ABSTRACT

As the foregoing discussion has begun to elucidate, metacognitive therapy opens up a range of new possibilities for therapeutic change that do not ®gure in traditional CBT. Unlike the focus of traditional treatment on reality-testing the content of negative thoughts and beliefs about the self and the world, MCT focuses on modifying cognitive processes. These are not the processes buried in the content of thoughts (e.g. arbitrary, inference, catastrophizing) as in Beck's CBT, but are the styles of worry, rumination and threat monitoring. MCT aims to suspend these processes, not to test their content against the facts.