Die Bedeutung von Metakognitionen für das Verständnis und die Psychotherapie von Zwang

The Importance of Metacognitions in the Understanding and Treatment
of Obsessive Compulsive Disorder The present article discusses
three cognitive approaches of Obsessive Compulsive Disorder (OCD):
(1) Beck's theory of content-specificity, (2) Salkovskis'
cognitive-behavioural approach and (3) Wells' more recent theory of
metacognitions. Wells' approach is explained in more detail: the so
called Self-Regulatory Executive Function model is presented as
well as special aspects of thinking in OCD, for example the
self-referential status of thinking, thinking in object mode and
aspects of `thought-action fusion'. The relevance of Wells'
metacognitive approach for the development and the maintenance of
OCD is discussed. Furthermore, proposals are made on how to include
these issues in the psychotherapy of OCD.