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Yıl:2015; Cilt: 8; Sayı: 2>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2015;8(2):33-38
Metakognitif Terapi: Uygulama ve Etkinlik
S Batmaz
Gaziosmanpaşa Üniversitesi, Tokat
Metakognitif terapi (MKT) kuramsal dayanağı oldukça kuvvetli (kendini düzenleyen yürütücü işlev modeli), kanıta dayanan, bilişsel dikkat sendromu aracılığıyla psikopatolojiyi açıklayabilen, en az geleneksel bilişsel davranışçı terapi (BDT) kadar etkin olduğu gösterilmiş, zaman sınırlı (10-12 oturumdan oluşan), bozukluğa özgü veya transdiyagnostik bir yaklaşıma fırsat tanıyan, geleneksel BDT ile benzeşen; ancak bazı noktalarda da ayrışan, kendine has birtakım müdahale teknikleri olan (üstbilişsel inanışların ele alınması, endişe ya da ruminasyonun ertelenmesi, dikkatin modifikasyonu, düşüncelere mesafeli farkındalık, üstbilişsel yoldan sunulan alıştırma) ve mevcut haliyle farklı ruhsal hastalıklar, yaş grupları ve ortamlarda uygulanabilmesi geliştirilmeye açık bir psikoterapi yöntemidir. Bu gözden geçirme yazısında MKT'nin kuramsal dayanağı, klinik uygulama alanları ve etkinliğine değinilmektedir.
Metacognitive Therapy: Practice and Efficacy
Metacognitive therapy (MCT) is a psychotherapy approach that has a strong theoretical background (self-regulatory executive function model), may explain psychopathology via the cognitive attentional syndrome, is at least as efficacious as the classical cognitive behavioral therapy (CBT), is time limited (10-12 sessions), may be applied transdiagnostically or in a disorder specific way, is similar to classical CBT, but has some distinctive properties, has specific therapeutic interventions (managing metacognitive beliefs, postponing worry or rumination, modification of attention, detached mindfulness, metacognitively delivered exposure), and in its present form is open for development to be applied in different diagnostic categories, age groups, and treatment settings. This review article focuses on the theoretical background of MCT, its clinical application areas, and efficacy.

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