Abstract
Research undertaken over the last fifteen years has applied the Self-Regulatory Executive Function (S-REF) model of psychopathology to the conceptualisation and treatment of alcohol use disorder (AUD). From this perspective, metacognitive beliefs may contribute to the initiation, perseveration and maintenance of alcohol use, promoting the engagement on Cognitive Attentional Syndrome (CAS), which in turn might increase the likelihood of using alcohol as a means of cognitive-affective regulation. Reducing the propensity to engage in the CAS and modifying related metacognitive beliefs have been proposed as therapeutic targets for the treatment of AUD. Preliminary evidence has shown that Metacognitive Therapy may be a feasible treatment for AUD as a primary diagnosis, promoting controlled alcohol use. In this chapter, we review research on metacognitive beliefs in AUD and outline the Metacognitive Therapy approach to the treatment of AUD.
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