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Questions concerning the nature of insight in patients with mental illness have interested clinicians for a long time. To what extent can patients understand disorders which affect their mental function? Does insight carry a prognostic value? Is impaired insight determined by the illness or are other factors important? Despite considerable research examining insight in patients with psychoses, non-psychotic disorders and chronic organic brain syndromes, results are inconclusive and insight remains a source of some mystification. Ivana S. Marková examines the problems involved in studying insight in patients with mental illness in order to provide a clearer understanding of the factors that determine its clinical manifestation. She puts forward a new model to illustrate the relationship between different components of insight in theoretical and clinical terms, and points to directions for future research.
The insight a patient shares into their own psychosis is fundamental to their condition - it goes to the heart of what we understand 'madness' to be. Can a person be expected to accept treatment for a condition that they deny they have? Can a person be held responsible for their actions if those actions are inspired by their own unique perceptions and beliefs - beliefs that no-one else shares? The new edition of this unique book shows how we can better understand the patient's view of their illness, and provides valuable advice for all those involved in the treatment of mental illness.
Insight, or the acquisition of a new understanding, is recognized as an important vehicle of change across a variety of theoretical approaches in psychotherapy. The contributors to this book delineate and integrate what is currently known about insight, and discuss new directions that could help clinicians and researchers better understand this rich and complex process.
The flaw in Self-Help is the notion of Self A panic-ridden schoolboy. A high school cutter. A suicidal divorced mother of two. A conflicted young man with OCD and his grieving father. Dr. Bhargave has treated children and adults who sought psychiatry as a last resort to feeling empty, misunderstood, and unworthy. None came anticipating a spiritual conquest, and each wanted relief in the quickest way possible. While there was no magic pill for a cure, what evolved time and again through patience and vulnerability was the tale of hope through adversity.The result is A Moment of Insight. We all struggle with the same dilemmas. We all question life's purpose. We all feel overwhelmed. We all doubted our worthiness. While A Moment of Insight shines the spotlight on our collective wounds, it also dispenses the collective wisdom of thousands of seekers who dared to be vulnerable within the safe space of a psychiatrist's office. Through patient stories and personal accounts, this recollection takes the reader on a journey to calm the mind, fortify the spirit, and release the burdens of life. Each chapter offers practical strategies and thought-provoking narratives to not only understand and persevere through challenging dilemmas, but to see greater purpose in these times. At the beginning of every journey is the moment that incites change...a Moment of Insight.
Recovery, Meaning-Making, and Severe Mental Illness offers practitioners an integrative treatment model that will stimulate and harness their creativity, allowing for the formation of new ideas about wellness in the face of profound suffering. The model, Metacognitive Reflection and Insight Therapy (MERIT), complements current treatment modalities and can be used by practitioners from a broad range of theoretical backgrounds. By using metacognitive capacity as a guide to intervention, MERIT stretches and strengthens practitioners’ capacity for reflection and allows them to better use their unique knowledge to help people who are confronting the suffering and chaos that often comes from psychosis. Clinicians will come away from this book with a variety of tools for helping clients manage their own recovery and confront the issues that accompany an illness-based identity.
Deficits in social cognition and metacognition in schizophrenics makes it difficult for them to understand the speech, facial expressions and hence emotion and intention of others, as well as allowing little insight into their own mental state. These deficits are associated with poor social skills, fewer social relationships, and are predictive of poorer performance in a work setting. Social Cognition and Metacognition in Schizophrenia reviews recent research advances focusing on the precise nature of these deficits, when and how they manifest themselves, what their effect is on the course of schizophrenia, and how each can be treated. These deficits may themselves be why schizophrenia is so difficult to resolve; by focusing on the deficits, recovery may be quicker and long lasting. This book discusses such deficits in early onset, first episode, and prolonged schizophrenia; how the deficits relate to each other and to other forms of psychopathology; how the deficits affect social, psychological, and vocational functioning; and how best to treat the deficits in either individual or group settings. Summarizes the types of social cognitive and metacognitive deficits present in schizophrenia Discusses how deficits are related to each other and to other forms of psychopathology Describes how deficits impact function and affect the recovery process Provides treatment approaches for these deficits
Personalized Psychiatry presents the first book to explore this novel field of biological psychiatry that covers both basic science research and its translational applications. The book conceptualizes personalized psychiatry and provides state-of-the-art knowledge on biological and neuroscience methodologies, all while integrating clinical phenomenology relevant to personalized psychiatry and discussing important principles and potential models. It is essential reading for advanced students and neuroscience and psychiatry researchers who are investigating the prevention and treatment of mental disorders. Combines neurobiology with basic science methodologies in genomics, epigenomics and transcriptomics Demonstrates how the statistical modeling of interacting biological and clinical information could transform the future of psychiatry Addresses fundamental questions and requirements for personalized psychiatry from a basic research and translational perspective
Obsessive-compulsive disorder (OCD) affects one person in 40 and can cause great suffering. This volume provides the first comprehensive summary of our understanding of this enigmatic condition, summarizing current work ranging from genetics and neurobiology through cognitive psychology, treatment, personal experiences, and societal implications.