“Life Is Getting There.” A Case Report of Metacognitive Reflection and Insight Therapy (Merit) with an Individual Diagnosed with Mild Intellectual Disability and Chronic Acute Care Service Utilization
Bibliographic Data
| ID | 21349106 |
|---|---|
| Authors | Adam K Craig (0000-0002-3158-4286, Eskenazi Health, Sandra Eskenazi Mental Health Center, Indianapolis, IN, USA, corresponding author), Kelsey S Huling (Eskenazi Health, Sandra Eskenazi Mental Health Center, Indianapolis, IN, USA), Kelsey Huling (Eskenazi Health Foundation), Jay A Hamm (0000-0003-2193-9976, Eskenazi Health, Sandra Eskenazi Mental Health Center, Indianapolis, IN, USA) |
| Year | 2025 |
| Publication date | 2025-05-06 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Humanistic Psychology (JOURNAL) |
| Journal identifiers | ISSN: 0022-1678 • E-ISSN: 1552-650X |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/00221678251336490 |
| OpenAlex | W4410127521 |
| Language | EN |
| References cited | 30 |
Individuals with intellectual disability (ID) face considerable hardship and many experience chronic self-harm, but this population is often neglected in the psychotherapy literature. Metacognitive Reflection and Insight Therapy (MERIT; Lysaker & Klion, 2017) is an integrative psychotherapy model that puts meaning-making at the center of the treatment approach by helping clients with impaired metacognition develop a unique sense of themselves, which can then be used to work through psychological problems. In this article, the authors describe the model, then present a case study of 12 months of psychotherapy with a man experiencing both ID and chronic self-harm in a community mental health center. During the course of treatment, acute care utilization is drastically reduced, agency and metacognitive capacity are greatly improved, but existing societal challenges remain
Cognition · Metacognition · Psychiatry · Psychotherapist · Reflection (computer programming) · Service (business) · Counseling, Therapy, and Family Dynamics · Educational and Psychological Assessments · Family and Disability Support Research · Medicine · Nursing · Psychology
| Highly cited | No |
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