Promoting insight and recovery in the context of the "insight paradox".

Promoting insight and recovery in the context of the "insight paradox".
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DOI:
10.1016/j.schres.2020.03.052
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发表时间:
2020-08
影响因子:
4.5
通讯作者:
Cho, Young
Cho, Young
中科院分区:
医学2区
文献类型:
--
作者:
Yang, Lawrence H.;Samuel, Shana S.;Tay, Charisse;Cho, Young

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The noteworthy study entitled “One-Year Longitudinal Study on the Relationship between Insight, Self-stigma, and Life Satisfaction among People with Schizophrenia Spectrum Disorders”(Chio et al, 2018) underscores the role that insight, in conjunction with different aspects of stigma, plays in life satisfaction across time among consumers with psychosis in Hong Kong. These important findings reveal a new aspect of how insight intersects with stigma to impact recovery from psychosis, an issue of fundamental importance as insight emerges as a core component of recovery (O’Connor et al., 2013; Rossi et al., 2018). Along with promising new psychotherapeutic approaches that have shown initial efficacy in increasing insight in individuals in the early phase of psychotic illness (Vohs et al., 2018), the role of insight is highlighted within the concept of “shared decision-making” that has been emphasized recently in psychosis intervention programs to maximize recovery (Morrison, 2019; Mueser et al, 2019). Effective shared decision-making requires insight into one’s symptoms (Phahladira et al., 2018; Raffard et al., 2013), as the client defines the problem or decision to be made, outlines pros and cons of possible options, and negotiates disagreements with the clinician until compromise is reached.
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