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On Insight and Psychosis: Discussion Paper

Anthony S David

Journal of the Royal Society of Medicine May 1, 1990 DOI: 10.1177/014107689008300517 (opens in new tab)

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AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Citations 29
Key points Proposes that insight into psychosis is not all-or-none but comprises three overlapping dimensions: recognition of having a mental illness, compliance with treatment, and the ability to re-label unusual mental events (delusions and hallucinations) as pathological. Argues that insight has received scant attention in the psychiatric literature.

Abstract

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.

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