Marková Ivana S, Jaafari Nemat, Berrios German E
Department of Psychiatry, University of Hull, Hull, UK.
Psychopathology. 2009;42(5):277-82. doi: 10.1159/000228836. Epub 2009 Jul 16.
Analysis of insight in obsessive-compulsive disorders (OCD) raises conceptual problems that need addressing before meaningful empirical work can be undertaken. Insight and OCD are locked within a definitional contradiction relevant both to the nosological boundaries of OCD and the meaning of insight itself. Given that it is a form of self-knowledge, it is proposed here that insight is best conceived as a mental state rather than symptom or symptom-dimension. As an aspect of this mental state, the clinical phenomenon of insight should be understood as independent of any underlying disease albeit influenced by it and by other factors. As the focus of empirical research, the phenomenon of insight is dependent on the concept of insight, the measure by which it is assessed and on the 'object' of insight assessment. Explication of these factors allows for the delineation of specific insight phenomena whose respective usefulness can be determined by empirical research.
对强迫症（OCD）中领悟力的分析引发了一些概念性问题，在开展有意义的实证研究之前需要加以解决。领悟力与强迫症被锁定在一个定义性矛盾之中，这一矛盾既与强迫症的疾病分类界限相关，也与领悟力本身的含义有关。鉴于领悟力是一种自我认知形式，本文提出，领悟力最好被视为一种心理状态，而非症状或症状维度。作为这种心理状态的一个方面，领悟力的临床现象应被理解为独立于任何潜在疾病，尽管会受到该疾病及其他因素的影响。作为实证研究的重点，领悟力现象取决于领悟力的概念、评估领悟力的方法以及领悟力评估的“对象”。对这些因素的阐释有助于勾勒出特定的领悟力现象，其各自的效用可通过实证研究来确定。
