Mapping Metatherapy Onto the Treatment of Cognitive-Communication and Language Disorders in Adults

Abstract

Purpose: The purpose of this clinical focus article is to explore how the concept of metatherapy applies within the domain and treatment of cognitive-communication disorders. Method: We briefly introduce the concept of metatherapy, first introduced by Helou (2017), and explore how the concept of metatherapy may be applied to the treatment of cognitive-communication disorders. Unique aspects of cognitive-communication disorders that might necessitate adaptations and modifications to the clinical dialogues clinicians use in cognitive-communication treatment are discussed. Examples of effective clinical dialogues are provided within each of the five self-referential goals of metatherapy and contrast these examples with less effective examples. We highlight the importance of considering a multitude of client-specific characteristics (e.g., acuity, disorder etiology, cultural–linguistic background, and personal values) when using these dialogues. We summarize the most essential elements of metatherapeutic dialogues and discuss common pitfalls that novice clinicians should consider. This clinical focus article ends with a brief overview of relevant and related topics, as well as future directions for applying metatherapy to the treatment of cognitive-communication disorders. Conclusions: There are certain factors inherent to cognitive-communication disorders that may make the effectiveness of metatherapeutic dialogues within this realm difficult to ensure and measure. However, modifications to these dialogues to accommodate for these factors, such as a client's impaired comprehension or memory, are feasible. We offer potential avenues for further exploration of metatherapy within the treatment of cognitive-communication disorders.