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Insight and Psychosis
Awareness of Illness in Schizophrenia and Related Disorders
Second Edition
Xavier F. Amador and Anthony S. David
416 pages
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numerous tables, 4 graphs and line drawings
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240x168mm
978-0-19-852568-4
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Paperback
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22 July 2004
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This item is printed to order and supplied on a firm sale basis. Items which are printed to order are normally despatched and charged within 5-10 days.
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- The first and only book to examine the role of 'insight' within the mentally ill - presenting a broad range of interdisciplinary work, not available elsewhere
- Major updates with several new chapters including neuropsychology, neuroimaging, violence and stigma, legal and consumer views
- Includes chapters from leaders in psychiatry and psychology, providing cutting edge and authoritative new work
- Shows just how important a patient's insight into their illness can be, and how a better understanding of the way they view their illness can influence treatment outcome
New to this edition - Updates on all majors areas; new chapters on neuropsychology and neuroimaging and on forensic issues; original contributions from consumers and cognitive therapists; inclusion of new work on affective disorders.
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 topic of insight in schizophrenia and related disorders has become a major focus of research in psychiatry and psychology. It has important clinical implications in terms of outcome, treatment adherence, competence, and forensic issues.
In order to study 'insight' a broad perspective is required. This involves applying knowledge from the cognitive and brain sciences, as well as from philosophy and the social sciences.
Insight and Psychosis comprises a series of in-depth,
well-referenced, scholarly overviews from each of these perspectives with a strong empirical foundation - including in some cases the presentation of new data and meta-analysis of the published literature. These are integrated and synthesised by the editors, both acknowledged experts in the field. The scope is truly international and spans theoretical perspectives, clinical practice, and consumer views. The book will act as a source for students and researchers interested in pursuing any number of questions and controversies around lack of insight and awareness, and will guide clinical psychologists and psychiatrists who seek a broader view of the many facets of insight that might arise during their day-to-day work.
Readership: Clinical psychologists and psychiatrists. Cognitive neuroscientists.
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Xavier F. Amador, Columbia University, Teachers College, and the National Alliance for the Mentally Ill, Arlington, USA, and Anthony S. David, Institute of Psychiatry. King's College, London UK Contributors:
Xavier F Amador, National Alliance for the Mentally Ill, Arlington VA, USA
William B Barr, Comprehensive Epilepsy Center, New York University, New York, USA
Aaron T Beck, Psychopathology Research Unit, University of Pennsylvania, Philadelphia PA, USA
Morris D Bell, Psychology Service, VA Connecticut Healthcare System, West Haven CT, USA
German E Berrios, Dept of Psychiatry,
University of Cambridge, Addenbrookes Hospital, Cambridge, UK
Alec Buchanan, Yale University Dept of Psychiatry, New Haven CT, USA
Ellen Corin, Psychosocial Research Unit, Douglas Hospital, Verdun, Canada
Anthony S David, Section of Cognitive Neuropsychiatry, Institute of Psychiatry, Denmark Hill, London, UK
Laura A Flashman, Neuropsychology & Neuroimaging Program, Dartmouth Medical School, Lebanon NH, USA
Frederick J Frese, Dept of Psychology, Northeastern Ohio Universities College of Medicine
Bill Fulford, Dept of Philosophy, University of Warwick, Coventry, UK
Philippa Garety, Academic Psychology Dept, St Thomas' Hospital, Lambeth, London, UK
S Nassir Ghaemi, Dept of Psychiatry, Harvard Medical
Center, Cambridge Hospital, Cambridge MA, USA
G Eric Jarvis, Culture & Mental Health Research Unit, Sir Mortimer B Davis Jewish General Hospital, Montreal, Canada
Suzanne Jolley, Academic Psychology Dept, St Thomas' Hospital, Lambeth, London, UK
Richard S E Keefe, Dept of Psychiatry & Behavioral Sciences, Duke University, Durham NC, USA
Yoshiharu Kim, National Institute of Mental Health, Ichikawa, Chiba, Japan
Laurence J Kirmayer, Culture & Mental Health Research Unit, Sir Mortimer B Davis Jewish General Hospital, Montreal, Canada
Kenneth Kress, College of Law, University of Iowa, Iowa City, IA, USA
Frank Laroi, Dept of Cognitive Sciences, University of Liege, Liege, Belgium
Paul Lysaker, Roudebush VA
Medical Center, Indianapolis IN, USA
Joseph P McEvoy, John Umstead Hospital, Butner NC, USA
Ivana Markova, Dept of Psychiatry, University of Hull, Willerby, UK
Kevin Morgan, Div of Psychological Medicine, Institute of Psychiatry, Denmark Hill, London, UK
Klara J Rosenquist, Dept of Psychiatry, Harvard Medical Center, Cambridge Hospital, Cambridge MA, USA
Robert M Roth, Neuropsychology & Neuroimaging Program, Dartmouth Medical School, Lebanon NH, USA
E Fuller Torrey, Stanley Medical Research Institute, Bethesda MD, USA
Debbie M Warman, University of Indianapolis, USA
Simon C Wessely, GKT School of Medicine & Institute of Psychiatry, Weston Education Centre, London, UK
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"This is the second edition of Amador and David's enormously influential book and contains much new material - notably on neuropsychological research and the clinical relevance of stakeholders, including service users and carers. The quality of the papers is outstanding: in particular Jolley and Gartey on cognitive psychological approaches to delusions, Fulford's philosophical analysis, Torrey on violence and insight, McEvoy on compliance with medication and Frese's first-person perspective. Reading this book has changed my understanding of the concept of insight. I can no longer think of it simply as agreeing with the doctor. This is a book that should be read by all mental health professionals. Carers and service users, and those who work in philosophy
or the social sciences and are interested in disability, awareness, and mental health, would also find it of interest." - Mental Health Today "This is possibly the most comprehensive book on insight available and it tackles an enormous task extremely well . . . this is a book to be highly recommended to anyone seeking a broader view of the many facets of insight that might arise during their clinical work. It would be well placed as a book of reference for students, general practitioners, clinical psychologists and psychiatrists who wish to delve into this fascinating subject." - Primary Care Psychiatry, Vol 9, No 4
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Part I - Phenomenology and Psychology
1: Xavier F. Amador & Henry Kronengold: Understanding and assessing insight
2: German E. Berrios & Ivana Markova: Insight and psychosis: a conceptual history
3: Bill Fulford: Insight and delusion: from Jaspers to Kraepelin and back again via Austin
4: Aaron T. Beck & Debbie M. Warman: Cognitive insight: theory and assessment
5: Philippa Garety & Suzanne Jolley: Insight and delusions: a cognitive psychological approach
6: S. Nassir Ghaemi & Klara J. Rosenquist: Insight in mood disorders: an empirical and conceptual review
Part II - Neuropsychology
7: Frank Laroi, William B. Barr & Richard S.E. Keefe: The neuropsychology of insight in psychiatric and neurological disorders
8: Laura A. Flashman & Robert M. Roth: Neural correlates of unawareness of illness in psychosis
9: Kevin Morgan & Anthony S. David: Neuropsychological studies of insight in psychosis
Part III - Insight, Culture and Society
10: Laurence J. Kirmayer, Ellen Corin & G. Eric Jarvis: Inside knowledge: cultural constructions of insight in psychosis
11: Yoshiharu Kim: Japanese attitudes towards insight in schizophrenia
12: E. Fuller Torrey: Relationship of insight to violent behaviour and stigma
13: Kenneth Kress: Why lack of insight should have a central place in mental health law
Part IV - Clinical and Personal Implications of Poor Insight
14: Alec Buchanan & Simon C. Wessely: Delusions, action and insight
15: Joseph P. McEvoy: The relationship between insight into psychosis and compliance with medications
16: Paul Lysaker & Morris D. Bell: Awareness of illness in schizophrenia: advances from psychosocial rehabilitation research
17: Frederick J. Frese: Inside 'Insight' - a personal perspective on insight in psychosis
18: Anthony S. David: The clinical importance of insight: an overview
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