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Metakognitives Training für Psychose (MKT) 5.0
Metacognitive Training for Psychosis (MCT) 5.0

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*MCT is available in at least one official language spoken in this part of the world

MCT Version 5.0

Metacognitive training (MCT) is novel cognitive approach for the treatment of positive symptoms in schizophrenia. Press on your flag below for further information (e.g., theoretical background, administration) and a free version of the MCT in your language (for a manual press here).

Metakognitives Training (MKT) ist ein neuer Ansatz zur Behandlung positiver Schizophreniesymptome. Unten erhalten Sie weitere Informationen (u.a. theoretischer Hintergrund, Durchführungshinweise); das Trainingsmanual finden Sie hier.

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German
German

English
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Dutch
Dutch

French
French

Spanish
Spanish
Portuguese
Portuguese

Norwegian
Norwegian

Swedish
Swedish

Finnish
Finnish

Italian
Italian

Danish
Danish

The below MCT versions can be found here

Polish
Polish
Czech
Czech
Croatian
Croatian
Slovak 
Slovak
Slovene
Slovene
Serbian
Serbian
Montenegrin
Montenegrin
Romanian
Romanian
Russian
Russian
Greek
Greek
Turkish
Turkish
Arabic
Arabic
Hebrew
Hebrew
(version 4.2)
Chinese1
Chinese
(traditional)
ChineseII
Chinese
(modern)
Indian
Hindi
Korean
Korean
Japanese
Japanese
Indonesian
Indonesian
Farsi
Farsi
       


Videos demonstrating cognitive biases that are aimed to assist group MCT can be found below


New developments beyond the group MCT/Neuentwicklungen jenseits des Gruppen-MKT:

 MCT+

 MCT+

 

Individualisiertes Metakognitives

Therapieprogramm für Psychose

(enthält Manual, CD, Tests &
Therapiematerialien)

Buchvorschau/Probekapitel

MCT+: preliminary
English version
(free of charge)

Metakognitives Training 
für Zwang
 
(2. erweiterte Auflage)

English version: press here

MCT+ combines the process-oriented approach of the MCT group training with elements from individual cognitive-behavioral therapy (CBT, i.e. transfer of learning units relating to jumping to conclusions and other biases to experiences, observations and symptoms of the individual patient). Each MCT+ module involves multiple exercises that are adapted to the patient's needs and problems: www.uke.de/mkt_plus


Updates


Psychotherapy Prize 2010 by the German Society for Psychiatry and Psychotherapy awarded for MCT.
Der Psychotherapiepreis 2010 der Deutschen Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde wurde für das MKT verliehen.

Metakognitives Training für schizophrene Patienten (MKT)

Bitte beachten Sie unseren Spendenaufruf

Einleitung (aus dem deutschen Manual)

Brauchen wir kognitives Training für Patienten mit Schizophrenie?

Die Schizophrenie ist ein komplexes psychiatrisches Störungsbild, dessen Kernsymptome Wahn, Halluzinationen und Ich-Störungen umfassen. Im vergangenen Jahrzehnt hat ein Umdenken in der Behandlung von Patienten mit Schizophrenie stattgefunden. Die pharmakologische Therapie mit Neuroleptika stellt weiterhin die Primärbehandlung dar. Zunehmend wird jedoch ein tief verwurzelter Vorbehalt gegenüber der psychotherapeutischen Behandlung schizophrener Patienten kritisch hinterfragt. Insbesondere angesichts des hohen Anteils von Patienten, die nicht oder kaum auf Neuroleptika ansprechen oder die diese aufgrund von Nebenwirkungen oder mangelnder Krankheitseinsicht absetzen (Byerly, Nakonezny, & Lescouflair, 2007; Elkis, 2007; Voruganti, Baker, & Awad, 2008), ist die Erforschung komplementärer psychotherapeutischer und kognitiver Behandlungsstrategien in den letzten Jahren stark vorangetrieben worden. Vor allem verhaltenstherapeutische Maßnahmen haben sich als sinnvolle Ergänzung der Pharmakotherapie erwiesen (Wykes, Steel, Everitt, & Tarrier, 2008). Das vorliegende metakognitive Training(*) basiert auf den theoretischen Grundlagen der Verhaltenstherapie der Schizophrenie, wählt aber einen anderen Behandlungsansatz.

Was ist metakognitives Training?
Im Rahmen von acht Trainingseinheiten (Modulen) werden den teilnehmenden Patienten kognitive Fehler und einseitige Problemlösestile spielerisch vor Augen geführt, die einzeln oder in der Gesamtheit die Entwicklung von falschen Überzeugungen bis hin zum Wahn begünstigen (Freeman, 2007; Moritz & Woodward, 2007). Die Patienten werden angeleitet, ihr bisheriges Problemlöseverhalten kritisch zu reflektieren, zu verändern und die Inhalte des Trainings im Alltag umzusetzen. Da eine Psychose selten plötzlich erfolgt, sondern meist eine schleichende Veränderung in der Bewertung eigener Empfindungen sowie der sozialen Umwelt vorausgeht (z.B. Klosterkötter, 1992), knüpfen wir die Hoffnung, dass eine Stärkung der metakognitiven Kompetenz prophylaktisch wirkt. Merkblätter mit Hausaufgaben, die am Ende der Sitzungen ausgegeben werden, sollen diesen Prozess unterstützen.

Am Anfang jeder Einheit stehen psychoedukative Elemente und „Normalisierung“: Mit Hilfe vieler Beispiele und Übungen wird in das jeweilige Themengebiet (z.B. voreiliges Schlussfolgern) eingeführt und die allgemeine Fehlbarkeit menschlicher Kognition thematisiert und illustriert. Im zweiten Schritt werden pathologische Ausformungen der jeweiligen Denkverzerrung besprochen: Den Patienten wird behutsam vermittelt, wie es durch Zuspitzungen (normaler) Denkfallen zu Problemen in der Alltagsbewältigung bis hin zum Wahn kommen kann. Dies wird mit Fallbeispielen zum Thema Psychose veranschaulicht, die den Teilnehmern Gelegenheit für den Austausch von Erfahrungen bieten. Der Patient wird angeleitet, eigene Denkfallen zu erkennen und zu entschärfen. Auch dysfunktionale Copingstrategien (Vermeidung, Gedankenunterdrückung) kommen in diesem Kontext zur Sprache, die sukzessive durch hilfreichere Bewältigungsstrategien ersetzt werden sollen.

Zu den problematischen Denkstilen, welche als mögliche Entstehungsmechanismen für Wahn diskutiert werden, zählen Verzerrungen des Zuschreibungsstils (z.B. ein selbstdienlicher Zuschreibungsstil, Modul 1), voreiliges Schlussfolgern (Modul 2 und 7), mangelnde Korrigierbarkeit (Modul 3), Defizite der sozialen Einfühlung (Modul 4 und 6), übermäßige Urteilssicherheit für Gedächtnisfehler (Modul 5) und depressive Denkschemata (Modul 8). Einschränkend muss darauf hingewiesen werden, dass manche der den acht Modulen zugrunde liegenden theoretischen Annahmen empirisch zwar gut belegt, jedoch weiterhin Gegenstand aktueller Forschungsdebatten sind (Freeman, 2007).
Die Behandlungsmodule werden im Rahmen einer Gruppenintervention durchgeführt. Das Metakognitive Training verfolgt das übergeordnete Ziel, die „kognitive Infrastruktur“ des Wahns zu stören. In neueren Versionen des MKT wurde daher der Bezug zwischen den behandelten Denkstilen mit Wahn und Psychose stärker hervorgehoben. Zu Beginn unseres Vorhabens befürchteten wir, dass ein zu direktes und symptom-orientiertes Vorgehen viele Patienten überfordern könnte. Diese Sorge hat sich jedoch nicht bewahrheitet. Eine tiefergehende Auseinandersetzung mit individuellen Wahnthemen soll dennoch therapeutischen Einzelgesprächen vorbehalten sein. Die Materialien des Metakognitiven Trainings können hierfür selbstverständlich verwendet werden. Ab 2010 liegt zudem eine „Individualisierte Metakognitive Therapie für schizophrene Patienten“ (MKT+) vor, die aufbauend auf dem Gruppenansatz vielfältige Materialien für eine Einzeltherapie enthält (Moritz, Veckenstedt, Randjbar & Vitzthum, 2010).

MCT to putin

Abbildung - Worum geht es im MKT I? Das MKT zielt auf kognitive Verzerrungen, die bei der Psychose eine Rolle spielen. Die Abbildung soll auf lustige Weise eines der Hauptziele des MKT veranschaulichen: man sollte sich nicht zu voreiligen Schlussfolgerungen verleiten lassen, wenn nur wenige Informationen vorliegen. Im Beispiel: Gesichtsausdrücke sind ein Hinweis aber kein 100% Beweis, um auf Emotionen zu schließen. Andere Hinweise sollten ebenfalls berücksichtigt werden (das Beispiel ist übrigens auf viele andere Politiker und öffentliche Personen übertragbar, die nicht eben für ihr reges Mienenspiel bekannt sind, z.B. Wolfgang Schäuble oder Peer Steinbrück).

Klopp

Abbildung - Worum geht es im MKT II? Das weltberühmte „Klopp-Gesicht“ kann vieles bedeuten. Geballte Faust, gebleckte Zähne und verengte Augen scheinen Ärger zu signalisieren. In diesem Fall drücken sie jedoch Freude über einen Sieg aus! Ziel des MKT ist es, sich nicht zu schnell zu festen unverrückbaren Urteilen verleiten zu lassen.

Es war uns wichtig, kein theoriegeleitetes aber „trockenes“ Trainingsprogramm zu entwickeln. Durch den interaktiven und unterhaltenden Charakter des Programms soll die Aufmerksamkeit der Patienten gefesselt und die Nachhaltigkeit der Trainingseffekte gesteigert werden. Entsprechend wurde auch auf "Pauk"-Aufgaben gänzlich verzichtet. Basale kognitive Störungen, wie z.B. Konzentrationsdefizite, sind daher nicht Gegenstand des Programms. Unseres Erachtens ist es fraglich, ob diesen Störungen der Status von spezifischen Vulnerabilitätsfaktoren der Schizophrenie zukommt. Vielfach sind entsprechende Auffälligkeiten auch bei anderen psychiatrischen Gruppen zu finden.
Da die Einheiten des Metakognitiven Trainings zumeist selbsterklärend sind und um eine möglichst individuelle Gestaltung des Trainings zu ermöglichen, waren wir bestrebt, das Manual kurz zu halten.

(*): Metakognition lässt sich beschreiben als „das Denken über unser Denken“. Metakognition beinhaltet sowohl unsere Fähigkeit, Entscheidungen situationsgemäß auszuwählen, als auch die Art und Weise, wie wir Informationen bewerten, gewichten und wie wir mit möglichen kognitiven Einschränkungen umgehen.  

Übersichtsartikel aktueller Forschungsbefunde zum MKT:
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. Clinical Psychology Review, 34, 358-366. MCT2014

Moritz, S., Veckenstedt, R., Bohn. F., Köther, U. & Woodward, T. S. (2013). Metacognitive training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358-383). New York: Oxford University Press. download: MCT_2013

Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. & Woodward, T. S. (2010). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561-569. download: Current Opinion 2010

Moritz, S. & Woodward, T. S. (2007): Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619-625. download: Current_Opinion_2007


Download (Zyklus A & B; 16 Einheiten)

Die kostenfreie Verwendung ist gestattet unter dem Vorbehalt, dass keine kommerzielle Nutzung erfolgt. Es gelten die gesetzlichen Bestimmungen des Urheberrechts (z.B. keine Verfremdung der Materialien, keine Einarbeitung von Folien in andere Anwendungsprogramme ohne Rücksprache mit den Autoren).

Über die folgenden Pfade können Sie die insgesamt 8 Module (je 2 Parallelversionen) sowie Hausaufgaben herunterladen. Sie sind Therapeut und möchten das Manual zusammen mit einer Vorlage der gelben und roten Karte sowie Übersichtsartikeln zum MKT kostenlos beziehen? Nehmen Sie an der online-Registrierung teil. Sofern Sie das metakognitive Training anwenden, senden Sie uns bitte eine kurze Mitteilung. Wir freuen uns jederzeit über Kommentare und Anregungen.

Modul (Version 5.0)

Zyklus A

Zyklus B

Zuschreibungsstil Modul1A Modul1B                        
Voreiliges Schlussfolgern I Modul2A Modul2B
Korrigierbarkeit Modul3A Modul3B
Einfühlung I Modul4A Modul4B
Gedächtnis Modul5A Modul5B                
Einfühlung II

Modul6A
Modul6A_II*

Modul6B
Modul6B_II*
Voreiliges Schlussfolgern II Modul7A Modul7B
Selbstwert & Stimmung Modul8A Modul8B
Gruppenregeln (vergrößern & ausdrucken) und Merkblätter

Regeln
Merkblatt
       

Manual, Überblicksartikel sowie Vorlage für die gelbe und rote Karte, kostenlos beziehbar über online-Registrierung  

 

* = Alternativ-Version (siehe Manual)

Für die Präsentation benötigen Sie den Adobe Reader, welchen Sie kostenlos beziehen können unter http://www.adobe.com/de/products/reader/. Bei Aufruf der Module stellen Sie den Acrobat Reader auf den Vollbildmodus (Strg + L).

 Karten

Jeder Patient erhält eine gelbe und rote Karte, die problemlos in die Brieftasche passen (Kartenvorlagen erhalten Sie mit dem download des Manuals!). Auf der gelben Karte stehen drei essentielle Fragen, die den Patienten bewegen sollen, nochmals inne zu halten, bevor falsche, voreilige und v.a. folgenschwere Schlussfolgerungen gezogen werden:
1. Was sind die Beweise?; 2. Gibt es andere Sichtweisen?; 3. Selbst wenn ich recht habe - reagiere ich über?
Auf der roten Karte soll der Patient Namen und Rufnummern von Menschen und Institutionen eintragen, welche ihm helfen können, eine Krise zu meistern.

Helfen Sie uns helfen!
Angesichts der angespannten finanziellen Situation vieler Kliniken ist es unser Bestreben, dieses Trainingsprogramm auch in Zukunft kostenlos anzubieten. Forschung frisst aber in Zeiten knapper öffentlicher Kassen nicht nur eine Menge Freizeit der Beteiligten sondern vielfach auch private finanzielle Mittel. Wenn Sie uns in unserem Bemühen unterstützen möchten, weiterhin kostenfrei entsprechende Materialien zum Download anzubieten, würden wir uns sehr über eine Spende freuen. Selbstverständlich unterstützen wir jeden mit Rat und Tat bei Rückfragen oder Umsetzungsproblemen, unabhängig davon, ob gespendet wurde oder nicht. Niemand soll sich moralisch dazu verpflichtet fühlen!
Wir versprechen, dass alle Spenden in unsere Forschungsbemühungen einfließen (anstehende Aufgaben: z.B. Übersetzung des Manuals in weitere Sprachen, Anfertigung neuer Graphiken, Durchführung des MKT in anderen Einrichtungen). Kontaktieren Sie uns gerne, um Möglichkeiten des Sponsorings zu besprechen. Auf Wunsch kann Ihnen eine offizielle Spendenbescheinigung ausgestellt werden (senden Sie hierfür Ihre Kontaktdaten an: moritz@uke.de).

Kontoinhaber: UKE AG Neuropsychologie
Bank: Hamburger Sparkasse (Bankleitzahl: 200 505 50)
Kontonummer: 1234 363636
Betreff (unbedingt angeben, da es sich um ein Sammelkonto handelt): 0470-001 MKT
IBAN: DE54200505501234363636
BIC/Swift: HASPDEHHXXX
unsere Sponsoren: www.uke.de/psych_sponsor

Neu - MKT+

Unsere Individualisierte Metakognitive Therapie für Menschen mit Psychose (MKT+) ist 2010 im Springer-Verlag herausgebracht worden. Das MKT+ verbindet den prozessorientierten Ansatz des Gruppen-MKT mit Elementen individueller kognitiver Verhaltenstherapie (d.h. Übertragung der Lerneinheiten zu voreiligem Schlussfolgern und anderen Denkverzerrungen auf Erfahrungen, Alltagsbeobachtungen und Symptome des Patienten; jedes Modul besitzt zahlreiche Übungen, die den Bedürfnissen und Problemen des Patienten problemslos angepasst werden können). Der Autorenerlös kommt ohne jeden privaten Selbstbehalt unserer Forschung zugute.

Randomisiert kontrollierte Studie zum MKT+: Moritz, S., Veckenstedt, R., Randjbar, S., Vitzthum, F. & Woodward, T. S. (2011). Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms. Psychological Medicine, 41, 1823-1832 download article

MKT+ Kasuistik: Bohn, F., Veckenstedt, R. & Moritz, S. (in press).Individualized metacognitive therapy program for patients with psychosis (MCT+). Introduction of a novel approach for psychotic symptoms. Behavioural and Cognitive Psychotherapy download article

Metacognitive Training for Patients with Schizophrenia (MCT)

Please note that you now have the choice between two versions of the English MCT: MCT modules in British-English or American-English. We would like to thank the coauthors of the British-English version Caroline Stevens and Marit Hausschildt for their contribution.

Please note our request for donations at the end!
Introduction (from the manual)

Why cognitive training for schizophrenia?

Schizophrenia is a complex psychiatric disorder. Its core symptoms are delusions and hallucinations.
The past decade has witnessed a shift in our thinking and treatment of schizophrenia. Psychopharmacological treatment with neuroleptics still represents the primary form of therapy. However, the past deep-rooted reservation against psychotherapy for schizophrenia is now being increasingly questioned. In view of the high numbers of patients who show little or no response to neuroleptics or who discontinue treatment because of side-effects and lack of insight (Byerly, Nakonezny, & Lescouflair, 2007; Elkis, 2007; Voruganti, Baker, & Awad, 2008), the research on complementary psychotherapeutic and cognitive treatment strategies is gaining increasing importance. Cognitive-behavioral treatment, in particular, has proven to be a useful complementary approach to psychopharmacology (Wykes, Steel, Everitt, & Tarrier, 2008).

What is Metacognitive Training?
The present metacognitive training program (*) is based on the theoretical foundations of the cognitive-behavioral model of schizophrenia, but employs a somewhat different therapeutic approach. The metacognitive training program is comprised of eight modules targeting common cognitive errors and problem solving biases in schizophrenia. These errors and biases may, on their own, or in combination, culminate in the establishment of false beliefs to the point of delusions (Freeman, 2007; Moritz & Woodward, 2007). The aim of these sessions is to raise the participants’ awareness of these distortions and to prompt them to critically reflect on, complement, and change their current repertoire of problem solving. Since psychosis is not a sudden and instantaneous incident, but is instead often preceded by a gradual change in the appraisal of one’s cognitions and social environment (e.g. Klosterkötter, 1992), empowering metacognitive competence may act prophylactically on psychotic breakdown. Homework that is handed to the participants at the end of each session assists with this process.
Each module starts with psychoeducational elements and “normalizing“: by means of many examples and exercises the respective domain is introduced (e.g. jumping to conclusions) and the fallibility of human cognition discussed and illustrated. In a second step, the pathological extremes for each cognitive bias are highlighted: The participants are introduced to how exaggerations of (normal) thinking biases lead to problems in daily life and sometimes may culminate in delusions. This is illustrated with case examples of people with psychosis, providing the opportunity for group participants to exchange their own experiences if they feel so inclined. Patients learn to detect and defuse cognitive traps. Dysfunctional coping strategies (e.g., avoidance, thought suppression) are also highlighted in this context, along with ways of replacing them with more helpful strategies.

How is Metacognitive Training administered?
Among the problematic thinking styles recognized as potential contributors to the development of delusions are attributional distortions (module 1), a jumping to conclusions bias (module 2 and 7), a bias against disconfirmatory evidence (module 3), deficits in theory of mind (module 4 and 6), over-confidence in memory errors (module 5) and depressive cognitive patterns (module 8). Despite good empirical evidence on the validity of these accounts, some of them remain subject to ongoing scientific debate (Freeman, 2007).
The modules are administered within the framework of a group intervention program. The main purpose of metacognitive training is to change the “cognitive infrastructure” of delusional ideation. In recent MCT versions we emphasize the relationship between thinking styles, delusions and psychosis. Previously we were concerned that an overly confrontational and symptom-oriented approach could overstrain participants; however, this concern has proven unfounded. Nevertheless, it is recommended that individual delusional themes be addressed in one-to-one therapeutic sessions. Metacognitive training materials can be adapted for this purpose.

Putin to mct

What the MCT is about? The MCT targets cognitive biases involved in the pathogenesis of psychosis. This figure should illustrate, in an amusing fashion, a core aim of the MCT: Don‘t judge a book by its cover. In other words, don‘t make strong judgments based on little information. In this example: facial expressions can hint at emotions but are not 100% reliable proof - other cues should be considered as well (clearly, this is just an example which is applicable to many other politicians or celebrities who are well-known for their restricted facial expressions, like Danny Trejo or Chuck Norris (actors)).

We wanted to avoid designing a theory-driven but dry program. With their interactive and entertaining character, the sessions aim to capture the participants’ attention and exert a sustaied impact. To meet this goal, we have also refrained from incorporating any “drill & practice” tasks. Basic cognitive dysfunctions, such as attentional problems, are not specifically targeted, because these deficits are common in a variety of psychiatric groups, and it remains unclear whether they represent specific vulnerability factors of psychosis.
Since most aspects of the program are self-explanatory, the manual is kept fairly short and thus allows for individual variation in training implementation.

(*): Metacognition can be described as “thinking about one's thinking”, and involves the ability to select appropriate responses. It also encompasses the way we appraise and weigh information and how we cope with cognitive limitations.

overviews on current scientific findings demonstrating the efficacy of the MCT (for original articles see text)
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. Clinical Psychology Review, 34, 358-366. MCT2014

Moritz, S., Veckenstedt, R., Bohn. F., Köther, U. & Woodward, T. S. (2013). Metacognitive training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358-383). New York: Oxford University Press. download: MCT_2013

Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. & Woodward, T. S. (2010). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561-569. download: Current Opinion 2010

Moritz, S. & Woodward, T. S. (2007): Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619-625. download: Current_Opinion_2007


 Download (cycle A & B, 16 sessions)

The free download is permitted on the understanding that any commercial use is prohibited. Copyright regulations apply (e.g., no manipulation of material, no incorporation of slides into other programs without prior consultation of the authors). You can download the modules via the below links. You are a clinician or researcher and would like to receive the manual as a free pdf document along with the yellow and red card as well as review articles? Please register online. If you administer the Metacognitive Training for Schizophrenia Patients (MCT), please send us a short notification. We are grateful for both comments and criticism.

American-English Modules (Version 5.0)

Cycle A

Cycle B

Attribution - Blaming and Taking Credit Module1A Module1B         
Jumping to Conclusions I Module2A Module2B
Changing Beliefs Module3A Module3B
To Empathize I Module4A Module4B         
Memory Module5A Module5B
To Empathize II

Module6A
Module6AII*

Module6B
Module6BII*

Jumping to Conclusions II Module7A Module7B
Self-esteem and Mood Module8A Module8B
Rules (print out & bring to sessions) & Homework

Rules
Homework

Manual, overview articles and templates for red and yellow cards can be obtained for free via online-registration

 

British-English Modules (Version 5.0)

Cycle A

Cycle B

Attribution - Blaming and Taking Credit Module1A Module1B         
Jumping to Conclusions I Module2A Module2B
Changing Beliefs Module3A Module3B
To Empathize I Module4A Module4B         
Memory Module5A Module5B
To Empathize II

Module6A
Module6AII*

Module6B
Module6BII*

Jumping to Conclusions II Module7A Module7B
Self-esteem and Mood Module8A Module8B
Rules (print out & bring to sessions) & Homework

Rules
Homework

Manual, overview articles and templates for red and yellow cards can be obtained for free via online-registration

 

* = preferred (parallel) version (please see manual for more information)

For presentation, you need to install Adobe Reader; a free version can be downloaded via the following link: http://www.adobe.com/products/reader/. When starting the modules, set Acrobat Reader to the full screen mode (Ctrl + L).

Reminder 

 

Every participant of the MCT training receives a yellow and a red card, that easily fits into a purse (the templates can be obtained together with the manual). The yellow card asks three essential questions, which may help to prevent the formation of hasty, false and consequential conclusions:
1. What is the evidence?; 2. Are there alternative views?; 3. Even if it's like that...do I over-react?
On the red card, the patient is encouraged to write down the names of persons and institutions with corresponding telephone numbers who may help when a crisis occurs.

Help us helping!
In view of the troubling financial situation of many psychiatric hospitals, it is our goal to provide the metacognitive training program (MCT) free of charge. However, research does not only consume much of the free-time of those involved but also vast financial resources. If you want to support the MCT, we would be very grateful for donations. Clearly, we will help you, whether or not you have made a donation. No one should feel morally obliged to make a contribution.
We guarantee that all donations will go into the further development of the MCT (future tasks: translation of modules into other languages, new graphics, hiring of students to perform MCT in institutions). On request, we can send you a donation receipt (please send us an email with your address at moritz@uke.de). Please inquire about different possibilities for sponsorships. Donations can be made to the following account:

Pay To: UKE AG Neuropsychologie
Bank (sort code): Hamburger Sparkasse (200 505 50)
Account Number: 1234 363636
Account title (this is crucial to ensure that your donation reaches us): 0470-001 MCT
IBAN: DE54200505501234363636
BIC/Swift: HASPDEHHXXX
Sponsoring: www.uke.de/psych_sponsor

Interested in our MCT self-help concept for obsessive-compulsive disorder? Please visit: www.uke.de/mymct

New - MCT+

Our Individual Metacognitive Therapy for Psychosis (MKT+) is now available at: www.uke.de/mkt_plus. MCT+ combines the process-oriented approach of the group training with elements from individual cognitive-behavioral therapy (i.e. transfer of learning units relating to jumping to conclusions and other biases to individual experiences, observations and symptoms of the patient, each module involves multiple exercises that are adapted to the needs and problems of the patient).

Randomized controlled trial on MCT+: Moritz, S., Veckenstedt, R., Randjbar, S., Vitzthum, F. & Woodward, T. S. (2011). Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms. Psychological Medicine, 41, 1823-1832 download article

MCT+ case report: Bohn, F., Veckenstedt, R. & Moritz, S. (in press).Individualized metacognitive therapy program for patients with psychosis (MCT+). Introduction of a novel approach for psychotic symptoms. Behavioural and Cognitive Psychotherapy download article

Metacognitieve Training voor Patiënten met Schizofrenie (MCT)

translation team: Klaas de Boer (coordinator and co-author of Dutch version); Janneke Ferwerda (slides); Berber van der Vleugel (homework and correction of slides): Ilse Janssen (homework); Swanny Wieringa (manual); Marleen Monsma (manual); Maarten Peters (manual)

Neem alstublieft nota van ons verzoek om donaties aan het eind!

Introductie (uit de handleiding)
Waarom cognitieve training bij schizofrenie?
Schizofrenie is een complexe psychiatrische stoornis met wanen en hallucinaties als primaire symptomen.
In het afgelopen decennium heeft een wijziging plaatsgevonden in ons denken over schizofrenie en de behandeling ervan. Psychofarmacologisch behandeling met neuroleptica vormt nog steeds de kern van de behandeling. In het verleden bestond een diepgewortelde reserve ten aanzien van psychotherapie bij schizofrenie. Deze scepsis is in toenemende mate ondergraven. Tegen de achtergrond van het grote aantal patiënten dat niet of onvoldoende herstelt bij neuroleptica of stopt met medicatie vanwege bijwerkingen en/of ontbreken van ziekte-inzicht (Byerly, Nakonezny, & Lescouflair, 2007; Elkis, 2007; Voruganti, Baker, & Awad, 2008), heeft het zoeken naar complementaire psychotherapeutische en cognitieve strategieën in toenemende mate aan belang gewonnen. Van met name cognitief gedragstherapeutische behandelingen is aangetoond dat ze een zinvolle complementaire aanvulling vormen op psychofarmacologie (Wykes, Steel, Everitt, & Tarrier, 2008). De huidige metacognitieve training is gebaseerd op de theoretische uitgangspunten van het cognitief-gedragstherapeutische model bij schizofrenie, waarbij een enigszins andere therapeutische invalshoek is gekozen.

Het metacognitieve trainingsprogramma  bestaat uit acht modules waarin veel voorkomende denkfouten en een eenzijdige manier van probleem oplossen op een speelse manier aan bod komen. Denkfouten, vertekeningen en een eenzijdige copingstijl kunnen afzonderlijk of samen de ontwikkeling van foutieve overtuigingen of zelfs waanideeën bevorderen  (Freeman, 2007; Moritz & Woodward, 2007). Patiënten worden uitgenodigd kritisch te kijken naar hun manier van omgaan met problemen, deze te veranderen en de inhoud van de training toe te passen in de dagelijkse praktijk.
Omdat een psychose zelden plotseling ontstaat, maar meestal voorafgegaan wordt door geleidelijke veranderingen in de taxatie van eigen cognities of sociale omgeving , (bv. Klosterkötter, 1992), hopen we dat het verbeteren van metacognitieve vaardigheden een profylactische werking heeft. Huiswerkopdrachten, die aan het eind van de bijeenkomsten worden uitgedeeld, ondersteunen dit proces.

Elke module start met psycho-educatieve elementen en normaliserende alledaagse voorbeelden van de te behandelen denkstijl. Een domein (bijvoorbeeld overhaaste conclusies) wordt geïntroduceerd aan de hand van voorbeelden en oefeningen en de feilbaarheid van menselijke cognities wordt besproken en geïllustreerd. De tweede stap is het onder de aandacht brengen van bovenmatige (pathologische) vormen van elke cognitieve tendens. De deelnemers krijgen uitgelegd hoe uitvergroting van gangbare (normale) denkstijlen kan leiden tot problemen in het alledaagse leven en kan culmineren in waanvorming. Ter illustratie worden korte verhalen gepresenteerd van mensen met een psychose. Hierbij krijgen deelnemers die dat willen gelegenheid om eigen ervaringen uit te wisselen. Patiënten leren cognitieve valkuilen te ontdekken en daar niet in te lopen. Disfunctionele copingstrategieën (bijvoorbeeld, vermijden, onderdrukken van gedachten) worden hierbij onder de aandacht gebracht en manieren worden aangereikt om deze door meer behulpzame strategieën te vervangen.

Problematische denkstijlen met een potentieel luxerende werking voor het ontstaan van waanideeën zijn: vertekeningen bij attribueren (module 1), overhaaste conclusies (module 2 en 7), vasthouden aan overtuigingen bij confrontatie met informatie die de overtuiging in twijfel trekt (module 3), beperkt inlevingsvermogen (module 4 en 6), verhoogde zekerheid bij geheugenfouten (module 5) en depressogene denkschema’s (module 8). Hoewel er ruimschoots empirische evidentie bestaat voor de validiteit van de theoretische verklaringen, is een aantal nog wel onderwerp van wetenschappelijke discussie (Freeman, 2007).

De modules worden uitgevoerd in het kader van een groepsinterventie. Het belangrijkste doel van de metacognitieve training is om verandering aan te brengen in de “cognitieve infrastructuur” bij waanvorming.
In de meest recente versie van de MCT benadrukken we de relatie tussen denkstijlen, wanen en psychose. We waren aanvankelijk bezorgd dat een confronterende en symptoomgerichte benadering veel patiënten mogelijk zou overvragen. Deze zorg is tot nu toe niet bewaarheid. Desalniettemin bevelen we aan om persoonsgebonden waanachtige thema’s in individuele therapiesessies te bespreken. Vanzelfsprekend kan het materiaal uit de metacognitieve training hiervoor worden gebruikt.

We wilden geen theorie gestuurd trainingsprogramma met droge leerstof ontwikkelen. Het interactieve en onderhoudende karakter van de sessies beoogt de aandacht van patiënten vast te houden en het uiteindelijk trainingseffect te vergroten. Om dit doel te bereiken zagen we af van drill and practice oefeningen. Basale cognitieve beperkingen, zoals aandachtsstoornissen, zijn geen onderdeel van het programma. Dit soort beperkingen komen voor bij verschillende psychiatrische ziektebeelden en het is ook nog de vraag of zij een specifieke kwetsbaarheidfactor vormen voor psychose.

*: Metacognitie kunnen we omschrijven als het “denken over het denken”. Hieronder valt ons vermogen om weloverwogen beslissingen te nemen, de manier waarop we informatie waarderen en afwegen en hoe we omgaan met onze cognitieve beperkingen.

Literatuurverwijzingen: zie de  handleiding

Overzicht van momenteel beschikbare wetenschappelijk resultaten betreffende de MCT:
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. Clinical Psychology Review, 34, 358-366. MCT2014

Moritz, S., Veckenstedt, R., Bohn. F., Köther, U. & Woodward, T. S. (2013). Metacognitive training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358-383). New York: Oxford University Press. download: MCT_2013

Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. & Woodward, T. S. (2010). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561-569. download: Current Opinion 2010

Moritz, S. & Woodward, T. S. (2007): Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619-625. download: Current_Opinion_2007


Donaties
Gezien de zorgelijke financiële omstandigheden van vele psychiatrische instellingen, streven wij ernaar de metacognitieve training (MCT) ook in de toekomst kosteloos aan te bieden. Onderzoek is echter een kostbare aangelegenheid en vraagt van de medewerkers vaak niet alleen een investering in vrije tijd, maar ook in financieel opzicht. Als u de MCT wilt ondersteunen, zijn we dankbaar voor elke financiële bijdrage. Uiteraard kunt u met vragen en problemen bij het invoeren van onze training altijd bij ons terecht ongeacht eventuele financiële ondersteuning. Niemand is verplicht een bijdrage te geven.
Mocht u ons willen ondersteunen dan garanderen we dat elke bijdrage zal worden ingezet ten bate van de verdere ontwikkeling van de MCT (toekomstige taken zijn bijvoorbeeld vertalingen van de modules in andere talen, nieuwe vormgeving of het implementeren van MCT in andere instellingen). Op aanvraag kunnen wij u een afschrift van uw bijdrage toesturen. Giften kunnen worden overgemaakt op de volgende rekening:

Rekeninghouder: UKE AG Neuropsychologie
Bank (Bankcode): Hamburger Sparkasse (200 505 50)
Rekeningnummer: 1234 363636
Betreft: (essentieel aangezien het een verzamelrekening betreft): 0470-001 MCT
IBAN: DE54200505501234363636
BIC/Swift: HASPDEHHXXX
Sponsoring: www.uke.de/psych_sponsor


Download (cyclus A & B, 16 sessies)
Kosteloos downloaden is toegestaan, met dien verstande dat elk gebruik voor commerciële doeleinden verboden is. Copyright regels zijn van toepassing (geen bewerking van het materiaal, geen opname en gebruik van de dia´s in andere  programma´s zonder voorafgaand overleg en toestemming van de auteurs, e.d.). Stuur ons alstublieft een korte kennisgeving als u de Metacognitieve Training toepast bij patiënten met schizofrenie. We houden ons van harte aanbevolen voor commentaar en kritische opmerkingen.

Module (Version 5.0)

Cycle A

Cycle B

Attributiestijl Module1a Module1b
Overhaaste Conclusies I Module2a Module2b
Veranderen van Overtuiging Module3a Module3b
Zich inleven...I Module4a Module4b
Geheugen Module5a Module5b
Zich inleven...II

Module6a
Module6aII*

Module6b
Module6bII*
Overhaaste Conclusies II Module7a Module7b
Eigenwaarde & Stemming Module8a Module8b
Huiswerk training modules & Regelgeving

Huiswerk

Regelgeving
Pdf files van handleiding en overzichtsartikel zijn gratis verkrijgbaar (+ gele & rode kaart) via online registratie of email: 
         
info@metacognitievetraining.nl
(Aart Oosterveld)
moritz@uke.de 
(Steffen Moritz)

* = preferred (parallel) version  (please see manual for more information)

Om de presentatie te kunnen bekijken, dient u Adobe Reader te installeren; u kunt een gratis versie downloaden door te klikken op: http://www.adobe.com/products/reader/  
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Herinnering

Elke deelnemer aan de MCT training ontvang een gele en rode kaart die gemakkelijk in een portemonnee past*. Op de gele kaart staan drie centrale vragen die behulpzaam kunnen zijn om het trekken van overhaaste, foutieve conclusies met ingrijpende gevolgen te voorkomen: 1. Welke bewijzen heb ik?; 2. Op welke andere manier kan ik er ook naar kijken?; 3. Zelfs als ik gelijk heb...reageer ik dan niet te heftig?

Patiënten worden aangemoedigd om op de rode kaart namen en telefoonnummers te noteren van mensen en organisaties die kunnen helpen wanneer er sprake is van een crisis.

* The templates for the red and yellow cards can be obtained with the manual.

Entraînement des habiletés métacognitives pour les personnes atteintes de schizophrénie (EMC)

translation team: Jerome Favrod (coordinator & co-author of French version: jerome.favrod@hispeed.ch), Catherine Schwyn

Veuillez consulter la requête de donation à la fin!

Introduction (tirée du manuel)

Pourquoi un autre programme d’entraînement cognitif?
Il y a plusieurs facteurs qui ont dirigé notre décision de développer ce programme d’entraînement des habiletés métacognitives*. Depuis plusieurs années, nous nous sommes préoccupés de trouver un moyen de transférer dans un programme d’intervention, la richesse des savoirs sur les distorsions métacognitives dans la schizophrénie. De plus, en tant que chercheurs fondamentalistes, nous souhaitions être impliqués plus personnellement dans le traitement des patients atteints de schizophrénie. Ce programme à pour intention de réduire le fossé actuel entre la compréhension avancée des processus cognitifs et métacognitifs dans la schizophrénie et son utilisation pratique dans le traitement clinique.

Les huit modules de ce programme ciblent les erreurs cognitives communes et les biais de résolution de problèmes associés à la schizophrénie. Ces erreurs et biais peuvent à eux seuls ou combinés culminer dans le développement et le maintien de fausses croyances jusqu’aux délires. Le programme poursuit le but de rendre les patients conscients de ces distorsions, de les entraîner à les voir de façon critique, de compléter ou de changer leur répertoire de résolution de problèmes. La psychose n’est pas un événement soudain et momentané. Le plus souvent, elle est le résultat de changements graduels dans la façon d’appréhender ses propres pensées et l’environnement social. L’amélioration des compétences métacognitives pourrait agir de façon prophylactique sur les rechutes psychotiques. Des exercices à domicile et des documents sont remis à la fin de chaque session pour assister le processus.

Parmi les styles de pensée problématiques reconnus comme pouvant contribuer au développement des idées délirantes, on peut lister des troubles de l’attribution (module 1), une tendance à sauter aux conclusions (conclusions hâtives) (module 2 et 7), un biais contre les preuves infirmantes (module 3), des déficits dans la théorie de l’esprit, c’est-à-dire dans la capacité de comprendre l’intention d’autrui (module 4 et 6), une confiance augmentée dans les erreurs de mémoire (module 5), et des déficits dans l’estime de soi (module 8). Certains de ces biais de raisonnement sont soutenus par des preuves empiriques fortes, d’autres restent sujet de débats scientifiques tenaces.

Les modules sont administrés dans le cadre d’un programme d’intervention en groupe. Le but principal de l’entraînement métacognitif est de changer les fondements cognitifs de l’idéation délirante. Dans les versions plus récentes du MCT, l’accent est mis sur la relation existant entre les styles de pensée, les délires et la psychose. L’inquiétude préalable que cette approche soit trop confrontante et éprouvante pour les patients s’est vite avérée infondée. Toutefois, il est recommandé que les thèmes délirants personnels soient abordés dans des sessions thérapeutiques individuelles. Le matériel et les supports de l’entraînement métacognitif peuvent être utilisés et intégrés dans une approche individuelle.
Nous n’avons pas voulu élaborer un simple programme conduit de manière théorique et ennuyeuse. Avec son caractère interactif et divertissant, les séances cherchent à capter l’attention des patients et exercer un certain impact. Pour atteindre ce but, nous nous sommes également abstenus d’intégrer dans le programme des tâches répétitives d’entraînement. Les disfonctionnements cognitifs de base, comme les problèmes d’attention, ne sont pas le sujet de ce programme. Ces déficits sont fréquents dans de nombreux troubles psychiatriques et il n’est pas sûr qu’ils représentent des facteurs de vulnérabilité spécifique à la psychose.
Du fait que la plupart des aspects du programme sont explicites, le manuel reste relativement bref et laisse la place pour des variations dans l’implantation de l’entraînement. C’est pourquoi la lecture du présent manuel ne se substitue pas à une lecture approfondie des concepts théoriques sous-jacents.

*: La métacognition peut être définie comme la capacité de penser nos propres processus mentaux. Elle implique la capacité de sélectionner la réponse appropriée. Elle comprend également la façon d’appréhender et de considérer les informations et la manière de gérer les limites cognitives.

Revue des données scientifiques actuelles sur le MCT:
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. Clinical Psychology Review, 34, 358-366. MCT2014

Moritz, S., Veckenstedt, R., Bohn. F., Köther, U. & Woodward, T. S. (2013). Metacognitive training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358-383). New York: Oxford University Press. download: MCT_2013

Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. & Woodward, T. S. (2010). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561-569. download: Current Opinion 2010

Moritz, S. & Woodward, T. S. (2007): Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619-625. download: Current_Opinion_2007

Randomized controlled trial on MCT+ (individualized therapy): Moritz, S., Veckenstedt, R., Randjbar, S., Vitzthum, F. & Woodward, T. S. (2011). Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms. Psychological Medicine, 41, 1823-1832 download article

MCT+ case report: Bohn, F., Veckenstedt, R. & Moritz, S. (in press).Individualized metacognitive therapy program for patients with psychosis (MCT+). Introduction of a novel approach for psychotic symptoms. Behavioural and Cognitive Psychotherapy download article


Téléchargement (cycle A & B, 16 séances)
Le téléchargement gratuit est autorisé mais l’utilisation commerciale est interdite. Les règles de droits d’auteur sont applicables (exemple : interdiction de transformer le matériel, interdiction d’intégrer les diapositives dans d’autres présentations sans l’autorisation expresse des auteurs). Vous pouvez télécharger les huit modules (cycle 1 et 2) et les exercices via les liens ci-dessous. Si vous êtes un clinicien et que vous désirez recevoir le manuel comme un fichier pdf gratuitement, écrivez un message à moritz@uke.uni-hamburg.de (Steffen Moritz). Si vous conduisez le programme, entraînement des habiletés métacognitives pour les personnes atteintes de schizophrénie, nous vous serions reconnaissants de nous faire parvenir vos remarques et critiques à la même adresse.

Modules 5.0  Cycle A Cycle B 
Attribution – blâmer ou prendre sur soi Module1a  Module1b
Sauter aux conclusions I Module2a  Module2b
Changer des croyance Module3a Module3b 
Etre empathique I Module4a  Module4b 
Mémoire Module5a Module5b 
Etre empathique II Module6a Module6b
Sauter aux conclusions II Module7a Module7b
Estime de soi et humeur Module8a  Module8b 
Exercices & règles du groupe

Rules
Exercices

 
Les fichiers pdf du manuel et des articles de présentation (+ carte rouge & carte jaune) peuvent être obtenus gratuitement par l'enregistrement en ligne ou un message électronique (Jérôme Favrod)

 

 

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Rappel


Les participants au programme MCT reçoivent une carte rouge et une carte jaune qui peut facilement entrer dans un porte-monnaie*. La carte jaune pose trois questions essentielles qui peuvent être utiles pour prévenir le développement d’une conclusion hâtive, fausse ou suivie de conséquences négatives. 1. Quelles sont les preuves ? ; 2. Quelles sont les autres alternatives?  3. Même si j’ai raison, est-ce que je ne réagis pas trop fort ?
Avec la carte rouge, les participants sont encouragés à écrire les noms des personnes et institutions avec les numéros de téléphone correspondants qui peuvent aider si des crises surviennent.

Dons/parrainage
Au vu de la situation financière problématique de nombreux hôpitaux psychiatriques, notre but est de fournir le programme d’entraînement des habiletés métacognitives gratuitement. Toutefois, la recherche consomme une grande partie des temps libres des personnes impliquées ainsi que des ressources financières.  Si vous désirez soutenir le développement du programme, nous vous serions très reconnaissants de vos dons. Le programme est utilisable par n’importe qui sans tenir compte d’un soutien financier ou non. Personne ne doit se sentir obligé moralement de faire une contribution. Nous garantissons que toutes les donations iront dans le développement du programme MCT (les tâches futures : traduction des modules dans d’autres langues, nouveaux graphiques, engagement d’étudiants pour animer le programme dans des institutions). Sur demande, nous pouvons fournir un reçu de donation. S’il vous plaît étudier les différentes possibilités de parrainage. Les dons peuvent être faits au compte suivant: 

UKE AG Neuropsychologie
Banque (sort code): Hamburger Sparkasse (200 505 50)
Numéro de compte: 1234 363636
Titre du compte (cela est essentiel pour assurer que les dons nous parviennent: 0470-001 MCT
IBAN: DE54200505501234363636
BIC/Swift: HASPDEHHXXX
Sponsoring: www.uke.de/psych_sponsor

Interested in our MCT self-help concept for obsessive-compulsive disorder? Please visit: www.uke.de/mymct

* You obtain the templates for the red and yellow cards when downloading the manual.

Entrenamiento Metacognitivo para Pacientes con Esquizofrenia (EMC)

Translation: Maria Luisa Barrigón (marisabe@gmail.com), José Luis Rubio & Miguel Ruiz-Veguilla
Gladys Marina Arzola (co-author ciclo A) and Silvia Garcia Garcia

Por favor vea nuestro pedido de donaciones al final.

Introducción (del manual)
¿Por qué otro programa de entrenamiento cognitivo?

Hay varios factores por los cuales nos hemos decidido a desarrollar el presente programa de Entrenamiento Metacognitivo. Durante muchos años, nos hemos dedicado a la cuestión de cómo transferir el amplio conocimiento de las distorsiones cognitivas y metacognitivas en la esquizofrenia a un programa de intervención. Por otra parte, como investigadores básicos que somos, queríamos implicarnos más personalmente en el tratamiento de pacientes con esquizofrenia. Este programa se propone reducir el vacío actual entre la avanzada comprensión de los fundamentos cognitivos y metacognitivos en la esquizofrenia y su aplicación práctica en el tratamiento clínico.
El programa de Entrenamiento Metacognitivo se compone de ocho módulos que cubren diferentes temas acerca de los errores cognitivos más comunes y los sesgos cognitivos que son típicos de la esquizofrenia.  Se estima que estos errores y sesgos pueden culminar en la creación de falsas creencias hasta el punto de convertirse en delirios. Las sesiones tienen por objeto aumentar la conciencia del paciente sobre estas distorsiones y enseñarles a reflexionar sobre ellas de una forma crítica, a complementar y a cambiar su actual repertorio de soluciones de problemas. Dado que la psicosis no es un suceso repentino e instantáneo, sino que a menudo está precedida por un cambio gradual en la evaluación de los conocimientos propios y del entorno social, la potenciación de las competencias metacognitivas puede actuar como prevención de un episodio psicótico. Para ayudar en este proceso, se entrega a los participantes unas tareas para casa al final de cada sesión.
Entre los estilos de pensamiento problemáticos reconocidos como posibles contribuyentes al desarrollo de delirios se hallan los siguientes: un aumento en las atribuciones internas (Módulo 1), salto a conclusiones (Módulos 2 y 7), un sesgo hacia las evidencias disconfirmatorias de creencias iniciales (Módulo 3), incapacidad de tomar perspectiva o empatizar con otros (Módulos 4 y 6), un exceso de confianza en los errores de memoria (Módulo 5) y los patrones cognitivos depresivos (Módulo 8). A pesar de la gran base de datos empíricos sobre la validez de los estilos cognitivos, algunos de ellos siguen siendo objeto de debate científico.
Los módulos son administrados en el marco de un programa de intervención grupal. El propósito principal del EMC es cambiar la "infraestructura cognitiva" de la ideación delirante. En esta nueva versión del EMC hacemos hincapié en la relación entre los estilos de pensamiento, las alucinaciones y la psicosis. En un principio, nos preocupaba el hecho de que un enfoque de confrontación excesiva y orientado hacia los síntomas podría presionar demasiado a los pacientes. Sin embargo, esta preocupación no ha sido apoyada. No obstante, se recomienda que los temas de alucinaciones personales se traten en sesiones terapéuticas individuales. Se pueden adoptar materiales del Entrenamiento Metacognitivo para este propósito.
No hemos querido diseñar un programa meramente teórico. Gracias a su carácter interactivo y entretenido, las sesiones tienen que llamar la atención de los pacientes y ejercer un impacto sostenido. Para cumplir con este propósito, también nos hemos abstenido de incorporar tareas "drill-practice" que pudieran resultar redundantes o forzadas.  Las disfunciones cognitivas básicas, tales como problemas de atención, no forman parte del programa. Estas deficiencias son comunes en una variedad de grupos de trastornos psiquiátricos, por lo que no queda claro si representan factores de vulnerabilidad específicos de la psicosis.

Dado que la mayoría de los aspectos del programa se explican por sí mismos, el manual se mantendrá relativamente corto, permitiendo así una variación individual en la aplicación del EMC. Sin embargo, por esta razón, la mera lectura de las siguientes secciones de este manual no puede sustituir a un estudio en profundidad de los conceptos teóricos. Por favor refiéranse a la bibliografía adjunta.

(*): Metacognición puede ser descrito como "una reflexión sobre el pensamiento propio" y consiste en la capacidad de seleccionar las respuestas adecuadas. También abarca la manera de evaluar y sopesar la información y cómo hacer frente a las limitaciones cognitivas.

Publicación sobre los hallazgos actuales:
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. Clinical Psychology Review, 34, 358-366. MCT2014

Moritz, S., Veckenstedt, R., Bohn. F., Köther, U. & Woodward, T. S. (2013). Metacognitive training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358-383). New York: Oxford University Press. download: MCT_2013

Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. & Woodward, T. S. (2010). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561-569. download: Current Opinion 2010

Moritz, S., Vitzthum, F., Veckenstedt, R., Randjbar, S. & Woodward, T. S. (2010). Metacognitive training in schizophrenia: from basic research to intervention. International Encyclopedia of Rehabilitation. online version: http://cirrie.buffalo.edu/encyclopedia/article.php?id=149&language=en

Moritz, S. & Woodward, T. S. (2007): Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619-625. download: Current_Opinion_2007

Randomized controlled trial on MCT+: Moritz, S., Veckenstedt, R., Randjbar, S., Vitzthum, F. & Woodward, T. S. (2011). Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms. Psychological Medicine, 41, 1823-1832 download article

MCT+ case report:  Bohn, F., Veckenstedt, R. & Moritz, S. (in press).Individualized metacognitive therapy program for patients with psychosis (MCT+). Introduction of a novel approach for psychotic symptoms. Behavioural and Cognitive Psychotherapy download article


Descarga (ciclo A, 8 sesiones)
La descarga gratuita del material está permitida con el entendimiento de que cualquier uso comercial está prohibido. Se aplican las Normas de Derechos de Autor (Copyright) (por ejemplo, no alterar el material, no incorporar diapositivas a otros programas sin la consulta previa de los autores). Usted puede bajarse los 8 módulos (2 presentaciones para cada uno) y las tareas por medio de este enlace (ver tabla abajo). ¿Es usted un profesional clínico y desea recibir un ejemplar del manual del programa? Simplemente escriba un correo electrónico a: moritz@uke.uni-hamburg.de. Si desea suministrar el Programa de Entrenamiento Metacognitivo para Pacientes con Esquizofrenia (EMC), por favor envíenos una breve notificación. Deseamos conocer tanto sus comentarios como críticas.

Modulo (5.0)

Ciclo A

Ciclo B            

Atribucion - Acusar y Atribuirse el Mérito modulo 1a modulo 1b    
Saltar a Conclusiones I modulo 2a modulo 2b
Cambiar Creencias modulo 3a modulo 3b
Empatizar I modulo 4a modulo 4b
Memoria modulo 5a modulo 5b
Empatizar II modulo 6a
modulo 6aII

modulo 6b
modulo 6bII

Saltar a Conclusiones II modulo 7a modulo 7b
Autoestima y Estado de Animo modulo 8a modulo 8b
Tareas & Reglas del grupo

reglas
tareas

Escriba a la siguiente dirección para obtener un ejemplar del manual (+ tarjeta amarilla y roja):
online-registration

moritz@uke.de

Para la presentación de los módulos se necesita el Acrobat Reader, se puede obtener una versión gratuita en esta página: http://www.adobe.com/products/reader/. Cuando comience a presentar los módulos, cambie a pantalla completa en Acrobat Reader (marcando Ctrl + L).

Recordatorio


Cada participante recibe una tarjeta amarilla y una roja al final de su primer período de sesiones (véase página de internet), junto con las instrucciones sobre cómo utilizarlas*. La tarjeta amarilla plantea tres cuestiones fundamentales, que los pacientes deben consultar, cuando sea necesario. Por ejemplo, cuando uno se siente ofendido o injuriado él mismo debe preguntarse lo siguiente: 1. ¿Cuál es la evidencia?; 2. ¿Existen puntos de vista alternativos?; 3. Incluso si es así ... ¿estoy exagerando?
Estas preguntas están dirigidas hacia los pacientes para que rápidamente vuelvan a examinar las pruebas disponibles antes de precipitarse a asumir falsas decisiones.

En la tarjeta roja, se alienta al paciente a escribir los nombres y números de teléfono de las personas y las instituciones de su confianza que puedan ser de ayuda cuando sufra una crisis.

Donaciones/patrocinio
En vista de la preocupante situación financiera de muchos hospitales psiquiátricos, es nuestra meta ofrecer el programa de EMC de forma gratuita. Sin embargo, la investigación es costosa y no sólo consume gran parte del tiempo libre de los participantes, sino también a menudo vastos recursos financieros. Si usted desea apoyar a nuestro grupo de investigación, le agradeceríamos mucho sus donaciones. Evidentemente, apoyaremos y ayudaremos a cualquier persona, independientemente de una donación. Nadie debería sentirse moralmente obligado a hacer una contribución.
Además, garantizamos que todas las donaciones se utilizarán para el desarrollo del EMC (actualización de tareas, traducción de los módulos a otros idiomas, nuevos gráficos  y  contratación de estudiantes para la administración del programa). A petición, podemos enviarle un recibo de donación. Las donaciones deben hacerse a la siguiente cuenta:

Información de pago electrónico:
Centro Médico Universitario de Hamburgo - Eppendorf
Banco (código): Hamburger Sparkasse (200 505 50)
Número de Cuenta: 1234 363636
Concepto de la transferencia (es importante para asegurarse de que su donación llegue a nosotros): 0470-001 MCT
IBAN: DE54200505501234363636
BIC/Swift: HASPDEHHXXX
Sponsoring: www.uke.de/psych_sponsor

Interested in our MCT self-help concept for obsessive-compulsive disorder? Please visit: www.uke.de/mymct

* You obtain the templates for the red and yellow cards when downloading the manual.

Portuguese version: Metacognitive Training for Schizophrenia Patients (MCT)

Please note our request for donations at the end!

Translator and co-author of the Portuguese manual: Nuno Rocha, Cristina Queirós, Susana Aguiar, António Marques & Susana Pereira (nrocha@estsp.ipp.pt)

We regret that it is currently not possible to display  Portuguese characters on this web-site. However, a fully functional Portuguese version of the metacognitive training for schizophrenia patients can be downloaded below. For an overview about the MCT, please either read the English summary (see above) or our articles (see below).

Download (cycle A, 8 sessions)

The free download is permitted on the understanding that any commercial use is prohibited. Copyright regulations apply (e.g., no manipulation of material, no incorporation of slides into other programs without prior consultation of the authors). You can download the modules via the below links. You are a clinician or researcher and would like to receive the manual as a free pdf document along with the yellow and red card as well as review articles? Please register online. If you administer the Metacognitive Training for Schizophrenia Patients (MCT), please send us a short notification. We are grateful for both comments and criticism.

Module (pdf slides are in Portuguese; the below description is in English as this web-site cannot display Portuguese characters) Version 5.0

Modules

Attribution - Blaming and Taking Credit Module1A
Jumping to Conclusions I Module2A
Changing Beliefs Module3A
To Empathize I Module4A
Memory Module5A
To Empathize II

Module6A
Module6AII*

Jumping to Conclusions II Module7A
Self-esteem and Mood Module8A
Rules (print out & bring to sessions) & Homework

Rules
homework

Manual (Chinese, Czech, Dutch, English, French, German, Italian, Japanese, Korean, Montenegrin, Portuguese, Polish, Spanish), overview articles and templates for red and yellow cards can be obtained for free via online-registration or moritz@uke.de

nrocha@estsp.ipp.pt

* = preferred (parallel) version (please see manual for more information)

For presentation, you need to install Adobe Reader; a free version can be downloaded via the following link: http://www.adobe.com/products/reader/. When starting the modules, set Acrobat Reader to the full screen mode (Ctrl + L).

Help us helping!
In view of the troubling financial situation of many psychiatric hospitals, it is our goal to provide the metacognitive training program (MCT) free of charge. However, research does not only consume much of the free-time of those involved but also vast financial resources. If you want to support the MCT, we would be very grateful for donations. Clearly, we will help you, whether or not you have made a donation. No one should feel morally obliged to make a contribution.
We guarantee that all donations will go into the further development of the MCT (future tasks: translation of modules into other languages, new graphics, hiring of students to perform MCT in institutions). On request, we can send you a donation receipt (please send us an email with your address at moritz@uke.de). Please inquire about different possibilities for sponsorships. Donations can be made to the following account:

Pay To: UKE AG Neuropsychologie
Bank (sort code): Hamburger Sparkasse (200 505 50)
Account Number: 1234 363636
Account title (this is crucial to ensure that your donation reaches us): 0470-001 MCT
IBAN: DE54200505501234363636
BIC/Swift: HASPDEHHXXX
Sponsoring/Donations: www.uke.de/psych_sponsor

overviews on current scientific findings demonstrating the efficacy of the MCT (for original articles see text)
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. Clinical Psychology Review, 34, 358-366. MCT2014

Moritz, S., Veckenstedt, R., Bohn. F., Köther, U. & Woodward, T. S. (2013). Metacognitive training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358-383). New York: Oxford University Press. download: MCT_2013

Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. & Woodward, T. S. (2010). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561-569. download: Current Opinion 2010

Moritz, S. & Woodward, T. S. (2007): Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619-625. download: Current_Opinion_2007

Randomized controlled trial on MCT+: Moritz, S., Veckenstedt, R., Randjbar, S., Vitzthum, F. & Woodward, T. S. (2011). Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms. Psychological Medicine, 41, 1823-1832 download article

MCT+ case report:  Bohn, F., Veckenstedt, R. & Moritz, S. (in press).Individualized metacognitive therapy program for patients with psychosis (MCT+). Introduction of a novel approach for psychotic symptoms. Behavioural and Cognitive Psychotherapy download article

Interested in our MCT self-help concept for obsessive-compulsive disorder? Please visit: www.uke.de/mymct

Swedish version: Metacognitive Training for Schizophrenia Patients (MCT)

Please note our request for donations at the end!

Translator and co-author of the Swedish version: Per Bergman (per.bergman@ltkronoberg.se), Johanna Dahlin & Sven Hyllienmark

We regret that it is currently not possible to display Swedish characters on this web-site. However, a fully functional Swedish version of the metacognitive training for schizophrenia patients can be downloaded below. For an overview about the MCT, please either read the English summary (see above) or our articles (see below).

Download (cycle A, 8 sessions)

The free download is permitted on the understanding that any commercial use is prohibited. Copyright regulations apply (e.g., no manipulation of material, no incorporation of slides into other programs without prior consultation of the authors). You can download the modules via the below links. You are a clinician or researcher and would like to receive the manual as a free pdf document along with the yellow and red card as well as review articles? Please register online. If you administer the Metacognitive Training for Schizophrenia Patients (MCT), please send us a short notification. We are grateful for both comments and criticism.

Module (pdf slides are in Swedish; the below description is in English as this web-site cannot display Swedish characters) Version 5.0

Modules

Attribution - Blaming and Taking Credit Module1A
Jumping to Conclusions I Module2A
Changing Beliefs Module3A
To Empathize I Module4A
Memory Module5A
To Empathize II

Module6A
Module6AII*

Jumping to Conclusions II Module7A
Self-esteem and Mood Module8A
Rules (print out & bring to sessions) & Homework

Rules
Homework

Manual (Chinese, Czech, Dutch, English, French, German, Italian, Japanese, Korean, Montenegrin, Portuguese, Polish, Spanish), overview articles and templates for red and yellow cards can be obtained for free via online-registration or moritz@uke.de

 
* = preferred (parallel) version (please see manual for more information)

For presentation, you need to install Adobe Reader; a free version can be downloaded via the following link: http://www.adobe.com/products/reader/. When starting the modules, set Acrobat Reader to the full screen mode (Ctrl + L).

Help us helping!
In view of the troubling financial situation of many psychiatric hospitals, it is our goal to provide the metacognitive training program (MCT) free of charge. However, research does not only consume much of the free-time of those involved but also vast financial resources. If you want to support the MCT, we would be very grateful for donations. Clearly, we will help you, whether or not you have made a donation. No one should feel morally obliged to make a contribution.
We guarantee that all donations will go into the further development of the MCT (future tasks: translation of modules into other languages, new graphics, hiring of students to perform MCT in institutions). On request, we can send you a donation receipt (please send us an email with your address at moritz@uke.de). Please inquire about different possibilities for sponsorships. Donations can be made to the following account:

Pay To: UKE AG Neuropsychologie
Bank (sort code): Hamburger Sparkasse (200 505 50)
Account Number: 1234 363636
Account title (this is crucial to ensure that your donation reaches us): 0470-001 MCT
IBAN: DE54200505501234363636
BIC/Swift: HASPDEHHXXX
Sponsoring/Donations: www.uke.de/psych_sponsor

overviews on current scientific findings demonstrating the efficacy of the MCT (for original articles see text)
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. Clinical Psychology Review, 34, 358-366. MCT2014

Moritz, S., Veckenstedt, R., Bohn. F., Köther, U. & Woodward, T. S. (2013). Metacognitive training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358-383). New York: Oxford University Press. download: MCT_2013

Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. & Woodward, T. S. (2010). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561-569. download: Current Opinion 2010

Moritz, S. & Woodward, T. S. (2007): Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619-625. download: Current_Opinion_2007

Randomized controlled trial on MCT+: Moritz, S., Veckenstedt, R., Randjbar, S., Vitzthum, F. & Woodward, T. S. (2011). Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms. Psychological Medicine, 41, 1823-1832 download article

MCT+ case report: Bohn, F., Veckenstedt, R. & Moritz, S. (in press).Individualized metacognitive therapy program for patients with psychosis (MCT+). Introduction of a novel approach for psychotic symptoms. Behavioural and Cognitive Psychotherapy download article

Interested in our MCT self-help concept for obsessive-compulsive disorder? Please visit: www.uke.de/mymct

Italian version: Metacognitive Training for Schizophrenia Patients (MCT) 

Please note our request for donations at the end!

Translator and co-author of the Italian version: Vittorio Di Michele (vittorio.dimichele@ausl.pe.it)

For an overview about the MCT, please either read the English summary (see above), our articles (see below) or register online for the Italian manual.

Download (cycle A, 8 sessions)

The free download is permitted on the understanding that any commercial use is prohibited. Copyright regulations apply (e.g., no manipulation of material, no incorporation of slides into other programs without prior consultation of the authors). You can download the modules via the below links. You are a clinician or researcher and would like to receive the manual as a free pdf document along with the yellow and red card as well as review articles? Please register online. If you administer the Metacognitive Training for Schizophrenia Patients (MCT), please send us a short notification. We are grateful for both comments and criticism.

Module (pdf slides are in Italian) Version 5.0

Cycle A

Cycle B

Attribution - Blaming and Taking Credit Module1A Module1B
Jumping to Conclusions I Module2A Module2B
Changing Beliefs Module3A Module3B
To Empathize I Module4A Module4B
Memory Module5A Module5B
To Empathize II

Module6A
Module6AII*

Module6B
Module6BII*

Jumping to Conclusions II Module7A Module7B
Self-esteem and Mood Module8A Module8B
Rules (print out & bring to sessions) & Homework

Rules
Homework

Manual (Chinese, Czech, Dutch, English, French, German, Italian, Japanese, Korean, Montenegrin, Portuguese, Polish, Spanish), overview articles and templates for red and yellow cards can be obtained for free via online-registration or moritz@uke.de

 

* = preferred (parallel) version (please see manual for more information)

For presentation, you need to install Adobe Reader; a free version can be downloaded via the following link: http://www.adobe.com/products/reader/. When starting the modules, set Acrobat Reader to the full screen mode (Ctrl + L).

Help us helping!
In view of the troubling financial situation of many psychiatric hospitals, it is our goal to provide the metacognitive training program (MCT) free of charge. However, research does not only consume much of the free-time of those involved but also vast financial resources. If you want to support the MCT, we would be very grateful for donations. Clearly, we will help you, whether or not you have made a donation. No one should feel morally obliged to make a contribution.
We guarantee that all donations will go into the further development of the MCT (future tasks: translation of modules into other languages, new graphics, hiring of students to perform MCT in institutions). On request, we can send you a donation receipt (please send us an email with your address at moritz@uke.de). Please inquire about different possibilities for sponsorships. Donations can be made to the following account:

Pay To: UKE AG Neuropsychologie
Bank (sort code): Hamburger Sparkasse (200 505 50)
Account Number: 1234 363636
Account title (this is crucial to ensure that your donation reaches us): 0470-001 MCT
IBAN: DE54200505501234363636
BIC/Swift: HASPDEHHXXX
Sponsoring/Donations: www.uke.de/psych_sponsor

overviews on current scientific findings demonstrating the efficacy of the MCT (for original articles see text)
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. Clinical Psychology Review, 34, 358-366. MCT2014

Moritz, S., Veckenstedt, R., Bohn. F., Köther, U. & Woodward, T. S. (2013). Metacognitive training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358-383). New York: Oxford University Press. download: MCT_2013

Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. & Woodward, T. S. (2010). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561-569. download: Current Opinion 2010

Moritz, S. & Woodward, T. S. (2007): Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619-625. download: Current_Opinion_2007

Randomized controlled trial on MCT+: Moritz, S., Veckenstedt, R., Randjbar, S., Vitzthum, F. & Woodward, T. S. (2011). Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms. Psychological Medicine, 41, 1823-1832 download article

MCT+ case report: Bohn, F., Veckenstedt, R. & Moritz, S. (in press).Individualized metacognitive therapy program for patients with psychosis (MCT+). Introduction of a novel approach for psychotic symptoms. Behavioural and Cognitive Psychotherapy download article

Interested in our MCT self-help concept for obsessive-compulsive disorder? Please visit: www.uke.de/mymct

Finnish version: Metacognitive Training for Schizophrenia Patients (MCT)

Please note our request for donations at the end!

Translator and co-author of the Fnnish version: Riitta Kuokkanen  (Riitta.Kuokkanen@niuva.fi)

For an overview about the MCT, please either read the English summary (see above), our articles (see below) or register online.

Download (cycle A, 8 sessions)

The free download is permitted on the understanding that any commercial use is prohibited. Copyright regulations apply (e.g., no manipulation of material, no incorporation of slides into other programs without prior consultation of the authors). You can download the modules via the below links. You are a clinician or researcher and would like to receive the manual as a free pdf document along with the yellow and red card as well as review articles? Please register online. If you administer the Metacognitive Training for Schizophrenia Patients (MCT), please send us a short notification. We are grateful for both comments and criticism.

Module (pdf slides are in Finnish) Version 5.0

Cycle A

Attribution - Blaming and Taking Credit Module1A
Jumping to Conclusions I Module2A
Changing Beliefs Module3A
To Empathize I Module4A
Memory Module5A
To Empathize II

Module6A
Modul 6a II*

Jumping to Conclusions II Module 7A
Self-esteem and Mood Module8A
Rules (print out & bring to sessions) & Homework

Rules
Homework

Manual (Chinese, Czech, Dutch, English, French, German, Italian, Japanese, Korean, Montenegrin, Portuguese, Polish, Spanish), overview articles and templates for red and yellow cards can be obtained for free via online-registration or moritz@uke.de

 

* = preferred (parallel) version (please see manual for more information)

For presentation, you need to install Adobe Reader; a free version can be downloaded via the following link: http://www.adobe.com/products/reader/. When starting the modules, set Acrobat Reader to the full screen mode (Ctrl + L).

Help us helping!
In view of the troubling financial situation of many psychiatric hospitals, it is our goal to provide the metacognitive training program (MCT) free of charge. However, research does not only consume much of the free-time of those involved but also vast financial resources. If you want to support the MCT, we would be very grateful for donations. Clearly, we will help you, whether or not you have made a donation. No one should feel morally obliged to make a contribution.
We guarantee that all donations will go into the further development of the MCT (future tasks: translation of modules into other languages, new graphics, hiring of students to perform MCT in institutions). On request, we can send you a donation receipt (please send us an email with your address at moritz@uke.de). Please inquire about different possibilities for sponsorships. Donations can be made to the following account:

Pay To: UKE AG Neuropsychologie
Bank (sort code): Hamburger Sparkasse (200 505 50)
Account Number: 1234 363636
Account title (this is crucial to ensure that your donation reaches us): 0470-001 MCT
IBAN: DE54200505501234363636
BIC/Swift: HASPDEHHXXX
Sponsoring/Donations: www.uke.de/psych_sponsor

overviews on current scientific findings demonstrating the efficacy of the MCT (for original articles see text)
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. Clinical Psychology Review, 34, 358-366. MCT2014

Moritz, S., Veckenstedt, R., Bohn. F., Köther, U. & Woodward, T. S. (2013). Metacognitive training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358-383). New York: Oxford University Press. download: MCT_2013

Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. & Woodward, T. S. (2010). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561-569. download: Current Opinion 2010

Moritz, S. & Woodward, T. S. (2007): Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619-625. download: Current_Opinion_2007

Randomized controlled trial on MCT+: Moritz, S., Veckenstedt, R., Randjbar, S., Vitzthum, F. & Woodward, T. S. (2011). Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms. Psychological Medicine, 41, 1823-1832 download article

MCT+ case report: Bohn, F., Veckenstedt, R. & Moritz, S. (in press).Individualized metacognitive therapy program for patients with psychosis (MCT+). Introduction of a novel approach for psychotic symptoms. Behavioural and Cognitive Psychotherapy download article

Interested in our MCT self-help concept for obsessive-compulsive disorder? Please visit: www.uke.de/mymct

Norwegian version: Metacognitive Training for Schizophrenia Patients (MCT) 

Please note our request for donations at the end!

Translator and co-author of the Norwegian version: Anja Vaskinn (anja.vaskinn@medisin.uio.no)

For an overview about the MCT, please either read the English summary (see above) or our articles (see below).

Download (cycle A, 8 sessions)

The free download is permitted on the understanding that any commercial use is prohibited. Copyright regulations apply (e.g., no manipulation of material, no incorporation of slides into other programs without prior consultation of the authors). You can download the modules via the below links. You are a clinician or researcher and would like to receive the manual as a free pdf document along with the yellow and red card as well as review articles? Please register online. If you administer the Metacognitive Training for Schizophrenia Patients (MCT), please send us a short notification. We are grateful for both comments and criticism.

Module (pdf slides are in Norwegian; the below description is in English as this web-site cannot display Norwegian characters) Version 5.0

Cycle A

Attribution - Blaming and Taking Credit Module1A
Jumping to Conclusions I Module2A
Changing Beliefs Module3A
To Empathize I Module4A
Memory

Module5A

To Empathize II

Module6A
Module 6AIl*

Jumping to Conclusions II Module7A
Self-esteem and Mood Module8A
Rules (print out & bring to sessions) & Homework

Rules
Homework

Manual (Chinese, Czech, Dutch, English, French, German, Italian, Japanese, Korean, Montenegrin, Portuguese, Polish, Spanish), overview articles and templates for red and yellow cards can be obtained for free via online-registration or moritz@uke.de

- - - 

* = preferred (parallel) version (please see manual for more information)

For presentation, you need to install Adobe Reader; a free version can be downloaded via the following link: http://www.adobe.com/products/reader/. When starting the modules, set Acrobat Reader to the full screen mode (Ctrl + L).

Help us helping!
In view of the troubling financial situation of many psychiatric hospitals, it is our goal to provide the metacognitive training program (MCT) free of charge. However, research does not only consume much of the free-time of those involved but also vast financial resources. If you want to support the MCT, we would be very grateful for donations. Clearly, we will help you, whether or not you have made a donation. No one should feel morally obliged to make a contribution.
We guarantee that all donations will go into the further development of the MCT (future tasks: translation of modules into other languages, new graphics, hiring of students to perform MCT in institutions). On request, we can send you a donation receipt (please send us an email with your address at moritz@uke.de). Please inquire about different possibilities for sponsorships. Donations can be made to the following account:

Pay To: UKE AG Neuropsychologie
Bank (sort code): Hamburger Sparkasse (200 505 50)
Account Number: 1234 363636
Account title (this is crucial to ensure that your donation reaches us): 0470-001 MCT
IBAN: DE54200505501234363636
BIC/Swift: HASPDEHHXXX
Sponsoring/Donations: www.uke.de/psych_sponsor

overviews on current scientific findings demonstrating the efficacy of the MCT (for original articles see text)
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. Clinical Psychology Review, 34, 358-366. MCT2014

Moritz, S., Veckenstedt, R., Bohn. F., Köther, U. & Woodward, T. S. (2013). Metacognitive training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358-383). New York: Oxford University Press. download: MCT_2013

Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. & Woodward, T. S. (2010). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561-569. download: Current Opinion 2010

Moritz, S. & Woodward, T. S. (2007): Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619-625. download: Current_Opinion_2007

Randomized controlled trial on MCT+: Moritz, S., Veckenstedt, R., Randjbar, S., Vitzthum, F. & Woodward, T. S. (2011). Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms. Psychological Medicine, 41, 1823-1832 download article

MCT+ case report: Bohn, F., Veckenstedt, R. & Moritz, S. (in press).Individualized metacognitive therapy program for patients with psychosis (MCT+). Introduction of a novel approach for psychotic symptoms. Behavioural and Cognitive Psychotherapy download article

Interested in our MCT self-help concept for obsessive-compulsive disorder? Please visit: www.uke.de/mymct

Danish version: Metacognitive Training for Schizophrenia Patients (MCT) 

Please note our request for donations at the end!

Translator of the Danish version: Tone Bertelsen

For an overview about the MCT, please either read the English summary (see above) or our articles (see below).

Download (cycle A, 8 sessions)

The free download is permitted on the understanding that any commercial use is prohibited. Copyright regulations apply (e.g., no manipulation of material, no incorporation of slides into other programs without prior consultation of the authors). You can download the modules via the below links. You are a clinician or researcher and would like to receive the manual as a free pdf document along with the yellow and red card as well as review articles? Please register online. If you administer the Metacognitive Training for Schizophrenia Patients (MCT), please send us a short notification. We are grateful for both comments and criticism.

Module (pdf slides are in Danish) Version 5.0

Cycle A

Cycle B

Attribution - Blaming and Taking Credit Module1A Module1B
Jumping to Conclusions I Module2A Module2B
Changing Beliefs Module3A Module3B
To Empathize I Module4A Module4B
Memory Module5A Module5B
To Empathize II

Module6A
Module6AII*

Module6B
Module6BII*

Jumping to Conclusions II Module7A Module7B
Self-esteem and Mood Module8A Module8B
Rules (print out & bring to sessions) & Homework

Rules
Homework

Manual (Chinese, Czech, Dutch, English, French, German, Italian, Japanese, Korean, Montenegrin, Portuguese, Polish, Spanish), overview articles and templates for red and yellow cards can be obtained for free via online-registration or moritz@uke.de

 

* = preferred (parallel) version (please see manual for more information)

For presentation, you need to install Adobe Reader; a free version can be downloaded via the following link: http://www.adobe.com/products/reader/. When starting the modules, set Acrobat Reader to the full screen mode (Ctrl + L).

Help us helping!
In view of the troubling financial situation of many psychiatric hospitals, it is our goal to provide the metacognitive training program (MCT) free of charge. However, research does not only consume much of the free-time of those involved but also vast financial resources. If you want to support the MCT, we would be very grateful for donations. Clearly, we will help you, whether or not you have made a donation. No one should feel morally obliged to make a contribution.
We guarantee that all donations will go into the further development of the MCT (future tasks: translation of modules into other languages, new graphics, hiring of students to perform MCT in institutions). On request, we can send you a donation receipt (please send us an email with your address at moritz@uke.de). Please inquire about different possibilities for sponsorships. Donations can be made to the following account:

Pay To: UKE AG Neuropsychologie
Bank (sort code): Hamburger Sparkasse (200 505 50)
Account Number: 1234 363636
Account title (this is crucial to ensure that your donation reaches us): 0470-001 MCT
IBAN: DE54200505501234363636
BIC/Swift: HASPDEHHXXX
Sponsoring/Donations: www.uke.de/psych_sponsor

overviews on current scientific findings demonstrating the efficacy of the MCT (for original articles see text)

Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., Woodward, T. S. (2014). Sowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia. Clinical Psychology Review, 34, 358-366. MCT2014

Moritz, S., Veckenstedt, R., Bohn. F., Köther, U. & Woodward, T. S. (2013). Metacognitive training in schizophrenia. Theoretical rationale and administration. In D. L. Roberts & D. L. Penn (Eds.), Social cognition in schizophrenia. From evidence to treatment (pp. 358-383). New York: Oxford University Press. download: MCT_2013

Moritz, S., Vitzthum, F., Randjbar, S., Veckenstedt, R. & Woodward, T. S. (2010). Detecting and defusing cognitive traps: metacognitive intervention in schizophrenia. Current Opinion in Psychiatry, 23, 561-569. download: Current Opinion 2010

Moritz, S. & Woodward, T. S. (2007): Metacognitive training in schizophrenia: from basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20, 619-625. download: Current_Opinion_2007

Randomized controlled trial on MCT+: Moritz, S., Veckenstedt, R., Randjbar, S., Vitzthum, F. & Woodward, T. S. (2011). Antipsychotic treatment beyond antipsychotics: metacognitive intervention for schizophrenia patients improves delusional symptoms. Psychological Medicine, 41, 1823-1832 download article

MCT+ case report: Bohn, F., Veckenstedt, R. & Moritz, S. (in press).Individualized metacognitive therapy program for patients with psychosis (MCT+). Introduction of a novel approach for psychotic symptoms. Behavioural and Cognitive Psychotherapy download article

Interested in our MCT self-help concept for obsessive-compulsive disorder? Please visit: www.uke.de/mymct

Videos - full description will follow

We have compiled a number of short video clips that are especially relevant for modules 2/7 (jumping to conclusions) and 4/6 (theory of mind). These can be downloaded via youtube.com

On the same site, you can also find three videos (no sound) that illustrate and elicit the false memory effect (module 5), an English and German instruction how to present the videos can be downloaded here

The three below (home-made) videos deal with cognitive biases and are aimed to assist group MCT (no sound). You may also visit http://www.youtube.com/ and www.google.com/video: search for "metacognitive training" (put expression in quotation marks).

The following downloads are best viewed with the free VLC media player:

1. Cafe (no sound) - video shot by Sarah Randjbar; script: Ulf Köther,  Maike Engel and others; task: group members have to detect violations of 10 "unwritten social rules"; protagonists: Dietmar Golks, Ulf Köther, Liz Rietschel, Christiane Schmidt, Johanna Sundag [relevant for modules 4/6]

2. Job interview (no sound) - group members have to detect violations of 10 "unwritten social rules"; protagonists: Ulf Köther, Maarten J. Peters [relevant for modules 4/6]

3. Persecution? - video shot by Sascha Neeße; protagonists: Torsten Imig & Stefan Behrens [relevant for modules 2/7]

The MCT team would like to thank Janssen-Cilag for a donation in 2010 (6000€) that has helped to optimize a number of modules

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© Universitätsklinikum Hamburg-Eppendorf, Impressum
Letzte Änderung: Dr. Steffen Moritz, 29.08.2014

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