The role of insight in the process of recovery from schizophrenia: A review of three views

被引:41
作者
Lysaker, Paul [1 ,2 ]
Yanos, Philip T. [3 ]
Roe, David [4 ]
机构
[1] Roudebush VA Med Ctr, Indianapolis, IN 46202 USA
[2] Indiana Univ Sch Med, Indianapolis, IN 46202 USA
[3] CUNY John Jay Coll Criminal Justice, New York, NY 10019 USA
[4] Univ Haifa, Dept Community Mental Hlth, IL-31999 Haifa, Israel
来源
PSYCHOSIS-PSYCHOLOGICAL SOCIAL AND INTEGRATIVE APPROACHES | 2009年 / 1卷 / 02期
关键词
insight; recovery; depression; loss; schizophrenia; stigma; INTERNALIZED STIGMA; MENTAL-ILLNESS; POOR INSIGHT; 1ST-EPISODE SCHIZOPHRENIA; AWARENESS; PSYCHOSIS; INDIVIDUALS; ASSOCIATION; ATTRIBUTION; DEPRESSION;
D O I
10.1080/17522430902948175
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
At present there is debate about the importance of insight, or awareness of the consequences and experiences linked with schizophrenia, for recovery. One view suggests that insight is a precondition for treatment adherence and hence wellness. Another suggests that insight may be more destructive than helpful. In this article, we will review both perspectives along with supporting evidence, and offer a third view of the role of insight in recovery in an effort to resolve some of these paradoxical findings. We will argue that one way to make sense of these conflicting accounts and findings is to conceptualize insight not as the acceptance of a certain fact or set of facts, but as a process of personally making sense of experiences and consequences linked with schizophrenia. Furthermore, we will assert that, to be adaptive, this storied account of the experiences and consequences of schizophrenia must be understandable by others and also reject stigma or prevalent stereotypes of mental illness which cast persons diagnosed with schizophrenia as incompetent or dangerous. The importance of this perspective for the development of recovery-oriented interventions is discussed.
引用
收藏
页码:113 / 121
页数:9
相关论文
共 50 条
[1]   AWARENESS OF ILLNESS IN SCHIZOPHRENIA [J].
AMADOR, XF ;
STRAUSS, DH ;
YALE, SA ;
GORMAN, JM .
SCHIZOPHRENIA BULLETIN, 1991, 17 (01) :113-132
[2]  
Amador XF, 1996, AM J PSYCHIAT, V153, P1185
[3]   Are self-reports valid for schizophrenia patients with poor insight? Relationship of unawareness of illness to psychological self-report instruments [J].
Bell, Morris ;
Fiszdon, Joanna ;
Richardson, Randall ;
Lysaker, Paul ;
Bryson, Gary .
PSYCHIATRY RESEARCH, 2007, 151 (1-2) :37-46
[4]  
Bollini P, 2004, J Psychiatr Ment Health Nurs, V11, P668, DOI 10.1111/j.1365-2850.2004.00780.x
[5]  
Chadwick P., 2006, Person-based cognitive therapyfor distressingpsychosis
[6]   How clinical diagnosis might exacerbate the stigma of mental illness [J].
Corrigan, Patrick W. .
SOCIAL WORK, 2007, 52 (01) :31-39
[7]   Early insight predicts depression and attempted suicide after 4 years in first-episode schizophrenia and schizophreniform disorder [J].
Crumlish, N ;
Whitty, P ;
Kamali, M ;
Clarke, M ;
Browne, S ;
McTigue, O ;
Lane, A ;
Kinsella, A ;
Larkin, C ;
O'Callaghan, E .
ACTA PSYCHIATRICA SCANDINAVICA, 2005, 112 (06) :449-455
[8]   Awareness of illness in schizophrenia and outpatient treatment adherence [J].
Cuffel, BJ ;
Alford, J ;
Fischer, EP ;
Owen, RR .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1996, 184 (11) :653-659
[9]  
Debowska G, 1998, COMPR PSYCHIAT, V39, P255
[10]   The evolution of insight, paranoia and depression during early schizophrenia [J].
Drake, RJ ;
Pickles, A ;
Bentall, RP ;
Kinderman, P ;
Haddock, G ;
Tarrier, N ;
Lewis, SW .
PSYCHOLOGICAL MEDICINE, 2004, 34 (02) :285-292