76
Views
4
CrossRef citations to date
0
Altmetric
Review Article

Lack of Insight in Psychotic and Affective Disorders: A Review of Empirical Studies

&
Pages 22-33 | Received 18 Aug 1993, Accepted 09 Dec 1993, Published online: 03 Jul 2009

References

  • Lewis A. The psychopathology of insight. J Nerv Ment Dis 1934; 14: 332–48
  • David AS. Insight and psychosis. Br J Psychiatry 1990; 156: 798–828
  • Amador XF, Strauss DH, Yale SA, Gorman JM. Awareness of illness in schizophrenia. Sohizophr Bull 1991; 17: 113–32
  • Markova IS, Berrios GE. The meaning of insight in clinical psychiatry. Br J Psychiatry 1992; 60: 850–60
  • McEvoy JP, Apperson LJ, Appelbaum PS, Ortlip P, Brecosky J, Hammill K, et al. Insight in schizophrenia: its relationship to acute psychopathology. J Nerv Ment Dis 1989; 177: 43–7
  • Brooks GW, Deane WN, Hugel RW. Some aspects of the subjective experience of schizophrenia. Dis Nerv Syst 1968; 29(suppl 5)78–82
  • Carpenter WT, Strauss JS, Bartko JJ. Flexible system for the diagnosis of schizophrenia: report from the World Health Organization International Pilot Study of Schizophrenia. Science 1973; 182: 1275–8
  • Heinrichs DW, Cohen BP, Carpenter WT. Early insight and the management of schizophrenic decompensation. J Nerv Ment Dis 1985; 173: 133–8
  • Kendler KS, Glazer WM, Morgenstern H. Dimensions of delusional experience. Am J Psychiatry 1983; 140: 466–9
  • Fulford K W M. Moral theory and medical practice. Cambridge University Press, CambridgeEngland 1989
  • David A, Buchanan A, Reed A, Almeida O. The assessment of insight in psychosis. Br J Psychiatry 1992; 161: 599–602
  • Amador XA, Strauss DH, Yale SA, Flaum MM, Endicott JE, Gorman JM. Assessment of insight in psychosis. Am J Psychiatry 1993; 150: 873–9
  • Bartko G, Herczeg I, Zador G. Clinical symptomatology and drug compliance in schizophrenic patients. Acta Psychiatr Scand 1988; 77: 74–6
  • Dittman J, Schuttler R. Disease consciousness and coping strategies of patients with schizophrenic psychosis. Acta Psychiatr Scand 1990; 82: 318–22
  • Eskey A. Insight and psychosis. J Clin Psychol 1958; 14: 426–9
  • Hankoff LD, Engelhardt DM, Freedman N. Placebo response in schizophrenic outpatients. Arch Gen Psychiatry 1960; 2: 33–42
  • Hankoff LD, Engelhardt DM, Freedman N, Mann N, Margolis R. Denial of illness in schizophrenic outpatients: the effects of psychopharmacological treatment. Arch Gen Psychiatry 1960; 3: 657–64
  • Linn EL. Relevance of psychotic patients' “insight” to their prognosis. Arch Gen Psychiatry 1965; 13: 424–8
  • McEvoy JP, Aland J, Wilson WH, Guy W, Hawkins L. Measuring chronic schizophrenic patients' attitudes towards their illness and treatment. Hosp Commun Psychiatry 1981; 32: 856–8
  • Van Putten T, Crompton E, Yale C. Drug refusal in schizophrenia and the wish to be crazy. Arch Gen Psychiatry 1976; 33: 1443–6
  • Van Putten T. Why do schizophrenic patients refuse to take their drugs?. Arch Gen Psychiatry 1974; 31: 67–72
  • Wilson WH, Born TA, Guy W. Flexible system criteria in chronic schizophrenia. Compr Psychiatry 1986; 27: 259–65
  • Macpherson R, Double DB, Rowlands RP, Harrison DM. Long-term psychiatric patients' understanding of neuroleptic medication. Hosp Commun Psychiatry 1993; 44: 71–3
  • Townsend JM. Cultural conceptions and mental illness: a controlled comparison of Germany and America. J Nerv Ment Dis 1975; 160: 409–21
  • Caracci G, Mukherjee S, Roth S, Decima P. Subjective awareness of abnormal involuntary movements in chronic schizophrenic patients. Am J Psychiatry 1990; 147: 295–8
  • Lin IF, Spiga R, Fortsch W. Insight and adherence to medication in chronic schizophrenics. J Clin Psychiatry 1979; 40: 430–2
  • Markova IS, Berrios GE. The assessment of insight in clinical psychiatry: a new scale. Acta Psychiatr Scand 1992; 86: 159–64
  • McEvoy JP, Freter S, Everett G, Geller JL, Appelbaum P, Apperson LJ, et al. Insight and the clinical outcome of schizophrenic patients. J Nerv Ment Dis 1989; 177: 48–51
  • Greenfeld D, Strauss JS, Bowers MB, Mandelkern M. Insight and interpretation of illness in recovery from psychosis. Schizophr Bull 1989; 15: 245–52
  • Jones NF, Kahn MW, MacDonald JM. Psychiatric patients' views of mental illness, hospitalization, and treatment. J Nerv Ment Dis 1963; 136: 82–7
  • McGlashan TH, Carpenter WT. Does attitude toward psychosis relate to outcome?. Am J Psychiatry 1981; 138: 797–801
  • McGlashan TH, Docherty JP, Siris P. Integrative and sealing-over recoveries from schizophrenia: distinguishing case studies. Psychiatry 1976; 39: 325–38
  • Molaver J, Hantzi A, Papadatos Y. Psychotic patients' attributions for mental illness. Br J Clin Psychol 1992; 31: 210–2
  • Small IF, Messina JA, Small JG. The meaning of hospitalization: a comparison of attitudes of medical and psychiatric patients. J Nerv Ment Dis 1964; 139: 575–80
  • Soskis DA, Bowers MB. The schizophrenic experience: a follow-up study of attitude and posthospital adjustment. J Nerv Ment Dis 1969; 149: 443–9
  • Whitman JR, Duffey RF. The relationship between type of therapy received and a patient's perception of his illness. J Nerv Ment Dis 1961; 133: 288–92
  • Tolor A, Reznikoff M. A new approach to insight: a preliminary report. J Nerv Ment Dis 1960; 130: 286–96
  • Roback HB, Abramowitz SI. Insight and hospital adjustment. Can J Psychiatry 1979; 24: 233–6
  • Beck AT. Depression: clinical, experimental, and theoretical aspects. Harper and Row, New York 1967
  • Alloy LB, Abramson LY. Depressive realism: four theoretical perspectives. Cognitive processes in depression, LB Alloy. Guilford Press, New York 1988
  • Sackheim HA, Wegner AZ. Attributional patterns in depression and euthymia. Arch Gen Psychiatry 1986; 43: 553–60
  • Small IF, Small JG, Gonzalez R. The clinical correlates of attitudinal change during psychiatric treatment. Am J Psychother 1965; 19: 66–74
  • Overall JE, Gorham DR. The Brief Psychiatric Rating Scale. Psychol Rep 1962; 10: 799–812
  • Andreasen NC. The Schedule for the Assessment of Positive Symptoms. University of Iowa, Iowa City 1983
  • Wing JK, Cooper JE, Sartorius N. Measurement and classification of psychiatric symptoms. Cambridge University Press, CambridgeEngland 1974
  • Gynther MD, Reznikoff M, Fishman M. Attitudes of psychiatric patients towards treatment, psychiatrists, and mental hospitals. J Nerv Ment Dis 1963; 136: 68–71
  • Small JG, Small IF, Hayden MP. Prognosis and changes in attitude. J Nerv Ment Dis 1965; 140: 215–7
  • McEvoy JP, Appelbaum PS, Apperson LJ, Geller JL, Freter S. Why must some schizophrenic patients be involuntarily committed? The role of insight. Compr Psychiatry 1989; 30: 13–7
  • McEvoy JP, Freter S, Merritt M, Apperson LJ. Insight about psychosis among outpatients with schizophrenia. Hosp Commun Psychiatry 1993; 44: 883–4
  • Seltzer A, Roncar I, Garfinkel P. Effect of patient education on medication compliance. Can J Psychiatry 1980; 25: 638–45
  • Brown CS, Wright RG, Christensen DB. Association between type of medication instruction and patients' knowledge, side effects, and compliance. Hosp Commun Psychiatry 1987; 38: 55–60
  • Myers ED, Calvert EI. Information, compliance, and side effects: a study of patients on antidepressant medication. Br J Clin Pharmacol 1984; 17: 21–5
  • Myers ED, Calvert EI. Knowledge of side effects and perseverance with medication. Br J Psychiatry 1978; 132: 526–7
  • Watts FN, Powell GE, Austin SV. The modification of abnormal beliefs. Br J Med Psychol 1973; 46: 359–63
  • Milton F, Patwa VK, Hafner RJ. Confrontational vs belief modification in persistently deluded patients. Br J Med Psychol 1978; 51: 127–30
  • McGlynn SM, Schacter DL. Unawareness of deficits in neuropsychological syndromes. J Clin Exp Neuropsychol 1989; 11: 143–205
  • Takai A, Uematsu M, Ueki H, Sone K. Insight and its related factors in chronic schizophrenic patients: a preliminary study. Eur J Psychiatry 1992; 6: 159–70
  • Young DA, Davila R, Scher H. Unawareness of illness and neuropsychological performance in chronic schizophrenia. Schizophr Res 1993; 10: 117–24

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.