Real-world cognitive*and metacognitive*dysfunction in schizophrenia: A new approach for measuring (and remediating) more ‘‘right stuff

While the role of impaired cognition in accounting for functional outcome in schizophrenia is generally estab-lished by now, the overlap is far from complete. Moreover, little is known about the potential mechanisms that bridge between cognition and functional outcome. The aim of this article is to aid in closing this gap by presenting a novel, more ecologically valid approach for neuropsychological assessment. The new approach is motivated by the view that metacognitive processes of self-monitoring and self-regulation are fundamental determinants of competent functioning in the real world. The new approach incorpo-rates experimental psychological concepts and paradigms used to study metacognition into current standard neuro-psychological assessment procedures. Preliminary empiri-cal data that support and demonstrate the utility of the ne