Martens Willem H J
W. Kahn Institute of Theoretical Psychiatry and Neuroscience.
Am J Psychother. 2009;63(1):53-68. doi: 10.1176/appi.psychotherapy.2009.63.1.53.
Persons with schizophrenia who have insight of their disorders might experience depression, hopelessness, and related suicidality. Although the concept of self-complexity appears to be highly relevant as a self-regulating mechanism in the process of coping with depression and hopelessness in populations without schizophrenia, it hardly plays a role in current discussions of the determinants of harmful insight in schizophrenia. In this article the correlates of the harmful impact of insight among persons with schizophrenia and the possible buffering role of self-complexity against harmful influences of insight are discussed.
有自知力的精神分裂症患者可能会经历抑郁、绝望及相关的自杀倾向。尽管自我复杂性的概念在非精神分裂症人群应对抑郁和绝望的过程中作为一种自我调节机制似乎高度相关，但在目前关于精神分裂症中有害自知力决定因素的讨论中，它几乎没有发挥作用。本文讨论了精神分裂症患者中自知力有害影响的相关因素，以及自我复杂性对自知力有害影响可能起到的缓冲作用。
