Metacognitive therapy is one of the most important modern cognitive/behavioural therapies, without doubt, especially in the treatment of anxiety disorders. Adrian Wells has written an very comprehensive manual on metacognitive therapy (MCT)
Metacognitive Therapy for Anxiety and Depression. However, this Distinctive Features series dictates a set format for the book that perhaps helps the authors here to provide similar information in a different manner, with new examples, etc. I found this very helpful as it clarifies the general approach and broadens the range of examples. For instance, there are a few more examples of MCT applied to social phobia in this book, an application not covered in much detail elsewhere. This book is perhaps also slightly more readable than Wells' main manual, and more concise. (It fits nicely in my jacket pocket for reading on the train!) I'd therefore recommend that anyone interested in MCT might want to read this book first and then the one mentioned above. MCT arguably offers a simpler and more consistent approach, in some ways, than traditional CBT. It's also accumulating evidence as potentially being slightly briefer and more effective than traditional CBT. MCT has shown particular promise as a treatment for OCD and GAD. Aaron T. Beck has now explicitly assimilated aspects of MCT into his revised cognitive therapy approach for GAD, and perhaps also in his revisions of the generic cognitive model of anxiety. In addition to the anxiety disorders, MCT has also shown promise as a more focused approach to the treatment of clinical depression than traditional cognitive therapy has offered, by targeting the key process of rumination. If I remember rightly, this book particularly has examples of OCD and GAD throughout and a chapter is dedicated to a longer example of MCT applied to PTSD. Wells has also desribed a transdiagnostic or "universal" MCT conceptualisation model which provides a basis for applying the approach to other, related problems, perhaps including certain subclinical or comorbid cases, etc. What's lacking here are some of the forms and diagrams that are central to the approach but these are available in the manual above.
Donald Robertson
Author of The Philosophy of Cognitive-Behavioural Therapy