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The Meaning of Insight in Clinical Psychiatry

Published online by Cambridge University Press:  02 January 2018

I. S. Marková  and
G. E. Berrios
I. S. Marková
Affiliation:
Fulbourn Hospital, Cambridge
G. E. Berrios*
Affiliation:
Robinson College, Cambridge, and Consultant and University Lecturer in Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge
*
∗Department of Psychiatry, Addenbrooke's Hospital (Level 4), Hills Road, Cambridge CB2 2QQ
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Abstract

Insight can be defined not only in terms of people's understanding of their illness, but also in terms of understanding how the illness affects individuals' interactions with the world. The term ‘insight’ encompasses a complex concept which should not be considered as an isolated symptom which is present or absent. Instead, it may be more appropriate to think of insight as a continuum of thinking and feeling, affected by numerous internal and external variables. Different psychiatric disorders involve different mechanisms in the process of impairment of insight; this may influence the ways in which insight should be assessed in clinical practice.

Type
Papers
Information
The British Journal of Psychiatry , Volume 160 , Issue 6 , June 1992 , pp. 850 - 860
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Abramowitz, S. I. & Abramowitz, C. V. (1974) Psychological-mindedness and benefit from insight-oriented group therapy. Archives of General Psychiatry, 30, 610–615.Google Scholar
Alexander, F., French, T., Bacon, C. L., et al (1946) Psychoanalytic Therapy: Principles and Applications. New York: Ronald Press.Google Scholar
Anker, J. M. & Walsh, R. P. (1961) Group psychotherapy, a special activity program, and group structure in the treatment of chronic schizophrenia. Journal of Consulting Psychology, 25, 476–481.CrossRefGoogle Scholar
Appelbaum, P. S., Mirkin, S. A. & Bateman, A. L. (1981) Empirical assessment of competency to consent to psychiatric hospitalization. American Journal of Psychiatry, 138, 1170–1176.Google ScholarPubMed
Berlyne, N. (1972) Confabulation. British Journal of Psychiatry, 120, 31–39.Google Scholar
Berrios, G. E. (1985) Presbyophrenia: clinical aspects. British Journal of Psychiatry, 147, 76–79.CrossRefGoogle ScholarPubMed
Bibring, E. (1954) Psychoanalysis and the dynamic psychotherapies. Journal of the American Psychoanalytic Association, 2, 745–770.Google Scholar
Blum, H. P. (1979) The curative and creative aspects of insight. Journal of the American Psychoanalytic Association, 27, 41–69.Google Scholar
Conrad, K. (1958) Die Beginnende Schizophrenie. Versuch Einer Gestaltsanalyse des Wahns. Stuttgart: Georg Thieme Verlag.Google Scholar
Coons, W. H. (1957) The dynamics of change in psychotherapy. Canadian Journal of Psychology, 11, 1–8.Google Scholar
Dagonet, H. (1881) Conscience et alienation men tale. Annates Medico-Psychologiques, 5, 368–397; 6, 19–32.Google Scholar
Damasio, A. R., Damasio, H. & Van Hoesen, G. W. (1982) Prosopagnosia: anatomic basis and behavioural mechanisms. Neurology, 32, 331–341.Google Scholar
David, A. S. (1990) Insight and psychosis. British Journal of Psychiatry, 156, 798–808.Google Scholar
Eskey, A. (1958) Insight and prognosis. Journal of Clinical Psychology, 14, 332–348.Google Scholar
Fingarette, H. (1969) Self Deception. London: Routledge & Kegan Paul.Google Scholar
Fisher, S. & Greenberg, R. P. (1977) The mechanisms of psychoanalytic therapy: the search for insight. In The Scientific Credibility of Freud's Theories and Therapy. New York: Harvester Press.Google Scholar
Freud, A. (1941) The Ego and the Mechanisms of Defence (trans. Baines, C.). London: Hogarth Press.Google Scholar
Freud, A. (1981) Insight: its presence and absence as a factor in normal development. In The Psychoanalytic Study of the Child, vol. 36. (eds Solnit, A. J., Eissler, R. S., Freud, A., et al). New Haven: Yale University Press.Google Scholar
Freud, S. (1900) Preface to the 3rd (revised) English edition to the interpretation of dreams. In The Standard Edition of the Complete Psychological Works of Sigmund Freud, vol. IV (ed. Strachey, J., 1954). London: Hogarth Press.Google Scholar
Freud, S. (1910) Wild psycho-analysis. In The Standard Edition of the Complete Psychological Works of Sigmund Freud, vol. XI (ed. Strachey, J., 1957), p. 225. London: Hogarth Press.Google Scholar
Gloor, P., Olivier, A., Quesney, L. F., et al (1982) The role of the limbic system in experiential phenomena of temporal lobe epilepsy. Annals of Neurology, 12, 129–144.Google Scholar
Haight, M. R. (1980) A Study of Self-Deception. Brighton: Harvester Press.Google Scholar
Hamlyn, D. W. (1971) Self-deception. Proceedings of the Aristotelian Society, 45 (suppl.), 45–60.CrossRefGoogle Scholar
Hamlyn, D. W. (1977) Self-knowledge. In The Self: Psychological and Philosophical Issues (ed. Mischel, T.). Oxford: Black well.Google Scholar
Hartlage, L. (1970) Subprofessional therapists' use of reinforcement versus traditional psychotherapeutic techniques with schizophrenics. Journal of Consulting and Clinical Psychology, 34, 181–183.CrossRefGoogle ScholarPubMed
Heinrichs, D. W., Cohen, B. P. & Carpenter, W. T. (1985) Early insight and the management of schizophrenic decompensation. Journal of Nervous and Mental Disease, 173, 133–138.Google Scholar
Jaspers, K. (1959) General Psychopathology (trans. Hoenig, J. & Hamilton, M., 1963). Manchester: Manchester University Press.Google Scholar
Kris, E. (1956) On some vicissitudes of insight in psychoanalysis. In Selected Papers (1975). pp. 252–271. New Haven: Yale University Press.Google Scholar
Lewis, A. (1934) The psychopathology of insight. Journal of Medical Psychology, 14, 332–348.Google Scholar
Lin, I. F., Spiga, R. & Fortsch, W. (1979) Insight and adherence to medication in chronic schizophrenics. Journal of Clinical Psychiatry, 40, 430–432.Google ScholarPubMed
Linden, J. (1984) Insight and its classification. Psychoanalysis and Contemporary Thought, 7, 99–114.Google Scholar
Loewenstein, R. (1956) Some remarks on the role of speech in psychoanalytic technique. International Journal of Psycho-Analysis, 37, 460–468.Google Scholar
McEvoy, J. P., Aland, J., Wilson, W. H., et al (1981) Measuring chronic schizophrenic patients' attitudes towards their illness and treatment. Hospital and Community Psychiatry, 32, 856–858.Google Scholar
McEvoy, J. P., Appelbaum, P. S., Apperson, L. J., et al (1989a) Why must some schizophrenic patients be involuntarily committed? The role of insight. Comprehensive Psychiatry, 30, 13–17.Google Scholar
McEvoy, J. P., Apperson, L. J., Appelbaum, P. S., et al (1999b) Insight in schizophrenia. Its relationship to acute psychopathology. Journal of Nervous and Mental Disease, 177, 42–47.Google Scholar
Martin, M. W. (1985) General introduction. In Self-Deception and Self-Understanding (ed. Martin, M. W.). Lawrence: University Press of Kansas.Google Scholar
Myerson, P. G. (1960) Awareness and stress: post psycho-analytic utilization of insight. International Journal of Psycho-Analysis, 41, 147–156.Google Scholar
Neubauer, P. (1979) The role of insight in psychoanalysis. Journal of the American Psychoanalytic Association, 27 (suppl.), 41–69.Google ScholarPubMed
Paul, G. L. (1966) Insight versus Desensitization in Psychotherapy: An Experiment in Anxiety Reduction. Stanford: Stanford University Press.Google Scholar
Paul, G. L. (1967) Insight versus desensitization in psychotherapy two years after termination. Journal of Consulting Psychology, 31, 333–348.CrossRefGoogle ScholarPubMed
Persson, G. & Alstrom, J. E. (1983) A scale for rating suitability for insight-oriented psychotherapy. Acta Psychiatrica Scandinavica, 68, 117–125.Google Scholar
Reid, J. R. & Finesinger, J. E. (1952) The role of insight in psychotherapy. American Journal of Psychiatry, 100, 726–734.Google Scholar
Richfield, J. (1954) An analysis of the concept of insight. Psychoanalytical Quarterly, 23, 390–408.Google Scholar
Roback, H. B. (1971) The comparative influence of insight and non-insight psychotherapies on therapeutic outcome: a review of the experimental literature. Psychotherapy: Theory, Research and Practice, 8, 23–25.Google Scholar
Roback, H. B. (1974) Insight: a bridging of the theoretical and research literatures. Canadian Psychologist, 15, 61–88.Google Scholar
Roback, H. B. & Abramowtiz, S. I. (1979) Insight and hospital adjustment. Canadian Journal of Psychiatry, 24, 233–236.Google Scholar
Sartre, J-P. (1957) Being and Nothingness (trans. Barnes, H. E.). London: Methuen.Google Scholar
Sharfman, M. A. (1981) Insight: clinical conceptualizations. Journal of the American Psychoanalytic Association, 29, 659–671.CrossRefGoogle Scholar
Shenoold, L. (1981) Insight as metaphor. In The Psychoanalytic Study of the Child, vol. 36 (eds. Solnit, A. J., Eissler, R. S., Freud, A., et al). New Haven: Yale University Press.Google Scholar
Small, I. F., Messina, J. A. & Small, J. G. (1964) The meaning of hospitalization: a comparison of attitudes of medical and psychiatric patients. Journal of Nervous and Mental Disease, 139, 575–580.Google Scholar
Strachey, J. (1934) The nature of the therapeutic action of psychoanalysis. International Journal of Psychoanalysis, 15, 127–150.Google Scholar
Swartz, B. E. & Brust, J. C. M. (1984) Anton's syndrome accompanying withdrawal hallucinosis in a blind alcoholic. Neurology, 34, 969–973.Google Scholar
Tolor, A. & Reznikoff, M. (1960) A new approach to insight: a preliminary report. Journal of Nervous and Menial Disease, 130, 286–296.CrossRefGoogle ScholarPubMed
Urmson, J. O. (1958) Philosophical Analysis. Oxford: Clarendon Press.Google Scholar
Wallerstein, R. S. (1983) Some thoughts about insight and psychoanalysis. Israel Journal of Psychiatry and Related Sciences, 20, 33–43.Google Scholar
Watts, D. (trans.) (1987) Plato: Early Socratic Dialogues. Harmondsworth: Penguin.Google Scholar
Weinstein, E. A. & Kahn, R. L. (1955) Denial of Illness: Symbolic and Physiological Aspects. Springfield: Thomas.Google Scholar
Weinstein, E. A. & Kahn, R. L. & Malitz, S. (1956) Confabulation as a social process. Psychiatry, 19, 383–396.Google Scholar
Weiskrantz, L. (1986) Blindsight. Oxford: Clarendon Press.Google Scholar
Whiteley, A. M. & Warrington, E. K. (1977) Prosopagnosia: a clinical, psychological and anatomical study of three patients. Journal of Neurology, Neurosurgery and Psychiatry, 40, 395–403.CrossRefGoogle ScholarPubMed
Whitlock, F. A. (1981) Some observations on the meaning of confabulation. British Journal of Medical Psychology, 54, 213–218.CrossRefGoogle ScholarPubMed
Zilboorg, G. (1952) The emotional problem and therapeutic role of insight. Psychoanalytic Quarterly, 21, 1–24.Google Scholar
World Health Organization (1973) Report of the International Pilot Study of Schizophrenia. Geneva: WHO.Google Scholar
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