Giancarlo Dimaggio

Publications (72)116.95 Total impact

• Article: Mentalizing in schizophrenia is more than just solving theory of mind tasks.

  Giancarlo Dimaggio, Raffaele Popolo, Giampaolo Salvatore, Paul H Lysaker
  Frontiers in psychology. 01/2013; 4:83.
• Source

  Available from: Paul H Lysaker

  Dataset: Metacognition Social Functioning Review CPR brune 2011

  Martin Brune, Paul H. Lysaker, Giancarlo Dimaggio
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  Available from: Paul H Lysaker

  Dataset: insight neg sx work function 2012

  Martin Brune, Paul H. Lysaker, Giancarlo Dimaggio
• Source

  Available from: Michele Procacci

  Dataset: Adapted metacognitive

  Raffaele Popolo, Donatella Fiore, Paul H Lysaker, Giancarlo Dimaggio, Michele Procacci, Stefania D 'angerio, Antonio Semerari, Antonino Carcione, Maria Laura Conti, Roberto Pedone, Giuseppe Nicolò
• Source

  Available from: Michele Procacci

  Dataset: Alexithymia in personality disorders Correlations with symptoms

  Raffaele Popolo, Donatella Fiore, Paul H Lysaker, Giancarlo Dimaggio, Michele Procacci, Stefania D 'angerio, Antonio Semerari, Antonino Carcione, Maria Laura Conti, Roberto Pedone, Giuseppe Nicolò
• Source

  Available from: Antonino Carcione

  Dataset: Lisa's Case MAS

  Antonino Carcione, Giancarlo Dimaggio, Donatella Fiore, Giuseppe Nicolo, Michele Procacci, Antonio Semerari, Roberto Pedone
• Source

  Available from: Antonino Carcione

  Dataset: MAI PsychiatryRes

  Antonio Semerari, Michele Cucchi, Giancarlo Dimaggio, Daniele Cavadini, Antonino Carcione, Vittoria Battelli, Giuseppe Nicolò, Roberto Pedone, Tomaso Siccardi, Stefania D Angerio, Paolo Ronchi, Cesare Maffei, Enrico Smeraldi
• Source

  Available from: Antonino Carcione

  Dataset: Impaired Decentration in PDs ClinPsy 2009

  Giancarlo Dimaggio, Antonino Carcione, Giuseppe Nicolò, Laura Conti, Donatella Fiore, Roberto Pedone, Raffaele Popolo, Michele Procacci, Antonio Semerari
• Source

  Available from: Antonino Carcione

  Dataset: Lisa's Case MAS

  Antonino Carcione, Giancarlo Dimaggio, Donatella Fiore, Giuseppe Nicolo, Michele Procacci, Antonio Semerari, Roberto Pedone
• Article: Differences Between Axes Depend on Where You Set the Bar: Associations Among Symptoms, Interpersonal Relationship and Alexithymia with Number of Personality Disorder Criteria.

  Giancarlo Dimaggio, Antonino Carcione, Giuseppe Nicolò, Paul H Lysaker, Stefania d'Angerio, Maria Laura Conti, Donatella Fiore, Roberto Pedone, Michele Procacci, Raffaele Popolo, Antonio Semerari
  [show abstract] [hide abstract]
  ABSTRACT: Personality disorders are better understood as entities that vary according to severity along specific domains rather than a phenomenon separate from and unrelated to Axis I disorders. This study explores whether patients who were rated as having greater numbers of personality disorder traits reported greater levels of interpersonal problems, psychiatric symptoms, and alexithymia. The sample was composed of 506 consecutive patients assessed in a private outpatient center who were administered the SCID-II Symptom-Checklist (SCL-90-R), Inventory of Interpersonal Problems (IIP-47), and Toronto Alexithymia-Scale (TAS-.20). Based upon the number of personality disorder traits identified in the SCID, participants were classified into five groups: 0-4, 5-9, 10-14, 15-19, and 20 or more personality disorder traits met. Comparisons between groups revealed that symptom severity and levels of interpersonal problems increased between groups as the number of personality disorder traits increased. After covarying for symptom severity, there were no significant between-groups differences for levels of alexithymia. Findings are consistent with the claims that the simple Axis I-Axis II distinction is not an optimal strategy to understand personality pathology. It instead may be more fruitful to consider group differences in terms of numbers of personality disorder traits met.
  Journal of personality disorders 11/2012; · 3.08 Impact Factor
• Source

  Available from: Antonino Carcione

  Article: The development of the Metacognition Assessment Interview: Instrument description, factor structure and reliability in a non-clinical sample.

  Antonio Semerari, Michele Cucchi, Giancarlo Dimaggio, Daniele Cavadini, Antonino Carcione, Vittoria Battelli, Giuseppe Nicolò, Roberto Pedone, Tomaso Siccardi, Stefania D Angerio, Paolo Ronchi, Cesare Maffei, Enrico Smeraldi
  [show abstract] [hide abstract]
  ABSTRACT: BACKGROUND: Metacognition is a multi-facet psychological construct; deficits in metacognitive abilities are associated to low social functioning, low quality of life, psychopathology, and symptoms. The aim of this study was to describe and develop a valid and reliable interview for assessing metacognition. METHODS: The semi-structured interview, based on the author's theory model of the metacognition construct, is described. The Metacognition Assessment Interview (MAI) is an adaptation of the Metacognition Assessment Scale (MAS) and evaluates how the subject is interviewed used metacognition during his own real life experiences elicited by the interviewer. A user manual was developed to assist the interview and scoring procedure. RESULTS: Exploratory factor analysis and confirmatory factor analysis revealed preliminary evidence of a two factor-hierarchical structure, with two lower-order scales, representing the two main theoretical domains of the metacognitive function, "the Self" and "the Other", and one single higher-order scale that we labelled metacognition. Contrary to the authors' prediction the existence of the four distinct dimensions under the two domains was not confirmed. The MAI and its two domains demonstrated acceptable levels of inter-rater reliability and internal consistency. CONCLUSIONS: The MAI appears to be a promising instrument for assessing metacognition. Future psychometric validation steps and clinical directions are discussed.
  Psychiatry Research 08/2012; · 2.52 Impact Factor
• Article: Metacognition and Social Cognition in Schizophrenia: Stability and Relationship to Concurrent and Prospective Symptom Assessments.

  Jay A Hamm, Selwyn B Renard, Rebecca L Fogley, Bethany L Leonhardt, Giancarlo Dimaggio, Kelly D Buck, Paul H Lysaker
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  ABSTRACT: OBJECTIVE: Schizophrenia has been linked with deficits in the ability to form complex representations about oneself and others. Less clear is whether these deficits are stable over time, and whether they are related to symptoms. METHOD: We assessed metacognition capacity, affect recognition, executive function, and symptoms at baseline and 6 months later for 49 adults with schizophrenia. RESULTS: Paired t tests revealed assessments of metacognition and affect recognition were stable across measurements points. Metacognition was related to concurrent assessments of positive, negative and disorganized symptoms. Multiple regressions revealed metacognition was related to prospective assessments of negative symptoms after controlling for baseline negative symptoms and executive function. CONCLUSIONS: Metacognitive deficits are a stable feature of schizophrenia related with negative symptoms.
  Journal of Clinical Psychology 08/2012; · 2.12 Impact Factor
• Article: Associations of metacognition with symptoms, insight, and neurocognition in clinically stable outpatients with schizophrenia.

  Giuseppe Nicolò, Giancarlo Dimaggio, Raffaele Popolo, Antonino Carcione, Michele Procacci, Jay Hamm, Kelly D Buck, Enrico Pompili, Ivana Buccione, Brunella Lagrotteria, Paul H Lysaker
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  ABSTRACT: Research indicates that many with schizophrenia experience deficits in metacognitive capacity or the ability to form complex representations of themselves and others. Previous work has found that metacognitive capacity in schizophrenia is correlated with symptoms, insight, and neurocognitive deficits. We sought to replicate these results in a sample of Italian participants treated in a community setting. Metacognition was assessed with the abbreviated Metacognition Assessment Scale and correlated with concurrent assessment of symptoms, insight, and neurocognitive abilities, including verbal and visual memory, premorbid intelligence, processing speed, and executive function. Correlations revealed that, consistent with previous work, lesser capacity for self-reflectivity was related to greater levels of negative symptoms, poorer insight, neurocognitive impairment (particularly impairments in verbal and visual memory) premorbid intelligence, and processing speed. Other metacognitive domains were also linked to poorer neurocognition. Results support contentions that deficits in metacognition are linked with negative symptoms, insight, and neurocognitive deficits.
  The Journal of nervous and mental disease 07/2012; 200(7):644-7. · 1.77 Impact Factor
• Article: Dependent personality disorders unlike avoidant personality disorders are not related to alexithymia after controlling for depression: A reply to Loas.

  Giuseppe Nicolò, Antonio Semerari, Paul H Lysaker, Giancarlo Dimaggio, Laura Conti, Stefania D'Angerio, Michele Procacci, Raffaele Popolo, Antonino Carcione
  Psychiatry Research 03/2012; · 2.52 Impact Factor
• Article: Metacognitive functioning and social cognition as predictors of accuracy of self-appraisals of vocational function in schizophrenia.

  Brandi L Luedtke, Marina Kukla, Selwyn Renard, Giancarlo Dimaggio, Kelly D Buck, Paul H Lysaker
  Biological Psychiatry 03/2012; 137(1-3):260-1. · 8.28 Impact Factor
• Article: General principles for treating personality disorder with a prominent inhibitedness trait: towards an operationalizing integrated technique.

  Giancarlo Dimaggio, Giampaolo Salvatore, Donatella Fiore, Antonino Carcione, Giuseppe Nicolò, Antonio Semerari
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  ABSTRACT: Psychotherapists need to perform tasks such as being empathetic, performing an ongoing assessment of cases, self-disclosing, making explicit treatment contracts, validating patients' experiences and promoting awareness of psychological experience, if they are to be effective in treating personality disorder (PD). Successful therapy also requires a systematic accurate PD model. We suggest here that it is still unclear how, when, and according to what session markers therapists need to perform specific operations to maximize therapeutic gains. This article describes and operationalizes a step-by-step procedure for organizing and delivering the interventions necessary for effective outcomes, such as maintaining a good therapeutic relationship, increasing understanding of mental states, reducing symptoms and improving social adaptation. The procedure is illustrated by reference to the treatment of cases of emotionally overly-constricted PDs. We include a theoretical proposal to facilitate the development of measures for evaluating the efficacy of therapist actions.
  Journal of personality disorders 02/2012; 26(1):63-83. · 3.08 Impact Factor
• Source

  Available from: Andrew Gumley

  Article: Metacognition in forensic patients with schizophrenia and a past history of interpersonal violence: an exploratory study

  Laura J. Mitchell, Andrew Gumley, Elizabeth S. Reilly, Angus Macbeth, Paul Lysaker, Antonino Carcione, Giancarlo Dimaggio
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  ABSTRACT: Metacognition has been shown to be impaired in people diagnosed with schizophrenia, and related to poorer social functioning. To date, no research has looked at the relationship between a particularly rare – but problematic – social functioning outcome (violence) and metacognition. The present study explored patterns of metacognition in people diagnosed with schizophrenia and a history of interpersonal violence, and comparing them to a group with schizophrenia and no history of violence. Participants took part in an interview which explored stress and coping, which was subsequently coded for metacognitive ability. There were no differences between the two groups. Metacognition was significantly correlated with negative symptoms. The limitations of the study and implications for clinical practice are discussed.
  Psychosis. 02/2012; 4(1):42-51.
• Article: Metacognitive and social cognition deficits in patients with significant psychiatric and medical adversity: a comparison between participants with schizophrenia and a sample of participants who are HIV-positive.

  Paul H Lysaker, Jamie M Ringer, Kelly D Buck, Megan Grant, Kyle Olesek, Brandi L Leudtke, Giancarlo Dimaggio
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  ABSTRACT: Research exploring metacognition and social cognition in schizophrenia has tended to use control groups experiencing relatively little adversity. Therefore, it remains unclear whether the deficits found among persons with schizophrenia are merely the result of greater life adversity. To explore this issue, we assessed metacognition and social cognition among 40 participants with schizophrenia and 25 adults with HIV. We chose to explore this phenomenon in people with HIV given the literature suggesting that this group experiences significant adversity. Measures of metacognition and social cognition included the Metacognition Assessment Scale (MAS), the Hinting test, and the Bell-Lysaker Emotion Recognition Test (BLERT). After controlling for education, years since diagnosis, and memory, the schizophrenia group performed more poorly on the MAS and the Hinting test. No differences were found on the BLERT. The results are consistent with the possibility that schizophrenia is linked to decrements in metacognition and some forms of social cognition.
  The Journal of nervous and mental disease 02/2012; 200(2):130-4. · 1.77 Impact Factor
• Source

  Available from: Andrew Gumley

  Article: Metacognition in Forensic Patients with Schizophrenia and a Past History of Interpersonal Violence: An Exploratory Study

  Laura Mitchell, Andrew Gumley, Elizabeth Reilly, Angus MacBeth, Paul H Lysaker, Giancarlo Dimaggio
  Psychosis. 01/2012; 4(1):42 - 51.
• Article: Out of illness experience: metacognition-oriented therapy for promoting self-awareness in individuals with psychosis.

  Giampaolo Salvatore, Paul H Lysaker, Andrew Gumley, Raffaele Popolo, Jessica Mari, Giancarlo Dimaggio
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  ABSTRACT: Deficits in metacognitive abilities, which enable persons to make sense of their own mental states and those of others, often are observed among persons with schizophrenia. To address these deficits we have sought to develop a metacognition-oriented form of psychotherapy that may foster self-reflectivity leading to the ability to think critically about delusional beliefs and to engage in and sustain healthy social exchanges. To illustrate Metacognition Oriented Therapy, we analyzed its application in an early psychotherapy session with a young woman who had disorganized schizophrenia. In this paper we specifically explore how the therapist followed a sequence of steps aimed at: 1) reconstructing episodes in life-narratives, 2) helping the patient name distressing emotions that appear in the narrative episode, 3) validating and normalizing the patient's experiences, 4) promoting awareness of emotional triggers and the links between affects and social behavior, and 5) validating emerging subjective experiences. We stress how these procedures helped the patient eventually become more able to start questioning her own delusional beliefs. The generalization of these procedures to the psychotherapy of schizophrenia is discussed.
  American journal of psychotherapy 01/2012; 66(1):85-106.