INSIGHT AND PSYCHOSIS
INSIGHT AND PSYCHOSIS
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DOI：
10.1192/bjp.156.6.798
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发表时间：
1990-06-01
影响因子：
10.5
通讯作者：
DAVID, AS
中科院分区：
文献类型：
--
作者：
DAVID, AS
在精神病学文献中，洞察精神病的概念很少受到关注。根据现象学、临床研究和实验心理学等来源，作者提出，洞察力不是一种“全有或全无”的现象，而是由三个不同的、重叠的维度组成的，即，对自己患有精神疾病的认识，对治疗的依从性，以及将不寻常的精神事件（妄想和幻觉）重新标记为病理的能力。提出了一种方案来规范洞察力的评估，以协助进一步的研究。
The concept of insight into psychosis has received scant attention in the psychiatric literature. Drawing on sources such as phenomenology, clinical research and experimental psychology, it is proposed that insight is not an ''all-or-none'' phenomenon but is composed of three distinct, overlapping dimensions, namely, the recognition that one has a mental illness, compliance with treatment, and the ability to relabel unusual mental events (delusions and hallucinations) as pathological. A scheme is proposed to standardise the assessment of insight to assist further research.