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Updated: Aug 29, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Roles and relationships: a psychoeducational approach to reviewing strengths and difficulties in adulthood
Helen Stein1, Jon G Allen, Jonathan Hill
1Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY. USA. hbs4@columbia.edu
Abstract:
The authors developed a psychoeducational protocol to help psychiatric patients review their patterns of interpersonal relationships. The conceptual framework is based on the Adult Personality Functioning Assessment (Hill, Fudge, Harrington, Pickles, & Rutter, 1995; Hill, Harrington, Fudge, Rutter, & Pickles, 1989). Seven domains of functioning are addressed: friendships, romantic relationships, family relationships, social contacts, therapeutic relationships, relationships with addictive substances and activities, and work. The intervention aims at fostering participants' reflectiveness about their relationships to enhance their capacity for social support. The introduction sets the protocol in context; an annotated version of patient materials includes commentary on each domain.
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