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Published online by Cambridge University Press: 26 August 2025
Metacognitive Interpersonal Therapy (MIT) is a third wave orientation psychotherapy, based on the understanding that severe mental illness features a combination of poor capacity to make sense of mental states or metacognition, maladaptive interpersonal schemas and dysfunctional coping procedures.
MIT is gathering increasing empirical support in both individual and group formats, in adults and adolescence in populations with personality disorders and early psychosis (Dimaggio et al., 2017; Fioravanti et al., 2024; Gordon-King et al., 2018; Pasetto et al., 2022; Inchausti et al., 2022; Popolo et al., 2018).
The group format has been empirically tested in different countries (Italy, Spain and Norway).
Here we present the results of a series of RCT delivered in public mental health units (Ichausti et al., 2017; 2018; 2024; and Pinotti et al., 2024; Popolo et al., 2021; 2022).
Overall results show that MIT in group can be successfully delivered in the context of public mental health facilities with evidence for its efficacy, feasibility and effectiveness.
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