Mitchell, Laura J
Metacognition in forensic patients with schizophrenia and a history of interpersonal violence: an exploratory study.
D Clin Psy thesis, University of Glasgow.
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Metacognition has been shown to be impaired in people with schizophrenia, and related to poorer social functioning outcomes. To date, no research has looked at the relationship between a particularly rare – but problematic – social functioning outcome (violence) and metacognition. The present study aimed at doing this by exploring patterns of metacognition in people with schizophrenia and a history of interpersonal violence, and comparing them to a group with schizophrenia and no history of violence. Participants took part in an interview which explored stress and coping, which was subsequently coded for metacognitive ability. Results indicate that metacognitive functioning is not directly associated with violence as an outcome in schizophrenia, as metacognition did not differ significantly between the two groups. However, results revealed that metacognition has a hierarchical structure with some domains more impaired than others, which may be relevant to the observed social functioning outcomes in schizophrenia. The limitations of the study and implications for clinical practice and future research are discussed.
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