title: Metacognitive mastery dysfunctions in personality disorder psychotherapy.
abstract: Individuals with personality disorders (PDs) have difficulties in modulating mental states and in coping with interpersonal problems according to a mentalistic formulation of the problem. In this article we analyzed the first 16 psychotherapy sessions of 14 PD patients in order to explore whether their abilities to master distress and interpersonal problems were actually impaired and how they changed during the early therapy phase. We used the Mastery Section of the Metacognition Assessment Scale, which assesses the use of mentalistic knowledge to solve problems and promote adaptation. We explored the hypotheses that a) PD patients had problems in using their mentalistic knowledge to master distress and solve social problems; b) the impairments were partially stable and only a minimal improvement could be observed during the analyzed period; c) patients' mastery preferences differed from one another; d) at the beginning of treatment the more effective strategies were those involving minimal knowledge about mental states. Results seemed to support the hypotheses; the patients examined had significant difficulties in mastery abilities, and these difficulties persisted after 16 sessions. Moreover, the attitudes towards problem-solving were not homogenous across the patients. Lastly, we discuss implications for assessment and treatment of metacognitive disorders in psychotherapy.
authors.affiliation: Terzo Centro di Psicoterapia Cognitiva - Scuola di Psicoterapia Cognitiva (SPC)/Training School in Cognitive Psychotherapy, Rome, Italy. carcione@terzocentro.it
authors.forename: Antonino
authors.initials: A
authors.lastname: Carcione
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Nicolò
authors.forename: Roberto
authors.initials: R
authors.lastname: Pedone
authors.forename: Raffaele
authors.initials: R
authors.lastname: Popolo
authors.forename: Laura
authors.initials: L
authors.lastname: Conti
authors.forename: Donatella
authors.initials: D
authors.lastname: Fiore
authors.forename: Michele
authors.initials: M
authors.lastname: Procacci
authors.forename: Antonio
authors.initials: A
authors.lastname: Semerari
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Dimaggio
mesh_terms: D000328:Adult; D003072:Cognition Disorders / Q000209:etiology / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D010554:Personality Disorders / Q000150:complications / Q000523:psychology / Q000628:therapy; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult