Insight and Psychosis

Overview

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 ...
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Cary, North Carolina, U.S.A. 2004 Paperback New 0198525680. BRAND NEW, FLAWLESS COPY, NEVER OPENED--402 pages. "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 new edition of this unique bok shows how we can better understand the patient's view of their illness, and provides valuable advice for all those involved in the treatment of mental illness." Read more Show Less

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Overview

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.

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 synthesized by the 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 of insight 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.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Michael Joel Schrift, D.O., M.A.(University of Illinois at Chicago College of Medicine)
Description: Impairment in insight is a fundamental problem in patients with psychopathology: it affects multiple issues including treatment decisions, patient outcome, criminal responsibility, and compliance. This is the second edition of this comprehensive book covering all the major aspects of this important and interesting problem. Written and edited by an array of internationally recognized clinician - investigators, this book is an outstanding contribution to the understanding of psychopathology and to the psychiatric literature.
Purpose: The purpose of this book, according to the editors, is to present a broad perspective to the study of insight, applying the knowledge from the cognitive and brain sciences, and from philosophy and the social sciences. Indeed, the chapter authors and editors have compiled a resource with significant depth and breadth in the study of insight.
Audience: The intended audience includes psychiatrists, clinical psychologists, researchers, and graduate students in psychology and psychiatry.
Features: The book features 402 pages divided into 4 parts containing 18 chapters and an index section. Part 1 covers the phenomenology of insight with chapters on assessment, conceptual history, psychiatric philosophy of insight, cognitive psychology, and insight in mood disorders. Part 2 reviews the neuropsychological and neuropsychiatric literature on insight with a chapter on insight into neurological and psychiatric disorders, neural correlates of anosognosia, and neuropsychological studies of insight. Part 3 focuses on socio-cultural and forensic aspects of insight. The final section contains chapters on the clinical and personal implications of poor insight. Each chapter concludes with relevant and timely references and the index section was helpful.
Assessment: This is a fascinating book focusing on a serious problem that interferes with successful patient care. This book is a necessary read for all clinicians who care for patients with mental illness.
Nancy P. Schell
This book examines the nature of insight, especially in psychosis: its possible genesis, cultural variances, and implications in clinical care. It is written by an international group of experts in psychiatry, psychology, sociology, philosophy, anthropology, and neuroscience. "Addressing the problem of poor insight in psychotic disorders, the aim is to bring together in a single text the most relevant and current approaches to understanding insight and its role in the treatment of psychotic disorders. "The audience is not explicitly stated by the editors, though it seems most likely geared toward psychiatrists and psychologists. "The phenomenology of insight and the history of its conceptualization and study are covered, including widely disparate approaches from areas such as philosophy and sociology to clinical difficulties in the measurement of subjective experiences. Possible origins of insight are also discussed, with the objective of integrating neuroscience with philosophies of the mind. Cross-cultural differences are explored, and finally impacts on compliance, violence, and education are considered. This book is very comprehensive and current. "This is a thorough compilation of work from various disciplines exploring self-awareness. It is a bold and successful attempt at dealing with an ambiguous, elusive, yet very important topic in psychiatry. It is highly recommended.
From the Publisher
"Some books are memorable for the way in which they clarify a subject, assembling an array of seemingly unrelated facts into a coherent whole. Other books make their mark by unpacking the complexities of a topic that turns out to be more intricate then [sic] we had ever suspected. Insight and Psychosis falls in this latter group. . . . At a certain point in its development, a field is ripe for the kind of grand synthesis that shatters old paradigms and establishes new ones. The study of insight has not yet reached that stage. But the analytic approaches presented in this volume, cumulated over time, are the surest path toward the goal of convincingly explicating this complex and important phenomenon."—Psychiatric Services

"Students, as well as seasoned professionals, will appreciate the multiple perspectives, the development of the concept of insight and the delineation of its clinical implications brought together in one volume."—Readings

"The book is divided into five sections . . . Part I deals broadly with phenomenology. . . . Part II concentrates on models which may help to explain the aetiology of lack of insight. . . . Parts III and IV are concerned with social and behavioural aspects of the problem. . . . Part V deals with the clinical implications of impaired insight, highlighting again its association with poor treatment compliance. Here there is a satisfying shift from academic considerations to firmly practical measures. . . . In brief, this book can be highly commended as a landmark publication in a hitherto much neglected field. It presents a stimulating mix of theory, systematic research and basic clinical observation, and illustrates well the contribution of the new breed of clinician/neuroscientist to the advancement of understanding in a difficult and important arena. This work will doubtless become the major reference book for those working in the field for quite some time."—Cognitive Neuropsychiatry


4 Stars! from Doody
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Product Details

  • ISBN-13: 9780198525684
  • Publisher: Oxford University Press, USA
  • Publication date: 9/15/2004
  • Edition number: 2
  • Pages: 418
  • Product dimensions: 9.30 (w) x 6.50 (h) x 0.90 (d)

Table of Contents

Pt. I Phenomenology and psychology
1 Understanding and assessing insight 3
2 Insight in the psychoses : a conceptual history 31
3 Insight and delusion : from Jaspers to Kraepelin and back again via Austin 51
4 Cognitive insight : theory and assessment 79
5 Insight and delusions : a cognitive psychological approach 89
6 Insight in mood disorders : an empirical and conceptual review 101
Pt. II Neuropsychology
7 The neuropsychology of insight in psychiatric and neurological disorders 119
8 Neural correlates of unawareness of illness in psychosis 157
9 Neuropsychological studies of insight in patients with psychotic disorders 177
Pt. III Insight, culture, and society
10 Inside knowledge : cultural constructions of insight in psychosis 197
11 Japanese attitudes towards insight in schizophrenia 231
12 The relationship of insight to violent behavior and stigma 243
13 Why lack of insight should have a central place in mental health law 257
Pt. IV Clinical and personal implications of poor insight
14 Delusions, action, and insight 283
15 The relationship between insight into psychosis and compliance with medications 311
16 Awareness of illness in schizophrenia : advances from psychosocial rehabilitation research 335
17 Inside "insight" - a personal perspective on insight in psychosis 351
18 The clinical importance of insight : an overview 359
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