An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments
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INTRODUCTION: Poor insight, or unawareness of some major aspect of mental illness, is a major barrier to wellness when it interferes with persons seeking out treatment or forming their own understanding of the challenges they face. One barrier to addressing impaired insight is the absence of a comprehensive model of how poor insight develops. AREAS COVERED: To explore this issue we review how poor insight is the result of multiple phenomena which interfere with the construction of narrative accounts of psychiatric challenges, rather than a single social or biological cause. Expert commentary: We propose an integrative model of poor insight in schizophrenia which involves the interaction of symptoms, deficits in neurocognition, social cognition, metacognition, and stigma. Emerging treatments for poor insight including therapies which focus on the development of metacognition are discussed.
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Poor insight may arise from deficits in social cognition.
“A fourth potential barrier to insight are deficits in social cognition, or the processes which allow people to grasp the meanings of social interactions and mental experiences of others 137 , including theory of mind, affect recognition and attributional style 138 .”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [139]
Insight also requires integration of information about the multifaceted consequences of changes and their potential causes.
“It then also requires the integration of information about the multifaceted consequences of each of those changes and their potential causes 139 .”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [139]
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Introductory Remarks and Editorial
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Disorganization and Insight in Schizophrenia
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Favoriser le Rétablissement Subjectif par une Thérapie Métacognitive (MERIT)Preprint
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EVALUATION OF SUICIDAL BEHAVIOR AND DEPRESSION, INSIGHT AND DISEASE CHARACTERISTICS IN SCHIZOPHRENIA
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- Authors
- Vohs, J. L., George, S., Leonhardt, B. L., & Lysaker, P. H.
- Affiliations
- Indiana University School of Medicine (US)
- University of Indianapolis (US)
- Richard L. Roudebush VA Medical Center (US)
- Corresponding author
- Vohs, Jenifer L.
- Venue
- Expert Review of Neurotherapeutics
- Publisher
- Informa UK Limited
- Published
- 2016-06-22
- Volume
- 16
- Issue
- 10
- Pages
- 1193-1204
- ISSN
- 1473-7175 (ISSN-L)
- 1744-8360
- OpenAlex
- W2412066488
- Cited by
- 66
- References
- 144
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 7 · 2023: 5 · 2022: 7 · 2021: 9 · 2020: 9 · 2019: 8 · 2018: 12 · 2017: 3 · 2016: 1
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Expert Review of Neurotherapeutics (publishedVersion)
- PubMed (publishedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- impaired insight, schizophrenia, metacognition, social cognition, neurocognitive impairment, stigma, narrative construction, treatment seeking, integrative model
- MeSH terms
- Metacognition, Humans, Models, Neurological, Neuropsychological Tests, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Social Behavior
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