Clearer Thinking with Spencer Greenberg Using metacognitive therapy to break the habit of rumination (with Pia Callesen)
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Aug 30, 2023 Pia Callesen, a prominent Danish metacognitive psychologist with a PhD from Manchester, dives deep into the world of metacognitive therapy. She shares how it differs from other therapies like CBT and DBT, emphasizing the management of negative thought patterns. The discussion reveals insights on controlling responses to intrusive thoughts and the dual nature of worry. Pia highlights the dangers of rumination, its links to feelings of worthlessness, and introduces practical strategies like 'worry time' to foster healthier thinking.
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Thought Reaction
- Thoughts alone do not cause depression; it's how you react to them.
- Metacognitive therapy (MCT) focuses on changing your reaction to negative thoughts, not the thoughts themselves.
Key Beliefs in Negative Thinking
- Two key beliefs drive negative thought patterns: uncontrollability (can't stop thinking) and usefulness (worrying helps).
- MCT targets these beliefs to reduce rumination and worry.
MCT vs. CBT
- Cognitive Behavioral Therapy (CBT) targets negative thoughts directly, aiming to restructure them.
- MCT, conversely, focuses on managing reactions to thoughts, letting thoughts self-regulate.