Mapping Meta-Therapy 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 meta-therapy applies within the domain and treatment of cognitive-communication disorders. Method: We briefly introduce the concept of meta-therapy, first introduced by Helou (2017), and explore how the concept of meta-therapy 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 meta-therapy 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 meta-therapeutic 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 meta-therapy to the treatment of cognitive-communication disorders. Conclusions: There are certain factors inherent to cognitive-communication disorders that may make the effectiveness of meta-therapeutic 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 meta-therapy within the treatment of cognitive-communication disorders.