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Letters to the Editor   |    
Response to Wells and Fisher Letter
Mary V. Solanto, Ph.D.; Jeanette Wasserstein, Ph.D.; David J. Marks, Ph.D.
Am J Psychiatry 2011;168:327-328. doi:10.1176/appi.ajp.2010.10101467r
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New York, N.Y.

The authors' disclosures accompany the original article.

This letter was accepted for publication in December 2010.

Accepted December , 2010.

To the Editor: When we named our approach "meta-cognitive therapy" we were referring to the fact that our treatment aimed to help adults with ADHD develop a set of overarching or "meta" skills to guide their behavior with respect to time-management, organization, and planning (1, 2). These skills include cognitive and behavioral strategies to foster awareness of and appropriate allocation of time, initiate and sustain motivated behavior toward short- and long-term goals, and organize the physical environment so as to facilitate these objectives. The choice of this term was in keeping with a related "meta-awareness" approach to the treatment of ADHD, termed metacognitive remediation, previously used in the literature by one of the co-investigators in our group (3). We did not mean to imply that our treatment was related to the metacognitive therapy developed by Adrian Wells. We have since deleted this term from the descriptions of our work and from the title of our forthcoming treatment manual for therapists, which will be published as Cognitive-Behavioral Treatment for Adults With ADHD: Targeting Executive Dysfunction by Guilford.

Solanto  MV;  Marks  DJ;  Mitchell  K;  Wasserstein  J;  Kofman  MD:  Development of a new psychosocial treatment for adults with AD/HD.  J Atten Disord 2008; 11:728—736
[CrossRef] | [PubMed]
 
Solanto  MV;  Marks  DJ;  Wasserstein  J;  Mitchell  K;  Abikoff  H;  Alvir  JMJ;  Kofman  MD:  Efficacy of meta-cognitive therapy for adult ADHD.  Am J Psychiatry 2010; 167:958—968
[CrossRef] | [PubMed]
 
Wasserstein  J;  Lynn  A:  Metacognitive remediation in adult ADHD: treating executive function deficits via executive functions.  Ann N Y Acad Sci 2001; 931:376—384
[CrossRef] | [PubMed]
 
References Container
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References

Solanto  MV;  Marks  DJ;  Mitchell  K;  Wasserstein  J;  Kofman  MD:  Development of a new psychosocial treatment for adults with AD/HD.  J Atten Disord 2008; 11:728—736
[CrossRef] | [PubMed]
 
Solanto  MV;  Marks  DJ;  Wasserstein  J;  Mitchell  K;  Abikoff  H;  Alvir  JMJ;  Kofman  MD:  Efficacy of meta-cognitive therapy for adult ADHD.  Am J Psychiatry 2010; 167:958—968
[CrossRef] | [PubMed]
 
Wasserstein  J;  Lynn  A:  Metacognitive remediation in adult ADHD: treating executive function deficits via executive functions.  Ann N Y Acad Sci 2001; 931:376—384
[CrossRef] | [PubMed]
 
References Container
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