The concept of insight into psychosis has received scant attention in the psychiatric literature. Various types of insight are described after drawing on such sources as phenomenology, clinical observation and experimental psychology. It is proposed that insight is far from an all or none phenomenon but comprises three overlapping dimensions, namely, the recognition that one has a mental illness, compliance with treatment and the ability to re-label unusual mental events (delusions and hallucinations) as pathological.
LewisA.The psychopathology of insight. Br J Med Psychol1934; 14: 332–48
2.
ZilboorgG.The emotional problem and the therapeutic role of insight. Psychoanal Q1952; 21: 1–24
3.
PostF.Clinical assessment of mental disorders. In: ShepherdM., ZangwillO.L., eds. Handbook of psychiatry, vol 1. Cambridge: Cambridge University Press, 1983: 219
4.
HamiltonM.Fish's clinical psychopathology.Bristol: John Wright, 1974
5.
GelderM., GathD., MayouR.Oxford textbook of psychiatry.Oxford: Oxford University Press, 1983; 29–30, 49
6.
FreedmanA.M., KaplanH.I., SadockB.J.Comprehensive textbook of psychiatry, vol. 1, 2nd edn.Baltimore: Williams & Wilkins1975: 736
7.
FreudS.On beginning the treatment (further recommendations on the technique of psychoanalysis I), standard edition, vol. 12. London: Hogarth Press, 1958: 123–44
8.
JapsersK.General psychopathology. (trans. Hoenig J, Hamilton MW). Manchester: Manchester University Press, 1959
9.
FodorJ.A.The modularity of mind.Cambridge, Massachusetts: MIT, 1983
10.
LewisA.Melancholia: a clinical survey of depressive states. J Med Sci1934; 80: 277–378
11.
World Health Organization. Report of the International Pilot Study of Schizophrenia, vol. 1. Geneva: WHO, 1973
12.
BrooksG.W., DeaneW.N., HugelR.W.Some aspects of the subjective experience of schizophrenia. Dis Nervous System1968; 29(Suppl 5): 78–82
13.
HeinrichsD.W., CohenB.P., CarpenterW.T.Early insight and the management of schizophrenic decompensation. J Nerv Ment Dis1985; 173: 133–8
14.
HunterR., MacAlpineI.300 years of Psychiatry 1535-1860.Oxford: Oxford University Press1963
15.
BleulerE.Textbook of psychiatry (trans A. A. Brill, 1951) Dover Publications
16.
WingJ.K., MonckE., BrownG.W., CarstairsG.M.Morbidity in the community of schizophrenic patients discharged from London mental hospitals in 1959. Br J Psych1964; 110: 10–21
17.
BrownR.Schizophrenia, language and reality. Am Psychol1973; 28: 395–403
18.
CuttingJ.The psychology of schizophrenia.London: Churchill Livingstone, 1985
19.
McEvoyJ.P., AlandJ., WilsonW.H., GuyW., HawkinsL.Measuring chronic schizophrenic patients' attitudes toward their illness and treatment. Hosp Community Psychiatry1981; 32: 856–8
20.
LinI.F., SpigaR., FortschW.Insight and adherence to medication in chronic schizophrenics. J Clin Psychiatry1979; 40: 430–2
21.
Van PuttenT., CrumptonE., YaleC.Drug refusal in schizophrenia and the wish to be crazy. Arch Gen Psychiatry1976; 33: 1443–6
22.
BartkóG., HerczegI., & ZádorG.Clinical symptomatology and drug compliance in schizophrenic patients. Acta Psychiatr Scand1988; 77: 74–6
23.
SoskisD.A., BowersM.B.The schizophrenic experience: a follow-up study of attitude and posthospital adjustment. J Nerv Ment Dis1969; 149: 443–9
RobinsonM.F., FreemanW.Psychosurgery and the self.New York: Grune & Stratton, 1954
32.
McGlynnS.M., SchacterD.L.Unawareness of deficits in neuropsychological syndromes. J Clin Exp Neuropsychol1989; 11: 143–205
33.
BleulerE.Autistic thinking. Am J Insanity1913; 69: 873–86
34.
MullenP.Phenomenology of disordered mental function. In: Essentials of postgraduate psychiatry (ed HillP., MurrayR., & ThorleyG.). London: Academic Press, 1979
35.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 3rd edn.Washington, DC: American Psychiatric Association, 1980
36.
KendlerK.S., GlazerW.M., MorgensternH.Dimensions of delusional experience. Am J Psychiatry1983; 140: 466–9
37.
Brett-JonesJ.R.Recovery from delusions: a methodological study. M. Phil thesis. London: Institute of Psychiatry, 1984
38.
GaretyP.A.Delusions: problems of definition and measurement. Br J Med Psychol1985; 58: 25–34
SacksM.H., CarpenterW.T., StraussJ.S.Recovery from delusions. Arch Gen Psychiatry1974; 30: 117–120
44.
MaherB., RossJ.S.Delusions. In: Comprehensive handbook of psychopathologyAdamsH.E., SutkerP.B., eds. New York: Plenum Press, 1984: 383–409
45.
MiltonF., PatwaV.K., HafnerR.J.Confrontation vs belief modification in persistently deluded patients. Br J Med Psychol1978; 51: 127–30
46.
WintersK.C., NealeJ.M.Delusions and delusional thinking in psychotics: a review of the literature. Clin Psychol Rev1983; 3: 227–53
47.
ArietiS.The interpretation of schizophrenia, 2nd edn.London: Crosby Lockwood Staples, 1974
48.
CuttingJ., MurphyD.Schizophrenic thought disorder: a psychological and organic interpretation. Br J Psychiatry1988; 152: 310–319
49.
HemsleyD.R., GaretyP.A.The formation of delusions: a Bayesian analysis. Br J Psychiatry1986; 149: 51–6
50.
HuqS.F., GaretyP.A., HemsleyD.R.Probabilistic judgements in deluded and non-deluded subjects. Q J Exp Psychol1988; 40A: 801–2
51.
FreudS.The dissection of the psychical personality. In The New Introductory Lectures on Psychoanalysis. Standard Edition (1964) 22 57-80. London: Hogarth Press, 1933
52.
SperryR.W.Hemisphere disconnection and the unity of conscious awareness. Am Psychol1968; 23: 723–33
53.
BauerR.M.Autonomic recognition of names and faces in prosopagnosia: a neuropsychological application of the guilty knowledge test. Neuropsychologia1984; 22: 457–69
54.
RachmanS.Irrational thinking, with special reference to cognitive therapy. Advances in Behavioural Therapy1983; 5: 63–88
55.
MarksI.M., MishanJ.Dysmorphophobic avoidance from disturbed bodily perception: a pilot study of exposure therapy. Br J Psychiatry1988; 152: 674–8
56.
TaylorP.J.Motives for offending among violent and psychotic men. Br J Psychiatry1985; 147: 491–8
