What question did this study set out to answer?

The aim is to explore how metacognition and mentalising function as key mechanisms in psychotherapy, guiding behavior change.

February 8, 2026The British Journal of Psychiatry3 citationsOpen Access

Metacognition and mentalising as core mechanisms of psychotherapy

FIFelix Inchausti AMAngus MacBeth GDG Dimaggio

Puntos clave

The aim is to explore how metacognition and mentalising function as key mechanisms in psychotherapy, guiding behavior change.
Analyzed the roles of metacognition and mentalising in therapy frameworks.
Investigated transdiagnostic applications across various psychiatric disorders.
Developed a roadmap for psychotherapy that incorporates awareness and understanding.
Identified metacognition and mentalising as essential for facilitating change in therapy.
Demonstrated that these processes enhance self-awareness and improve interpersonal relationships.
Highlighted their significance in addressing maladaptive behaviors associated with psychiatric disorders.

Resumen

Summary Metacognition and mentalising are central change mechanisms in psychotherapy, with transdiagnostic relevance. The how, why and when of metacognition creates a roadmap for psychotherapy, enhancing awareness, understanding and options for changing maladaptive behaviours that maintain psychiatric disorders. This offers a framework for psychotherapy, fostering deeper self-understanding and improved interpersonal interactions.

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