CBT has become more established as the therapy of choice in recent years, and consequently different voices in the CBT tradition have become prominent. This book brings together these voices by offering its readers a one-stop guide to the major approaches.
Each chapter offers an overview of a particular approach to CBT, covering:
Historical development of the approach; Theoretical underpinnings; Practical Applications; Case Examples; Research status
This book is essential reading for CBT trainees and practitioners as well as those training within the broader field of counseling & psychotherapy.
Chapter Six: Metacognitive Therapy
Metacognitive therapy (MCT) is predicated on the idea that persistent emotional distress is a consequence of a particular way of responding to negative thoughts and emotions. Although feelings and thoughts associated with anxiety and depression are ubiquitous, these are generally transient experiences. The metacognitive model of psychopathology (Wells and Matthews, 1994) proposes that these transitory mental events and feelings become clinical problems through the activation of three processes:
- perseveration, in the form of worry and/or rumination;
- threat monitoring;
- coping strategies that disrupt cognitive-emotional regulation.
This constellation of responses to triggering stimuli (thoughts and feelings) is termed the ‘cognitive attentional syndrome’ (CAS).
The next question is why do people activate or use the CAS in response to negative thoughts and feelings? The answer is metacognition. People hold ...