Metacognitive Therapy(<Special Issue>Cognitive and Behavioral Therapies)

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  • Imai Shoji
    Institute of Applied Brain Sciences, Organization for University Research Initiatives, Waseda University:Research Council, Waseda University
  • Imai Chizuko
    Advanced Research Center for Human Sciences, Waseda University

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  • メタ認知療法(<特集>認知/行動療法)
  • メタ認知療法
  • メタ ニンチ リョウホウ

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This paper describes the theoretical background and treatment methods of Wells' Metacognitive Therapy (MCT). First, one of the fundamental theories of MCT the Self-Regulatory Executive Function (S-REF) model, is described. S-REF consists of a metasystem unit, a low-level processing unit, and a S-REF unit in which all disorders are linked to the activation of a dysfunctional pattern of cognitive processing called Cognitive Attention Syndrome (CAS). Modification of CAS plays an integral role in MCT for all emotional disorders. The two main methods of treating CAS are modifying (negative/positive) metacognitive beliefs and increasing attentional fiexibility. Using an example case of a patient with GAD, the methods for modifying metacognitive beliefs by focusing on the worry function rather than the worry content are summarized. Concerning the modification of attentional fiexibility, the Attention Training (ATT) procedure and theoretical background are illustrated from the perspective of the S-REF model. Finally, the effective use of MCT and the implications of the S-REF model for scientific development are discussed.

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