Insight and Psychosis

by Amador, Xavier F.; David, Anthony S.

• ISBN13: 9780195084979
• ISBN10: 0195084977
• Format: Hardcover
• Copyright: 1998-01-08
• Publisher: Oxford University Press

Summary

The insight a patient shares into their own psychosis is fundamental to their condition - it goes to the heart of what we understand 'madness' to be. Can a person be expected to accept treatment for a condition that they deny they have? Can a person be held responsible for their actions if those actions are inspired by their own unique perceptions and beliefs - beliefs that no-one else shares? The topic of insight in schizophrenia and related disorders has become a major focus of research in psychiatry and psychology. It has important clinical implications in terms of outcome, treatment adherence, competence, and forensic issues.

Table of Contents

Contributors	xvii
Introduction: The Meaning of Insight	3	(12)
Harold A. Sackeim
PART I PHENOMENOLOGY OF INSIGHT	15	(92)
1. The Description and Meaning of Insight in Psychosis	15	(18)
Xavier F. Amador
Henry Kronengold
2. Insight in the Psychoses: A Conceptual History	33	(14)
German E. Berrios
Ivana S. Markova
3. Completing Kraepelin's Psychopathology: Insight, Delusion, and the Phenomenology of Illness	47	(19)
K. William M. Fulford
4. Insight and Delusions	66	(12)
Phillipa A. Garety
5. The Subjective Experience of Negative Symptoms	78	(13)
Jean-Paul C. J. Selten
Robert J. van den Bosch
A. E. S. Sijben
6. Insight, Self-Deception, and Psychosis in Mood Disorders	91	(16)
Judith E. Kiersky
PART II NEUROPSYCHOLOGY OF INSIGHT	107	(86)
7. Neurobehavioral Disorders of Awareness and their Relevance to Schizophrenia	107	(35)
William B. Barr
8. The Neurobiology of Disturbances of the Self: Autonoetic Agnosia in Schizophrenia	142	(32)
Richard S. E. Keefe
9. Representations in Consciousness and the Neuropsychology of Insight	174	(19)
Marcel Kinsbourne
PART III CULTURE AND INSIGHT	193	(48)
10. Inside Knowledge: Cultural Constructions of Insight in Psychosis	193	(28)
Laurence J. Kirmayer
Ellen Corin
11. Japanese Attitudes Toward Insight in Schizophrenia	221	(20)
Yoshiharu Kim
PART IV INSIGHT AND BEHAVIOR	241	(48)
12. Delusions, Action, and Insight	241	(28)
Alec Buchanan
Simon Wessely
13. Violent Behavior by Individuals with Serious Mental Illness: The Role of Treatment Compliance and Insight	269	(20)
E. Fuller Torrey
PART V CLINICAL IMPLICATIONS OF POOR INSIGHT	289	(63)
14. The Relationship Between Insight in Psychosis and Compliance with Medications	289	(18)
Joseph P. McEvoy
15. Impaired Insight in Schizophrenia: Advances from Psychosocial Treatment Research	307	(10)
Paul H. Lysaker
Morris D. Bell
16. Insight, Families, and Education: An Exploration of the Role of Attribution in Clinical Outcome	317	(15)
William R. McFarlane
Ellen P. Lukens
17. The Clinical Importance of Insight	332	(20)
Anthony S. David
Epilogue	352	(7)
John S. Strauss
Index	359