Within the Training School for Cognitive Psychotherapy (Italian Associazione di Psicologia Cognitiva or APC), the Terzo Centro di Psicoterapia Cognitiva in Rome has been concentrating on the study of the therapeutic process with seriously ill patients, in particular those suffering from personality disorders. Over the course of 10 years of working together, our clinical practice and empirical research has been aimed in three directions: 1. We analyze patients’ narratives and the dialogical component in them (Bruner, 1990; Dimaggio, Salvatore, Azzara, & Catania, 2003; Dimaggio & Semerari, 2001; Gonçalves, 1995; Hermans, 1996; Hermans & Kempen, 1993; Neimeyer, 2000; Salvatore, Dimaggio, & Semerari, 2003). 2. We analyze alterations in metacognitive and metarepresentative skills. We ...