Experiential Techniques in Metacognitive Interpersonal Therapy with Personality Disorders: The Therapeutic Relationship
Book Details
- Publisher : Routledge
- Published : November 2025
- Cover : Paperback
- Pages : 284
- Category :
Individual Psychotherapy - Category 2 :
Forthcoming - Catalogue No : 98297
- ISBN 13 : 9781032944807
- ISBN 10 : 1032944803
Also by Giancarlo Dimaggio
Also by Paolo Ottavi
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This book provides a guide to using experiential techniques, such as imagery rescripting, chairwork, body work, and mindfulness in metacognitive interpersonal therapy to treat personality disorders and PTSD, along with their many comorbid conditions.
Psychotherapy for patients with personality disorders and their associated symptom disorders needs (1) a tailored case formulation, continuously updated and shared with the patient; (2) the use of experiential techniques to challenge embodied, automatic, hard-to-change interpersonal patterns; and (3) active attention to the therapeutic relationship. This book will help readers work along these dimensions, acting as a guide to constructing a client-first model of their own psychological functioning that can be used as a roadmap to change. It includes specific procedures for addressing problems in the therapeutic contract, devising and enacting imagery rescripting and other techniques, interrupting repetitive thinking, and so on. It also includes real case examples, with rich and detailed clinical exchanges for the procedures described.
This comprehensive text will help practicing clinicians of any orientation in working with patients suffering from personality disorders and their associated symptoms.
Reviews and Endorsements
The authors have succeeded in writing another masterpiece on Metacognitive Interpersonal Therapy (MIT). The book is a natural and well-written extension of its predecessors focusing on the therapeutic mechanisms of MIT with particular attention to the therapeutic relationship when treating individuals manifesting personality pathology and related symptoms. The authors master the balance between offering up-to-date theory and research while at the same time providing several, helpful case examples and concrete clinical techniques. This way, the book is of great interest to a wide audience of researchers and clinicians interested in MIT and experiential practices more broadly. I thoroughly recommend this!"
Majse Lind, Ph.D., Department of Communication and Psychology, Aalborg University, Denmark
This book is a much needed addition to the literature on psychotherapy. This is an innovative, insightful, and sophisticated approach to the interpersonal issues involved in therapy that often can be used or misused in the therapeutic relationship. Both scholarly and practical, this book should be required reading for any therapist who wants to deepen the quality of the work that they do. There was much wisdom to be gained here. Bravo!"
Robert L. Leahy, Ph.D., Director, American Institute for Cognitive Therapy, Past-President, Association for Behavioral and Cognitive Therapies
Wow. When I read this book, I could not help but wish I had written it myself. Integrative, pragmatic, and authentic, DiMaggio manages to strike a balance between the flexible humanity of classical psychodynamic therapeutic approaches with the precision and incisiveness of modern technically driven manualized therapies. Both imaginative and directive simultaneously, metacognitive interpersonal therapy (MIT) preserves the humanistic spirit of a psychotherapeutic intervention which aims to heal the burden of early and current adversities that all people face when their personality problems cause them to trip and fall, from time to time throughout their life trajectory."
Lois W. Choi-Kain, M.D. M.Ed.
Table of Contents
1. Interactions between experiential techniques and the therapeutic relationship: A classification;
2. Personality psychopathology in metacognitive interpersonal therapy;
3. The therapeutic relationship in MIT: general principles and interaction with techniques;
4. Decision-making and relational procedures: shared formulation of functioning;
5. Decision-making and relational procedures: change promoting;
6. Narrative episodes, early access to healthy parts, and dynamic assessment;
7. Identify the narrative structures underlying the episodes;
8. Reconstruction of coping and beginning work on symptoms when metacognition is poor;
9. Reconstruct functioning and recognize the Interpersonal pattern as such: the completion of the shared formulation;
10. Differentiate and strengthen the healthy parts, recognizing the shifts back to the schema;
11. Pursuing wishes by exploring the environment and interrupting avoidance: counteracting tendencies to return to schemas after successful experiments;
12. Forming a more mature theory of others’ minds: recognizing one’s own contribution to relational dysfunction and building an integrated model of self and others;
13. Dealing with relationship problems, coping, and residual symptoms;
14. Conclusions: technically active yet relationship-conscious
About the Author(s)
Giancarlo Dimaggio, MD, a psychiatrist and psychotherapist, is a co-founding member of the Centre for Metacognitive Interpersonal Therapy in Rome, Italy. His primary interest is in metacognitive processes and mental disorders. He has published four books, including the coauthored Metacognitive Interpersonal Therapy for Personality Disorders, and more than 120 papers in scientific journals. Dr. Dimaggio is an associate editor of Psychology and Psychotherapy and the Journal of Psychotherapy Integration, and serves on the editorial board of the Journal of Personality Disorders. He has guest-edited many journal special issues on research and treatment for personality disorder.
More titles by Giancarlo Dimaggio
Antonella Centonze is a clinical psychologist at the Center for Metacognitive Interpersonal Therapy.
Paolo Ottavi, psychologist and psychotherapist, is the main developer of two published treatments with empirical support: Metacognition Oriented Social Skills Training and Metacognitive-Interpersonal Based Mindfulness Training.
Raffaele Popolo is a co-founding member of the Center for Metacognitive Interpersonal Therapy, a trainer at the Società Italiana di Terapia Comportamentale e Cognitiva (SITCC), and a trainer of the psychotherapy school ‘Studi Cognitivi’.
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