Metacognition and mentalising as core mechanisms of psychotherapy.

Inchausti, Felix; MacBeth, Angus; Dimaggio, Giancarlo · Br J Psychiatry · 2026

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Abstract

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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