{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:36:49Z","timestamp":1787027809423,"version":"build-2736575974"},"reference-count":84,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T00:00:00Z","timestamp":1713312000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>The term schizotypy refers to the latent personality organization that is thought to underpin the liability to develop schizophrenia and associated disorders. Metacognition, or the ability to understand and form increasingly complex and integrated ideas of oneself, others, and one\u2019s community, has been proposed to be an important transdiagnostic construct across schizophrenia spectrum disorders and a range of both clinical and non-clinical manifestations of schizotypy. In this paper, we review evidence that deficits in metacognition are present in individuals with relatively high levels of schizotypy and that these deficits are related to symptomology, function, and quality of life. We address the idea that decrements in metacognition may also contribute to the progression from schizotypy to more severe manifestations, while the amelioration of these deficits may enhance aspects of recovery, including the ability to form an integrated sense of self, others, and the wider world. We also review the following two recovery-oriented psychotherapies that target metacognition to promote recovery in individuals with clinical manifestations of schizotypy: Evolutionary Systems Therapy for Schizotypy (ESTS) and Metacognitive Reflection and Insight Therapy (MERIT).<\/jats:p>","DOI":"10.3390\/bs14040336","type":"journal-article","created":{"date-parts":[[2024,4,17]],"date-time":"2024-04-17T08:22:44Z","timestamp":1713342164000},"page":"336","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Metacognition as a Transdiagnostic Determinant of Recovery in Schizotypy and Schizophrenia Spectrum Disorders"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8698-074X","authenticated-orcid":false,"given":"Courtney N.","family":"Wiesepape","sequence":"first","affiliation":[{"name":"Austin VA Clinic, Veterans Affairs Central Texas Health Care, Austin, TX 78744, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7616-4761","authenticated-orcid":false,"given":"Elizabeth A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Psychology, Indiana State University, Terre Haute, IN 47809, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7979-5859","authenticated-orcid":false,"given":"Jaclyn D.","family":"Hillis-Mascia","sequence":"additional","affiliation":[{"name":"Chillicothe VA Medical Center, Chillicothe, OH 45601, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3190-7308","authenticated-orcid":false,"given":"Sarah E.","family":"Queller Soza","sequence":"additional","affiliation":[{"name":"Richard L. Roudebush VA Medical Center, Indianapolis, IN 46202, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madyson M.","family":"Morris","sequence":"additional","affiliation":[{"name":"Department of Psychology, Indiana State University, Terre Haute, IN 47809, USA"},{"name":"Richard L. Roudebush VA Medical Center, Indianapolis, IN 46202, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison V.","family":"James","sequence":"additional","affiliation":[{"name":"VA Maryland Healthcare System, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6934-0159","authenticated-orcid":false,"given":"Alexis","family":"Stokes","sequence":"additional","affiliation":[{"name":"Department of Psychology, Indiana State University, Terre Haute, IN 47809, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1097\/00005053-199109000-00001","article-title":"The Prediction of Outcome in Schizophrenia IV: Eleven Year Follow Up of the Washington IPSS Cohort","volume":"179","author":"Carpenter","year":"1991","journal-title":"J. Nerv. Ment. 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