A Guide for the Implementation of Group-Based Metacognitive Reflection and Insight Therapy (MERITg)

摘要

Metacognitive reflection and insight therapy (MERIT) is an integrative individual psychotherapy which aims to improve metacognition and insight in people with serious mental illness. In response to limitations of MERIT and the growing clinical demand for new cost-effective group psychotherapies, we developed a group-based MERIT intervention (MERITg). MERITg aligns with the practice and principles of MERIT and utilizes narratives written within group sessions as a subject for joint reflection. Early investigations suggest that MERITg is feasible and acceptable to those with serious mental illness. In this review, we offer guidelines regarding (i) unique features of MERITg; (ii) implementation of MERITg and its seven components; and (iii) troubleshooting challenges and unique circumstances that may arise. We also propose potential active components that may play a role in the effectiveness of the intervention, and which would benefit from future investigation.