Insight and Psychosis Awareness of Illness in Schizophrenia and Related Disorders

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

• ISBN13: 9780198525684
• ISBN10: 0198525680
• Edition: 2nd
• Format: Paperback
• Copyright: 2004-09-16
• 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 ifthose 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. In order to study 'insight' a broad perspective is required. This involves applying knowledge from the cognitive and brain sciences, as well as from philosophy and the social sciences. Insight and Psychosis comprises a series of in-depth, well-referenced, scholarly overviews from each of these perspectives with a strong empirical foundation - including in some cases the presentation of new data and meta-analysis of the published literature. These are integrated and synthesised bythe editors, both acknowledged experts in the field. The scope is truly international and spans theoretical perspectives, clinical practice, and consumer views. The book will act as a source for students and researchers interested in pursuing any number of questions and controversies around lack ofinsight and awareness, and will guide clinical psychologists and psychiatrists who seek a broader view of the many facets of insight that might arise during their day-to-day work.

Table of Contents

List of contributors	xiii
Part I: Phenomenology and psychology
1 Understanding and assessing insight	3	(28)
Xavier F. Amador and Henry Kronengold
2 Insight in the psychoses: a conceptual history	31	(20)
German E. Berrios and Ivana S. Marková
3 Insight and delusion: from Jaspers to Kraepelin and back again via Austin	51	(28)
Bill (K.W.M.) Fulford
4 Cognitive insight: theory and assessment	79	(10)
Aaron T. Beck and Debbie M. Warman
5 Insight and delusions: a cognitive psychological approach	89	(12)
Suzanne Jolley and Philippa A. Garety
6 Insight in mood disorders: an empirical and conceptual review	101	(18)
S. Nassir Ghaemi and Klara J. Rosenquist
Part II: Neuropsychology
7 The neuropsychology of insight in psychiatric and neurological disorders	119	(38)
Frank Larøi, William B. Barr, and Richard S.E. Keefe
8 Neural correlates of unawareness of illness in psychosis	157	(20)
Laura A. Flashman and Robert M. Roth
9 Neuropsychological studies of insight in patients with psychotic disorders	177
Kevin D. Morgan and Anthony S. David
Part III: Insight, culture, and society
10 Inside knowledge: cultural constructions of insight in psychosis	197	(34)
Laurence J. Kirmayer, Ellen Corin, and G. Eric Jarvis
11 Japanese attitudes towards insight in schizophrenia	231	(12)
Yoshiharu Kim
12 The relationship of insight to violent behavior and stigma	243	(14)
E. Fuller Torrey
13 Why lack of insight should have a central place in mental health law	257	(26)
Ken J. Kress
Part IV: Clinical and personal implications of poor insight
14 Delusions, action, and insight	283	(28)
Alec Buchanan and Simon C. Wessely
15 The relationship between insight into psychosis and compliance with medications	311	(24)
Joseph P. McEvoy
16 Awareness of illness in schizophrenia: advances from psychosocial rehabilitation research	335	(16)
Paul H. Lysaker and Morris D. Bell
17 Inside "Insight" - a personal perspective on insight in psychosis	351	(8)
Frederick J. Frese III
18 The clinical importance of insight: an overview	359	(34)
Anthony S. David
Index	393