Nieuwsbrief 2013


MCT Platform Nederland


MCT Nieuwsbrief

nieuwsbrief Steffen Moritz en Todd S. Woodward oktober 2013


Dear colleagues*,


We are grateful for the increasing dissemination and acceptance of metacognitive training for psychosis (MCT) as a complementary treatment for schizophrenia, as well as the positive feedback from both clinicians and patients. The training is now available in 30 languages.


With this email, we would like to provide you with updates on recent developments.



1. We have slightly revised the manual. The newest version can be obtained via


2. The individualized version of MCT, called MCT+, which is a hybrid of our MCT approach and cognitive-behavioral therapy, is now available in German, English, Dutch and Greek. A Spanish version is underway and will be presumably finished in late fall (translator: Kalia Planells Keller). The MCT+ material, as well as a randomized controlled trial study showing the potential of MCT+ to ameliorate delusions and cognitive biases (Moritz et al., Psychological Medicine, 2011), can be downloaded from


3. We have replaced many of the “playmobile” pictures in module 5 (memory) with new drawings that have been created by Ximena Derpsch Villar.


4. We have optimized the layout. Please exchange your old MCT pdf-files for the new ones ( (Western European and the Americas) or (Eastern Europe and Asia)).


5. We have prepared another “urban legend” (“moon landing conspiracy”), which can be presented as an alternative to the urban legends shown in modules 2 and 7 (see the end of the modules). In module 5b, you will also find an alternative exercise at the end of the module.


6. A number of new studies have been published showing the feasibility and efficacy of the training (e.g., Moritz et al., Schizophrenia Research, in press; Favrod et al., European Psychiatry, in press; Rocha & Queiros, Schizophrenia Research, 2013). These can be downloaded when registering for the manual at


7. We are determined to continue to provide MCT and other developments from our group at no cost. However, the improvement, maintenance, evaluation and also dissemination of MCT are associated with high costs, which unfortunately we cannot cover from research grants alone. Therefore, we would be grateful for financial support. Having said that, we will assist anyone who has questions or problems whether or not they have made a donation.


8. If you plan to conduct a study, please contact us. We can offer support in your choice of outcome parameters.


9. New videos aimed at assisting the administration of MCT can be downloaded at


10. We have adapted the MCT to borderline personality disorder. The so-called B-MCT is a complementary, low-threshold add-on program. The material for the 8 sessions (pdf converted ppt slides and a short manual) of this CBT-oriented group approach can be downloaded free of charge at


11. Here are some essentials if you want to perform the training (please also read the manual thoroughly):


The main objective of the training is to “plant the seeds of doubt” for delusional ideas. For this reason, it is pertinent that patients provide their response confidence when solving the tasks in modules 2, 3, 4, 5 and 7 (“to err is human” – but to err big time (i.e., with high conviction) creates problems!)


For each module there are more exercises than can possibly be administered within 50-60 minutes. Shortly before the end of the session, please jump forward to the final slides discussing the learning aims and the case example.


Please don’t forget to directly hand the red and yellow cards, as well as the homework, to the patients (can be downloaded together with the manual, see above).


Do not read the MCT slides word for word but rather paraphrase the text. Choose those exercises that you deem most relevant and like best (again, we have more exercises than fit the time-frame). Feel free to combine the training with other interventions such as social competence training, cognitive remediation or psychoeducation.


Be sure to provide time for individual reflection and opinions of the group members.



We would like to thank you for your interest and the many recommendations for revisions we have received and carefully taken into account. We would be grateful if you could make your colleagues aware of our programs. Apart from the MCT for psychosis, we also have written a self-help book for OCD ( and developed several other techniques for impulse control disorders ( Our MCT manuals/materials for depression and borderline personality are currently being translated.


Very kind regards,



your MCT-Team



Steffen Moritz, Todd S. Woodward


Ruth Veckenstedt, Francesca Bohn, Lisa Schilling, Charlotte Wittekind, Ulf Köther, Birgit Hottenrott, Franziska Fliegner




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Prof. Dr. Steffen Moritz

Universitätsklinikum Hamburg-Eppendorf

Klinik für Psychiatrie und Psychotherapie

Arbeitsgruppe Klinische Neuropsychologie

Martinistraße 52

D-20246 Hamburg (Germany)

Tel.: ++49 (0)40 7410 56565

FAX: ++49 (0)40 7410 57566




Besuchen Sie uns auf:






Universitätsklinikum Hamburg-Eppendorf; Körperschaft des öffentlichen Rechts; Gerichtsstand: Hamburg

Vorstandsmitglieder: Prof. Dr. Martin Zeitz (Vorsitzender), Prof. Dr. Dr. Uwe Koch-Gromus, Joachim Prölß, Rainer Schoppik