Indian Journal of Psychological Medicine
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Year : 2016  |  Volume : 38  |  Issue : 3  |  Page : 194-201

Insight in psychosis: An indicator of severity of psychosis, an explanatory model of illness, and a coping strategy


Department of Psychiatry, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Dr. K S Jacob
Department of Psychiatry, Christian Medical College, Vellore - 632 002, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0253-7176.183078

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Recent studies related to insight, explanatory models (EMs) of illness and their relationship to outcome of psychosis are reviewed. The traditional argument that insight predicts outcome in psychosis is not supported by recent longitudinal data, which has been analyzed using multivariable statistics that adjust for severity and quality of illness. While all cognition will have a neurobiological representation, if “insight” is related to the primary psychotic process, then insight cannot be seen as an independent predictor of outcome but a part of the progression of illness. The evidence suggests insight, like all EMs, is belief which interacts with the trajectory of the person's illness and the local culture to produce a unique understanding of the illness for the particular individual and his/her family.


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