Insight and Psychosis

Insight and Psychosis


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Insight and Psychosis by Xavier F. Amador

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.

Product Details

ISBN-13: 9780198525684
Publisher: Oxford University Press, USA
Publication date: 09/15/2004
Pages: 418
Product dimensions: 9.30(w) x 6.50(h) x 0.90(d)

Table of Contents

List of contributorsxiii
Part IPhenomenology and psychology
1Understanding and assessing insight3
2Insight in the psychoses: a conceptual history31
3Insight and delusion: from Jaspers to Kraepelin and back again via Austin51
4Cognitive insight: theory and assessment79
5Insight and delusions: a cognitive psychological approach89
6Insight in mood disorders: an empirical and conceptual review101
Part IINeuropsychology
7The neuropsychology of insight in psychiatric and neurological disorders119
8Neural correlates of unawareness of illness in psychosis157
9Neuropsychological studies of insight in patients with psychotic disorders177
Part IIIInsight, culture, and society
10Inside knowledge: cultural constructions of insight in psychosis197
11Japanese attitudes towards insight in schizophrenia231
12The relationship of insight to violent behavior and stigma243
13Why lack of insight should have a central place in mental health law257
Part IVClinical and personal implications of poor insight
14Delusions, action, and insight283
15The relationship between insight into psychosis and compliance with medications311
16Awareness of illness in schizophrenia: advances from psychosocial rehabilitation research335
17Inside "Insight"--a personal perspective on insight in psychosis351
18The clinical importance of insight: an overview359

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