Benjamin Buck’s research while affiliated with University of Washington and other places

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Publications (2)


Restoring Trust for People With Psychosis Through Psychotherapy
  • Article

December 2023

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99 Reads

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2 Citations

The Journal of nervous and mental disease

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Benjamin Buck

Mistrust is a significant problem for people with psychosis and can interfere with their capacity to engage in psychosocial treatment. In this article, the developmental trajectory of mistrust is outlined, including the impact that attachment disruption, childhood trauma, attributional biases, internalized stigma, and discrimination can have on the person's capacity to form trusting bonds with others. After this review, three elements are described that may allow for the restoration of trust: the therapist's openness to understanding the patient's experience and agenda for therapy, the therapist's effort to honestly disclose their thoughts to encourage dialogue and mutual reflection, and therapist's attempt to promote metacognition through helping the patient develop more complex representations of the minds of others. These elements are framed in the context of metacognitive reflection and insight therapy, an integrative therapy that is well suited to address mistrust through its explicit focus on metacognition and intersubjectivity.


Metacognition, social cognition, and mentalizing in psychosis: are these distinct constructs when it comes to subjective experience or are we just splitting hairs?
  • Literature Review
  • Full-text available

July 2021

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322 Reads

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71 Citations

BMC Psychiatry

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Research using the integrated model of metacognition has suggested that the construct of metacognition could quantify the spectrum of activities that, if impaired, might cause many of the subjective disturbances found in psychosis. Research on social cognition and mentalizing in psychosis, however, has also pointed to underlying deficits in how persons make sense of their experience of themselves and others. To explore the question of whether metacognitive research in psychosis offers unique insight in the midst of these other two emerging fields, we have offered a review of the constructs and research from each field. Following that summary, we discuss ways in which research on metacognition may be distinguished from research on social cognition and mentalizing in three broad categories: (1) experimental procedures, (2) theoretical advances, and (3) clinical applications or indicated interventions. In terms of its research methods, we will describe how metacognition makes a unique contribution to understanding disturbances in how persons make sense of and interpret their own experiences within the flow of life. We will next discuss how metacognitive research in psychosis uniquely describes an architecture which when compromised – as often occurs in psychosis – results in the loss of persons’ sense of purpose, possibilities, place in the world and cohesiveness of self. Turning to clinical issues, we explore how metacognitive research offers an operational model of the architecture which if repaired or restored should promote the recovery of a coherent sense of self and others in psychosis. Finally, we discuss the concrete implications of this for recovery-oriented treatment for psychosis as well as the need for further research on the commonalities of these approaches.

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Citations (2)


... This finding aligns with the calls to establish an environment that understands the bereavement response and is empathetic, thereby increasing the bereaved individuals' confidence in social networks (Zhou et al. 2023). Efforts to improve bereaved individuals' trust and interpersonal closeness might be helpful, such as promoting general trust through cognitive-behavioural therapy (Ridenour et al. 2024;Swan et al. 2017), facilitating cognitive change (McCullough 2003), drawing on trust-focused relational treatment (Purvis et al. 2013), training in interpersonal effectiveness skills (Barrett, Tolle, and Salsman 2017), and implementing behavioural activation (Smith, Pincus, and Ricca 2023). ...

Reference:

The Grief Networks of Traumatic and Nontraumatic Deaths: Comparing Earthquake‐ and Illness‐Related Losses
Restoring Trust for People With Psychosis Through Psychotherapy
  • Citing Article
  • December 2023

The Journal of nervous and mental disease

... The role-play, a valuable technique for developing social skills, might be less effective in training SC, as individuals with more significant SC impairment may experience frustration during the roleplay if others exhibit less compromised SC. Recently, Yanos, Roe and Lysaker implemented the Narrative Enhancement intervention, a program that could help persons with schizophrenia to develop their narrative skills [58][59][60][61][62]. Some studies have utilized this intervention in "integrated" rehabilitation programs with encouraging results [61,62], and found a greater reduction of internalized stigma and an improvement of participants' quality of life in those exposed to this program as compared to other psychological and rehabilitative interventions [62]. ...

Metacognition, social cognition, and mentalizing in psychosis: are these distinct constructs when it comes to subjective experience or are we just splitting hairs?

BMC Psychiatry