MERIT ENGLISH 2021-05-21T17:07:23+02:00

This is the first time that Merit will be taught in Spain!

Professor Paul Lysaker , Ph.D.

Professor Paul H. Lysaker is a clinical psychologist and president of the MERIT Institute. His career as a researcher, lecturer and trainer is remarkably vast. He has published over 450 peer-reviewed journal articles, dozens of book chapters, several books, and is an active scientist KNOWN internationally in the area of clinical psychopathology. He has been a practitioner in many different mental health settings and has a distinguished academic career at a Medical School. For many years, his main research focus has been on schizophrenia and the major psychoses. Progressively he has evolved to become more concerned with understanding the psychological factors linked to well-being in humans, and with designing integrative treatments specifically for people recovering from complex mental health disorders.
In 2014 Dr. Lysaker developed MERIT (Metacognitive Reflection and Insight Therapy), the culmination of many years of work with people with schizophrenia or other similar problems and research into the factors that allow this group of people to recover. MERIT is based in a clear theory based on a metacognitive perspective, and seeks to involve persons in their recovery using their ability to think about their own thoughts, feelings and the minds of others to restructure a more viable approach to living.
The MERIT Institute was founded in 2014 with the mission of aiding and developing the research in MERIT psychotherapy.

Read in Spanish

Introduction to the seminar

In this seminar, Professor Lysaker will explain the importance of paying attention to metacognition when we talk about mental health problems, and why we need to develop therapeutic methods that are focused on metacognitive reflection. He will present his metacognitive reflection and insight therapy (MERIT) and details its different components.


The seminar will have a theoretical and practical approach that offers an introduction to the main concepts upon which MERIT is based, and the basic skills needed to apply this methodology.

Seminar designed for

Professionals working in the arenas of mental health and social intervention: psychologists, psychiatrists, medical doctors, clinical nurses, social workers, integration technicians, etc.


Hospital General Universitario Gregorio Marañón
(Note for all Unoymas courses– in case that should there be less than 60 people registered, a new location for the course in Room’s Intress)



(2017), Lysaker, P. Recovery, Meaning-Making and Severe Mental Illness: A Comprehensive Guide of Metacognitive Reflection and Insight Therapy. Routledge.
(2015) Lysaker, P. Metacognition and Severe Adult Mental Disorders. Routledge
(2014) Lysaker, P. Social Cognition and Metacognition in Schizophrenia. Routledge
Recommended articles
Lysaker PH, Minor KS, Lysaker JT, Hasson-Ohayon I, Bonfils K, Hochheiser J & Vohs JL (In press). Metacognitive function and fragmentation in schizophrenia: Relationship to cognition, self-experience and developing treatments. Schizophrenia Research Cognition.
Lysaker PH, Dimaggio G, Hamm JA, Leonhardt BL, Hochheiser J & Lysaker JT. (In press). Disturbances in self-experience in schizophrenia: metacognition and the development of an integrative recovery oriented individual psychotherapy. Psychopathology. DOI: 10.1159/000495297
Hamm J & Lysaker PH. (2018). Integrative metacognitive psychotherapy for serious mental illness: Applications to diverse clinical needs and its processes that promote recovery. American Journal of Psychotherapy.71(4): 122-127.
Lysaker PH, Gagen EC, Moritz S & Schweitzer RD. (2018). Metacognitive approaches to the treatment of psychosis: A comparison of four approaches. Psychology Research and Behavior Management. 11:341-351

Program (Contents and Objectives)
First day

1. What is metacognition : definitions of the concept.
Participants will become familiar with the definition of metacognition as a spectrum of mental activities which varies according to their focus and what they are related to (discrete versus synthetic phenomena). Participants will understand how this term overlaps and differs from those of “mentalization”, theory of mind and social cognition.

2. Applications of metacognition: Fundamentals of the application of metacognition to schizophrenia. In this segment, participants will understand how metacognitive activity can be conceptualized as a multidimensional and integrative phenomenon that allows human beings to shape, maintain and revise their life goals. They will also learn how deficits in metacognition could be a potential barrier to recovery and could be predictors of later developments of schizophrenia.

3. Measuring metacognition and the Metacognition Assessment Scale Abbreviated (MAS-A): Method and discoveries: Participants will learn how measuring synthetic aspects of metacognition requires different procedures than those used to measure discrete aspects of metacognition or social cognition. Participants will learn the basic procedures for using the Metacognition Assessment Scale – Abbreviated (MAS-A) and get acquainted with its psychomotor properties.
Time for practice (i.e. in small groups with the scale)

4. The 8 principles of MERIT: an introduction
Participants will learn that MERIT is an integrative treatment guided by principles. Participants will learn the nature of each of the 8 principles in addition to the 6 basic requirements for psychotherapy with the aim of being able to direct itself towards the metacognition of the person with a severe mental health problem. This will be based on both developmental and psychotherapeutic models.

5. The first 6 elements of MERIT

6. The last 2 elements of MERIT

7. Videos

8. Discussion and practice
Participants will be familiar the most common issues faced in different phases of therapy including the beginning and the end. Participants will have a working knowledge of how to establish therapeutic relationships as respond to complex issues including poor insight and negative symptoms.

Second day

1. Matters pending of the previous day will be discussed along with a review of the central elements of MERIT

2. New video of a session and discussion about the intervention

3. Practice in small groups supervised by Prof. Lysaker

4. Main challenges that are typically encountered

5. Other applications to special groups: people with mental disabilities, persons with post-traumatic stress

6. Opportunities for research, supervision and support


María Muñoz-Grandes, M.Sc., M.A., M.Ed.
Ignacio García, M.D
Mª Teresa Vargas Martín, M.A.

Maria Muñoz-Grandes, M.A., M.Ed., M.Sc.
Mª Teresa Vargas Martín, M.A.
Ignacio García Cabeza


Unoymas Relational Development, ASEPCO and Hospital General Universitario Gregorio Marañón