关于洞察力与精神病：讨论文件。
On insight and psychosis: discussion paper.
作者信息
David A S
机构信息
Institute of Psychiatry, Denmark Hill, London.
出版信息
J R Soc Med. 1990 May;83(5):325-9. doi: 10.1177/014107689008300517.
Abstract
The concept of insight into psychosis has received scant attention in the psychiatric literature. Various types of insight are described after drawing on such sources as phenomenology, clinical observation and experimental psychology. It is proposed that insight is far from an all or none phenomenon but comprises three overlapping dimensions, namely, the recognition that one has a mental illness, compliance with treatment and the ability to re-label unusual mental events (delusions and hallucinations) as pathological.
摘要
对精神病的自知力这一概念在精神病学文献中很少受到关注。借鉴现象学、临床观察和实验心理学等资料来源，描述了各种类型的自知力。有人提出，自知力远非一种全有或全无的现象，而是由三个相互重叠的维度组成，即认识到自己患有精神疾病、遵医嘱治疗以及将异常精神事件（妄想和幻觉）重新认定为病态的能力。
相似文献
1
On insight and psychosis: discussion paper.关于洞察力与精神病：讨论文件。
J R Soc Med. 1990 May;83(5):325-9. doi: 10.1177/014107689008300517.
2
Insight and psychosis.洞察力与精神病
Br J Psychiatry. 1990 Jun;156:798-808. doi: 10.1192/bjp.156.6.798.
3
Insight across mental disorders: A multifaceted metacognitive phenomenon.洞察精神障碍：一种多方面的元认知现象。
Psychiatriki. 2019 Jan-Mar;30(1):13-16. doi: 10.22365/jpsych.2019.301.13.
4
Delusions are associated with poor cognitive insight in schizophrenia.妄想与精神分裂症患者认知洞察力差有关。
Schizophr Bull. 2010 Jul;36(4):830-5. doi: 10.1093/schbul/sbn193. Epub 2009 Jan 27.
5
Cognitive insight and psychotic disorder: the impact of active delusions.认知洞察力与精神障碍：活跃妄想的影响。
Schizophr Res. 2007 Feb;90(1-3):325-33. doi: 10.1016/j.schres.2006.09.011. Epub 2006 Nov 7.
6
Insight and interpretation of illness in recovery from psychosis.
Schizophr Bull. 1989;15(2):245-52. doi: 10.1093/schbul/15.2.245.
7
Impaired insight into delusions predicts treatment outcome during a randomized controlled trial for Psychotic Depression (STOP-PD study).在一项针对精神病性抑郁症的随机对照试验（STOP-PD研究）中，对妄想缺乏洞察力预示着治疗结果。
J Clin Psychiatry. 2015 Apr;76(4):427-33. doi: 10.4088/JCP.14m09003.
8
Differences in the symptom profile of methamphetamine-related psychosis and primary psychotic disorders.与甲基苯丙胺相关的精神病和原发性精神病障碍的症状特征差异。
Psychiatry Res. 2017 May;251:349-354. doi: 10.1016/j.psychres.2017.02.028. Epub 2017 Feb 13.
9
The association of insight with psychotic symptoms, depression, and cognition in early psychosis: a 3-year follow-up.早期精神病中领悟与精神病性症状、抑郁及认知的关联：一项3年随访研究
Schizophr Res. 2007 Jan;89(1-3):123-8. doi: 10.1016/j.schres.2006.09.018. Epub 2006 Nov 9.
10
Which came first, delusions or hallucinations? An exploration of clinical differences among patients with first-episode psychosis based on patterns of emergence of positive symptoms.妄想和幻觉哪个先出现？基于阳性症状出现模式对首发精神病患者临床差异的探索。
Psychiatry Res. 2012 Dec 30;200(2-3):702-7. doi: 10.1016/j.psychres.2012.07.041. Epub 2012 Aug 27.
引用本文的文献
1
Decreased insight, but not self-stigma or belief about medicine, is associated with greater severity of delusions in a sample of long-stay patients with schizophrenia: a cross-sectional study.在一组长期住院的精神分裂症患者中，洞察力下降与妄想严重程度增加有关，而与自我污名或对药物的信念无关：一项横断面研究。
BMC Psychiatry. 2023 Apr 3;23(1):222. doi: 10.1186/s12888-023-04711-1.
2
Structure/function interrelationships and illness insight in patients with schizophrenia: a multimodal MRI data fusion study.精神分裂症患者的结构/功能关系和疾病洞察力：一项多模态 MRI 数据融合研究。
Eur Arch Psychiatry Clin Neurosci. 2023 Dec;273(8):1703-1713. doi: 10.1007/s00406-023-01566-1. Epub 2023 Feb 20.
3
Link Between Perception of Treatment Need and Craving Reports in Addiction.成瘾中治疗需求认知与渴望报告之间的联系。
Front Psychiatry. 2022 Jan 31;12:790203. doi: 10.3389/fpsyt.2021.790203. eCollection 2021.
4
The Relation Between Empathy and Insight in Psychiatric Disorders: Phenomenological, Etiological, and Neuro-Functional Mechanisms.精神疾病中同理心与洞察力的关系：现象学、病因学及神经功能机制
Front Psychiatry. 2020 Feb 6;10:966. doi: 10.3389/fpsyt.2019.00966. eCollection 2019.
5
Measuring illness insight in patients with alcohol-related cognitive dysfunction using the Q8 questionnaire: a validation study.使用Q8问卷评估酒精相关认知功能障碍患者的疾病洞察力：一项验证性研究。
Neuropsychiatr Dis Treat. 2016 Jul 1;12:1609-15. doi: 10.2147/NDT.S104442. eCollection 2016.
6
Insight, psychopathology, explanatory models and outcome of schizophrenia in India: a prospective 5-year cohort study.印度精神分裂症的洞察、精神病理学、解释模型和结果：一项前瞻性 5 年队列研究。
BMC Psychiatry. 2012 Sep 27;12:159. doi: 10.1186/1471-244X-12-159.
7
Association of grey matter volume deviation with insight impairment in first-episode affective and non-affective psychosis.首发情感性和非情感性精神病患者灰质体积偏差与洞察力损害的关联。
Eur Arch Psychiatry Clin Neurosci. 2013 Mar;263(2):133-41. doi: 10.1007/s00406-012-0333-8. Epub 2012 Jun 7.
8
The relationship of insight to psychopathology in schizophrenia: a cross-sectional study.精神分裂症中洞察力与精神病理学的关系：一项横断面研究。
Indian J Psychiatry. 1995 Jul;37(3):129-35.
9
Insight and psychopathology in schizophrenia.精神分裂症的洞察力和精神病理学。
Indian J Psychiatry. 2000 Oct;42(4):421-6.
10
Poor insight in schizophrenia.精神分裂症中的自知力缺乏。
Psychiatr Q. 1993 Winter;64(4):305-18. doi: 10.1007/BF01064924.
本文引用的文献
1
The role of insight in psychotherapy.
Am J Psychiatry. 1952 Apr;108(10):726-34. doi: 10.1176/ajp.108.10.726.
2
The emotional problem and the therapeutic role of insight.
Psychoanal Q. 1952;21(1):1-24.
3
MORBIDITY IN THE COMMUNITY OF SCHIZOPHRENIC PATIENTS DISCHARGED FROM LONDON MENTAL HOSPITALS IN 1959.1959年从伦敦精神病院出院的精神分裂症患者社区中的发病率。
Br J Psychiatry. 1964 Jan;110:10-21. doi: 10.1192/bjp.110.464.10.
4
Measuring chronic schizophrenic patients attitudes toward their illness and treatment.测量慢性精神分裂症患者对其疾病及治疗的态度。
Hosp Community Psychiatry. 1981 Dec;32(12):856-8. doi: 10.1176/ps.32.12.856.
5
Does attitude toward psychosis relate to outcome?对精神病的态度与治疗结果有关吗？
Am J Psychiatry. 1981 Jun;138(6):797-801. doi: 10.1176/ajp.138.6.797.
6
On pseudo-hallucinations.
Psychol Med. 1981 May;11(2):265-71. doi: 10.1017/s0033291700052089.
7
Dimensions of delusional experience.
Am J Psychiatry. 1983 Apr;140(4):466-9. doi: 10.1176/ajp.140.4.466.
8
Autonomic recognition of names and faces in prosopagnosia: a neuropsychological application of the Guilty Knowledge Test.面孔失认症中对名字和面孔的自主识别：内隐知识测试的神经心理学应用
Neuropsychologia. 1984;22(4):457-69. doi: 10.1016/0028-3932(84)90040-x.
9
Cancer and the mind. Maudsley Bequest Lecture delivered before the Royal College of Psychiatrists, February 1983.
Br J Psychiatry. 1983 Dec;143:535-43. doi: 10.1192/bjp.143.6.535.
10
Hallucinations and delusions as points on continua function. Rating scale evidence.幻觉和妄想作为连续体上的点起作用。评定量表证据。
Arch Gen Psychiatry. 1969 Nov;21(5):581-6. doi: 10.1001/archpsyc.1969.01740230069010.
Zotero 插件