Recovery, Meaning-Making, and Severe Mental Illness offers practitioners an integrative treatment model that will stimulate and harness their creativity, allowing for the formation of new ideas about wellness in the face of profound suffering. The model, Metacognitive Reflection and Insight Therapy (MERIT), complements current treatment modalities and can be used by practitioners from a broad range of theoretical backgrounds. By using metacognitive capacity as a guide to intervention, MERIT stretches and strengthens practitioners’ capacity for reflection and allows them to better use their unique knowledge to help people who are confronting the suffering and chaos that often comes from psychosis. Clinicians will come away from this book with a variety of tools for helping clients manage their own recovery and confront the issues that accompany an illness-based identity.

section I|29 pages

Theoretical, Empirical, and Clinical Framework of MERIT

section II|97 pages

MERIT’s Preconditions and Eight Core Elements

chapter 5|9 pages

Preconditions for Implementing MERIT

chapter 6|10 pages

Overview of MERIT’s Elements and Element 1

The Agenda

chapter 7|8 pages

Element 2

Insertion of the Therapist’s Mind

chapter 8|7 pages

Element 3

Eliciting the Narrative Episode

chapter 9|9 pages

Element 4

Defining the Psychological Problem

chapter 10|5 pages

Element 5

Reflecting on the Therapeutic Relationship

chapter 11|5 pages

Element 6

Reflecting on Progress

chapter 13|15 pages

Element 7

Stimulating Self-Reflection (S) and Awareness of the Other (O)

chapter 14|7 pages

Element 8

Stimulating Mastery (M)

section III|25 pages

Implementation, Clinical, and Technical Issues

chapter 16|7 pages

Common Clinical Issues

chapter 17|5 pages


Past and Future