The MERIT Institute is dedicated to providing a full set of training options to interested professionals who want to learn this protocol and to deliver it with high fidelity to clients. If the options below do not suit your needs, please contact us about customized arrangements.

Get Training Live At MERIT Institute

Live at MERIT Institute

We are planning on holding a MERIT training event in Indianapolis, IN in March 2018. If you are interested in learning more, please contact us. Contact Us

Get Training Live At Your Place

Live at Your Place

You can book MERIT founder Dr. Paul Lysaker to meet directly with your therapists for intensive training onsite at your facility, or at other conference location of your choosing. Please contact us well in advance to make scheduling arrangements. Contact Us

Get Training Live On Google Hangout

Live on Google Hangout

Google Hangout ™ is an excellent vehicle for group training events. Up to twenty participants can meaningfully participate in audio-visual interaction, supplemented by computer-based presentations of MERIT technique (which show on Hangout as they would in a conference room) and supervisory demonstrations. Contact Us

DVDs and Manuals

MERIT Institute offers several DVD options. We currently have plans for five initial training products, each of 45 minutes’ duration. Please refer to the store under Resources, for pricing and to purchase Training materials or programs.

Five initial DVD products are offered, each 45 minutes in duration:

  • Metacognition and serious mental illness
    • Wellness in the face of any life altering circumstances is usually understood as related in part to the sense that people make of that circumstance itself and their unique life in its wake
    • is strikingly missing in schizophrenia and psychosis research – Illustrate how most common models miss this
    • This is an egregious problem since it loses the person and also misses that this is an area of problem in schizophrenia – Illustration of how problems with thinking about oneself and personal challenges are described from multiple perspectives including Laing, Bleuler and Roe
    • Missing the sense making is relevant not only for thinking about coping with discrete problems but also for basic kinds of human motivation to work: People need a why sometimes more than a How
    • We use the word metacognition to talk about sense making
    • A broad definition of metacognition and how that fits in with other definitions
    • Caveats about our use: it includes multiple dimensions each of which can be understood as hierarchical and deficits can be multi-determined
    • Issues of measurement include how this phenomenon emerges in discourse and is more than a matter of accuracy
    • Introduction about how we do it
    • Summary
  • Measuring metacognition in severe mental illness
    • Review of the construct and issues related to measurement
    • Developing an interview in which metacognition can be assessed
    • Description of the IPII
    • Presentation of the development of the MAS-A
    • Presentation of the four scales of the MAS-A
    • General rating strategies
    • Information on reliability and validity
    • Alternative sources for materials which can rated with the MAS-A
    • Assistance available for free for learning to rate the MAS-A
    • Introduction in the form of the promise for a treatment target and research tool
    • Summary
  • MAS-A Research in Severe Mental Illness
    • Review of the scale and its reliability and validity
    • Means scores in First Episode Psychosis, and Prolong Schizophrenia samples and comparison with Substance Abuse, PTSD and HIV+ samples
    • Unique differences in MAS-A scores in schizophrenia samples
    • How MAS-A scores are related to symptoms and neurocognition in schizophrenia
    • How MAS-A scores are related to psychosocial outcomes in schizophrenia
      • Work
      • Social relationships
      • Activity level
      • Functional competence
    • How MAS-A scores are related to factors that influence psychosocial outcomes
      • Insight or awareness of illness
      • Reasoning style
    • Introduction in the form of how MAS-A scores could identify a treatment target and guide treatment
    • Summary
  • MERIT - Part One
    • Review of construct of metacognition and its operationalization
    • Concept of using metacognition to define treatment targets
    • Two early case studies including measurements of metacognition over time
    • Basic principles guiding a treatment
    • Development of MERIT
    • The idea of core elements which are not lock step with each other
    • The 8 core elements of MERIT including challenges to each
    • Summary
  • MERIT - Part Two
    • Summary
    • General points when thinking about MERIT
      • Introducing the purpose of MERIT
      • Early phases of treatment
      • Non-linearity of progress
      • Relationship of growth of different domains of metacognition
      • Link of insight with depression
      • Special considerations with first episode patients
      • Termination
    • The place of MERIT in the wider field of developing forms of therapies
      • Links and divergence from CBT
      • Links and divergence from psychodynamic therapies
      • Links and divergence from Humanistic approaches
    • Supporting Evidence from case studies, an open trial and qualitative analyses
    • Limitations and Caveats
    • Opportunities for in person training and future


Full MERIT training and documentary manuals are available only to qualified researchers and practitioners. Please contact us to discuss availability.