Evolution of Linguistic Markers of Agency, Centrality and Content During Metacognitive Therapy for Psychosis: A Pilot Exploratory Study.

Journal: Early intervention in psychiatry
PMID: 39572854

Abstract

AIM: Metacognitive Reflection and Insight Therapy (MERIT) is a form of person-centred psychotherapy that promotes recovery-oriented outcomes by targeting metacognitive capacity. Previous research has shown the feasibility and clinical benefits of MERIT. However, it is not clear whether and how the specific processes targeted by MERIT (e.g., improved sense of agency, self-reflectivity, awareness of others, etc.) are manifested in the patient-therapist communications. In this study, we used natural language processing (NLP) to explore objective linguistic markers of change during MERIT for early psychosis.

Authors

  • Amir H Nikzad
    Institute of Behavioral Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USA.
  • Paul H Lysaker
    Department of Psychiatry, Richard L. Roudebush VA Medical Center, Indianapolis, Indiana, USA.
  • Kyle S Minor
    Department of Psychology, Indiana University - Indianapolis, Indianapolis, Indiana, USA.
  • Bethany Leonhardt
    Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana, USA.
  • Mark Y Liberman
    Linguistic Data Consortium, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Jenifer Vohs
    Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana, USA.
  • Courtney N Wiesepape
    Department of Psychology, Austin VA Outpatient Clinic, Central Texas VA Health Care System, Austin, Texas, USA.
  • Sunny X Tang
    Institute of Behavioral Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USA.

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