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Insight and psychosis.

A S David

The British Journal of Psychiatry June 1990 DOI: 10.1192/bjp.156.6.798 (opens in new tab)

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AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Key points Proposes that insight into psychosis is not 'all-or-none' but consists of three distinct, overlapping dimensions: recognition of having a mental illness, compliance with treatment, and the ability to relabel unusual mental events (delusions and hallucinations) as pathological. The authors also propose a scheme to standardize insight assessment to assist further research.

Abstract

The concept of insight into psychosis has received scant attention in the psychiatric literature. Drawing on sources such as phenomenology, clinical research and experimental psychology, it is proposed that insight is not an 'all-or-none' phenomenon but is composed of three distinct, overlapping dimensions, namely, the recognition that one has a mental illness, compliance with treatment, and the ability to relabel unusual mental events (delusions and hallucinations) as pathological. A scheme is proposed to standardise the assessment of insights to assist further research.

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