Underlying deficit in Metacognitive Regulation and Knowledge Sample Clauses

Underlying deficit in Metacognitive Regulation and Knowledge. Lysaker et al., (2005) found that poor insight into mental illness was related to deficits in the core cognitive skill ‘metacognition’. This is the ability to reflect on one’s thoughts and knowledge and has also been found to be impaired in people with schizophrenia (Bentall, 1990; Vohs & Lysaker, 2014). Metacognition involves two important components including regulation and knowledge (Schraw & Dennison, 1994) (see Table 1 for summary of definitions). Metacognitive regulation is the process of monitoring and regulating your own cognition. Frith (1992) suggested that those with schizophrenia have lost some of the ability to think about thoughts and feelings in a reflective and meaningful way; for example, hearing voices may result from impairment in the ability to represent your own or others mental states and may lead to the misattribution of internal events as external. Metacognitive knowledge is knowledge or understanding about how the mind functions and beliefs about your own mind or cognition (e.g. I have a good memory). Morrison, Haddock, & Tarrier (1995) suggested that people with schizophrenia have incorrect knowledge or beliefs about the controllability of thinking that may lead to hallucinations such as thought insertion. Clinical and cognitive insight relates to beliefs and knowledge that is specific to a mental health disorder (such as knowledge of the consequences of disorder i.e. social isolation and knowledge of errors in thinking i.e. I cannot trust people). Therefore deficits in both areas of metacognition (regulation and knowledge) may underlie both types of insight and may be a significant barrier to acquiring new knowledge that may be important for recovery and relapse prevention.
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