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MERIT MERIT Metacognitive Reflection and Insight Therapy is a manualbased psychotherapy specifically designed for people in recovery from schizophrenia and other forms of severe mental illness. Developed by Paul Lysaker PhD and colleagues MERIT is a psychotherapy model amenable to clinicians working from a variety of orientations who are interested in helping their clients to improve theirmetacognitive capacities. What is metacognition. The simplest definition of metacognition is thinking about thinking.