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Table 2 The therapist metacognitive adherence scale

From: A manual-based individual therapy to improve metacognition in schizophrenia: protocol of a multi-center RCT

Openness to the patient’s agenda at the session outset and throughout the session.

1

2

3

4

5

Offer of the therapist’s thoughts/perceptions regarding the patient’s behavior in the session.

1

2

3

4

5

Details of a narrative episode are elicited.

1

2

3

4

5

A psychological problem or dilemma is framed as something to be discussed.

1

2

3

4

5

Reflection on the interpersonal processes during the session is elicited.

1

2

3

4

5

Reflection on progress/course of the session is elicited at various times during the session or at session’s end.

1

2

3

4

5

The patient is stimulated to engage in metacognitive acts with interventions that are appropriate to patient’s capacity for self-reflectivity and/or awareness of the mind of the other.

1

2

3

4

5

The patient is stimulated to engage in metacognitive acts with interventions that are appropriate to patients’ capacity for metacognitive mastery.

1

2

3

4

5

  1. Key: 1. Absent; 2. Intermittent moments in which basic competency is present; 3. Fully adequate or competent throughout; 4. Fully adequate with some periods of exceptional performance; 5. Consistently exceptional performance.