David A S
GKT School of Medicine, London.
Br J Psychiatry. 1999 Sep;175:210-6. doi: 10.1192/bjp.175.3.210.
This paper takes as its starting point the paper by Aubrey Lewis entitled "The psychopathology of insight" published in 1934, unreferenced.
To attempt to explore the historical antecedents and consequences of this work.
Speculative review.
Lewis's approach to phenomenology, contemporaneous movements in psychology and Lewis's own life and times--notably the eugenics legislation in Nazi Germany--probably shaped his conclusions. Modern concepts of insight, which emphasise neuropsychology as well as social psychology, were anticipated in Lewis's writings.
The concept of insight has stimulated research into difficult theoretical and practical areas such as self-awareness and treatment compliance, respectively. Concern over a patient's capacity for insight has the potential to humanise psychiatry.
本文以奥布里·刘易斯1934年发表的未注明参考文献的论文《洞察力的精神病理学》为出发点。
试图探究这项研究的历史渊源及影响。
思辨性综述。
刘易斯的现象学研究方法、心理学领域的同期思潮以及他本人的生活和时代背景——尤其是纳粹德国的优生学立法——可能影响了他的研究结论。刘易斯的著作中已预见了现代洞察力概念，该概念同时强调神经心理学和社会心理学。
洞察力概念分别激发了对诸如自我意识和治疗依从性等困难的理论和实践领域的研究。对患者洞察力的关注有可能使精神病学更具人文关怀。
