioning and highlights the implications for clinical practice.
Article Abstract
Early formulations of schizophrenia suggested that the disorder involves a loss of ability to form integrated ideas about oneself, others, and the world, resulting in reductions in complex goal-directed behaviors. Exploring this position, the current review describes evidence that persons with schizophrenia experience decrements in their ability to form complex ideas about themselves and to ultimately use that knowledge to respond to psychological and social challenges. Studies are detailed that find greater levels of these impairments, defined as metacognitive deficits, in persons with schizophrenia in both early and later phases of illness as compared with other clinical and community groups. Furthermore, studies linking metacognitive deficits with poorer psychosocial functioning and other variables closely linked to outcomes are summarized. Clinical implications are also discussed.
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| http://dx.doi.org/10.1097/NMD.0000000000000323 | DOI Listing |
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