Paul Henry Lysaker

..No links were found between extraversion and outcome measures. Implications for understanding how personality may affect outcome are discussed...

..Participants reporting abuse also were more likely to perform poorly on a test of executive function and to have particularly higher levels of hallucinations and anxiety over time. Clinical and theoretical implications are discussed...

..Higher levels of negative symptoms were linked with greater avoidant traits. Service utilization was predicted by borderline, antisocial, and avoidant traits. Implications for rehabilitation and treatment are discussed...

..Results suggest internalized stigma is linked with social function and symptoms. Positive symptoms may make some persons with schizophrenia more vulnerable to ongoing stigma experience...

..Results suggest that trauma symptoms may be commonly experienced in schizophrenia and linked with the phenomenology of the disorder...

..They then summarize the proceeding seven pieces that explore models of metacognitive disturbance in severe mental illness, its correlates with psychopathology, and emerging models of psychotherapy...

..Accordingly, the current paper formulates a model of how psychotherapy might address one specific element of metacognition, namely self-reflectivity...

..Results suggest that decreases in self-stigma may be correlated with increased self-esteem, while higher levels of emotional distress may be a barrier to stigma reduction...

..Little is known about how stable self-stigma is and whether it is linked over time with related constructs such as discrimination experiences and psychological distress...

..These results indicate that the development of personal narratives may be directly linked to the severity of negative symptoms; this construct may be a useful target for future interventions...

..These results suggest assessing the narrative qualities of awareness of illness may reveal unique links with cognition and function, and this may have implications for interventions...

..No differences were found on the BLERT. The results are consistent with the possibility that schizophrenia is linked to decrements in metacognition and some forms of social cognition...

..Results are consistent with assertions that deficits in metacognition are a stable feature of schizophrenia...

..In closing, we suggest a program of research to address these disagreements...

..Social anxiety is commonly found in schizophrenia and is linked with heightened symptoms and lower self-esteem. The purpose of this paper is to examine how social anxiety and self-esteem influence one another over time...

..Results suggest different domains of metacognition may be influenced by and influence different neurocognitive processes...

..Implications for research and interventions are discussed...

..It is suggested a primary intervention of the therapist was continuously to offer the client a view of himself that invited him to experience himself in a plausible manner shared with and listened to by another...

..Results suggest a connection between cognitive-behavioral interventions and higher levels of work performance in people with schizophrenia...

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..A sense of being able to influence others was linked to both the absence of discrimination experiences and the ability to ward off stigma. Implications for treatment are discussed...

..Results suggest that qualities of self-experience expressed within personal narratives of schizophrenia may be affected by internalized stigma and deficits in the capacity to think about one's own thinking and the thinking of others...

..Results suggest different deficits in metacognition may be linked to different neurocognitive capacities...

..Less is known about whether individual differences in personality are related to levels of psychopathology and function...

..With replication, results may suggest that to attain awareness of illness, some with schizophrenia may need assistance making sense of the social world and organizing the complexities of their experience of illness...

..Anxiety is commonly observed in schizophrenia, but its relationship with other features of illness is unclear...

..An individual example is presented, and implications for case conceptualization, assessment, and treatment are discussed...

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..Evidence linking clients' internalized, stigmatizing beliefs about illness with demoralization is presented, and clinical implications are discussed...

..Implications for research and treatment are discussed...

..Implications for addressing the misattributions of anger in schizophrenia are discussed...

..Correlations revealed that a factor score derived from baseline measures of the inhibition domain of executive function was linked to both concurrent and future assessments of OCS even when state anxiety was controlled...

..CONCLUSIONS. Mastery appears linked to coping preference, insight, self-esteem, and anxiety in a generally non-linear manner...

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..Implications for how daily practice can reinforce and promote recovery are discussed...

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..Higher overall therapist ratings were linked only to lower levels of disorganized symptoms among clients...

..The group aware of their own emotions but not those of others had a significantly higher report of childhood sexual abuse...

..Groups were then compared on self report of social anxiety. As predicted, the group with levels of high paranoid features and relatively better ToM performance had significantly higher levels of social anxiety than all other groups...

..Little is known, however, about the possible roots of social anxiety in schizophrenia or their relationship to social anxiety over time...

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..Less is known about how this measure is linked to social cognition...

..No differences were found between groups for assessments of coping or between participants who showed a declining vs non-declining reaction time...

..Results of cross-sectional studies and case analyses are presented which provide promising support for the reliability, validity and utility of this instrument. Needs for future research are detailed...

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..No evidence was found linking assaulted-related trauma to HRQOL. Greater numbers of trauma were related to poorer HRQOL. Results suggest differing forms of trauma may individually and cumulatively impact HRQOL in schizophrenia...

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..Results are interpreted as consistent with emerging models that deficits in metacognition may be key features of severe mental illness which affect function. Clinical and theoretic implications are discussed...

..This study tested the hypothesis that trait levels of personality as defined using the five-factor model of personality would be linked to social function in schizophrenia...

..Techniques to address these difficulties are presented, along with an objective means of assessing the treatment outcomes in terms of changes in narrative processes...

..Higher levels of extroversion were related to greater social support seeking. Implications for understanding the genesis of psychosocial dysfunction and for the development of rehabilitative interventions are discussed...

..Implications for psychotherapy are discussed...

..Results suggest qualities of self-experience expressed within personal narratives are linked to symptom profiles and subjective assessments of health. Theoretical and clinical implications are discussed...

..Multiple regression analyses demonstrated that greater neurocognitive deficits predicted greater dependency needs. No relationship was found between symptoms and the level of dependency needs...

..It is unclear whether childhood sexual abuse is more closely linked to specific forms of anxiety including symptoms of post-traumatic stress disorder (PTSD)...

..Implications for understanding the genesis of psychosocial dysfunction and for the development of rehabilitative interventions are discussed...

..3, p = .02)...

..We sought to replicate these results in a study of metacognition within personal narratives of self and illness...

..Results suggest assessments of these domains of neurocognition may provide important information about individual needs for adjunct services...

..6, p<0.0001), accounting for 35% of the variance. Positive and negative symptoms were unrelated to either form of hopelessness. Implications for research, and the development of interventions are discussed...

..Implications for theory, practice and research are discussed...

..Childhood sexual abuse may be associated with greater vocational deficits in adults with schizophrenia...

..The high OC/good function had lower levels of negative symptoms than either non-OC group. Implications for research and rehabilitation are discussed...

..Theoretical and clinical implications are discussed...

..As predicted, the high insight/minimal stigma group also had significantly less impaired social function than the other groups. Implications for assisting persons to come to cope with awareness of illness and stigma are discussed...

..From these analyses, the hypothesis that narrative transformation may occur in terms of growth in the richness of the internal dialogue that produces narrative is posed for future research...

..Groups did not differ on demographic variables, awareness of illness or negative symptoms. Clinical and theoretical implications are discussed...

..Implications for psychotherapy and rehabilitation are discussed...

..Results provide initial evidence of the effectiveness of the IVIP...

..In these analyses we found relatedness was facilitated by the therapist's attitude of sympathy followed by their assistance filtering, recalling and considering in a flexibly abstract manner relevant material...

..Results suggest insight may be related to capacities to shift attention between differing environmental demands, plan ahead, and construct contextual understandings...

..Results suggest that denial may play a role in the unawareness of illness in some persons with schizophrenia who have average executive function...

..Neurocognitive impairment and negative symptoms were significant predictors of impoverishment in the schizophrenia group. Results may highlight deficits that could be addressed in psychotherapy or rehabilitation to promote recovery...

..This may suggest that qualities of self-experience within personal narratives of persons with schizophrenia are linked to objective and subjective assessments of recovery...

..004), though they were not overconfident in their judgment. These results are discussed in terms of existing research on cognitive insight, decision making, and psychosis...

..Results suggest that forming a strong TA may enhance rehabilitation among persons with schizophrenia...

..Client and therapist ratings of therapeutic alliance were significantly and positively related. Clients' abilities may differentially affect therapist and client perception of therapeutic alliance in schizophrenia...

..Executive functioning was uniquely related to each type of social cue recognition, while memory predicted only the recognition of concrete social cues...

..Implications for understanding the etiology of lack of awareness in schizophrenia are discussed...

..These same variables were unrelated to negative and excitement symptoms. Severity of delusions is linked to both higher levels of neuroticism and greater impairment in visual memory...

..There is little to guide advanced practice nurses to provide supervision for graduate students conducting psychotherapy with persons with serious mental illness. This article provides concrete suggestions for clinical supervision...

..These results suggest that the BCIS is a valid measure to use in a non-psychiatric population, and that it reliably distinguishes between non-psychiatric individuals and those with psychotic disorders...

..While much has been written about the benefits of CBT for persons with schizophrenia, little has been published to date exploring participant evaluations of these programs. This paper reports on participant evaluations of such a program...

..7; p< 0.05). Post hoc analyses indicated that persons with high insight and high hope demonstrated the most adaptive coping preferences, whereas those with high insight and lower hope demonstrated the least...

..Implications for rehabilitation are discussed...

..Although not significant at the designated alpha level, the profile results showed that the SCZ+ group performed slightly below the OCD and SCZ- groups across nearly all neuropsychological domains...

..The findings suggest that specific domains of hopelessness are associated with different aspects of work functioning...

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..Results suggest that the tendency to see life events as the result of unstable or unpredictable causes is associated with social dysfunction independent of symptom level...

..Implications for cognitive, rehabilitation, and psychotherapeutic interventions are discussed...

..These results suggest that psychophysical tests of visual processing may contribute to deficits on neuropsychological tests of visual cognition, and may also reflect cross-modal disturbances of working memory function...

..Additionally, as predicted, our measures of narrative coherence were significantly correlated with traditional measures of insight and with measures of cognitive impairment and hopelessness gathered earlier...

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..The implications of these clinical correlates of obsessive-compulsive phenomena in schizophrenia spectrum disorders are discussed...

..Future research can be directed at validating the presented model and investigating the relationship between these types of coping and other relevant dimensions such as symptoms, functioning, and recovery...