Insight and Psychosis: Awareness of Illness in Schizophrenia and Related Disorders

Paperback | August 4, 2004

EditorXavier F. Amador, Anthony S. David

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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 ifthose 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 synthesised bythe 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 ofinsight 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.

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From the Publisher

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 ifthose actions are inspired by their own unique ...

Xavier Amador is a National Alliance for the Mentally Ill, Arlington VA, USA. Anthony David is a Institute of Psychiatry, De Crespigny Park, London, UK.

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Format:PaperbackDimensions:416 pages, 9.45 × 6.61 × 0.91 inPublished:August 4, 2004Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198525680

ISBN - 13:9780198525684

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Table of Contents

Part I - Phenomenology and Psychology1. Xavier F. Amador and Henry Kronengold: Understanding and assessing insight2. German E. Berrios and Ivana Markova: Insight and psychosis: a conceptual history3. Bill Fulford: Insight and delusion: from Jaspers to Kraepelin and back again via Austin4. Aaron T. Beck and Debbie M. Warman: Cognitive insight: theory and assessment5. Philippa Garety and Suzanne Jolley: Insight and delusions: a cognitive psychological approach6. S. Nassir Ghaemi and Klara J. Rosenquist: Insight in mood disorders: an empirical and conceptual reviewPart II - Neuropsychology7. Frank Laroi, William B. Barr and Richard S.E. Keefe: The neuropsychology of insight in psychiatric and neurological disorders8. Laura A. Flashman and Robert M. Roth: Neural correlates of unawareness of illness in psychosis9. Kevin Morgan and Anthony S. David: Neuropsychological studies of insight in psychosisPart III - Insight, Culture and Society10. Laurence J. Kirmayer, Ellen Corin and G. Eric Jarvis: Inside knowledge: cultural constructions of insight in psychosis11. Yoshiharu Kim: Japanese attitudes towards insight in schizophrenia12. E. Fuller Torrey: Relationship of insight to violent behaviour and stigma13. Kenneth Kress: Why lack of insight should have a central place in mental health lawPart IV - Clinical and Personal Implications of Poor Insight14. Alec Buchanan and Simon C. Wessely: Delusions, action and insight15. Joseph P. McEvoy: The relationship between insight into psychosis and compliance with medications16. Paul Lysaker and Morris D. Bell: Awareness of illness in schizophrenia: advances from psychosocial rehabilitation research17. Frederick J. Frese: Inside 'Insight' - a personal perspective on insight in psychosis18. Anthony S. David: The clinical importance of insight: an overview

Editorial Reviews

`The authors have accomplished what they apparently sought to achieve: to bring much of this growing and vibrant literature to the attention of a larger academic and clinical readership in one place.'Psychological Medicine