First- and Third-Person Perspectives in Psychotic Disorders and Mood Disorders with Psychotic Features

Islam, Lucrezia; Scarone, Silvio; Gambini, Orsola

doi:10.1155/2011/769136

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…Studies show the impact of the third-person approach on the improvement of the clinical insight of patients. [2,[31][32][33][34] However, consistent with some previous studies, [29,30] the results of the present study show that the third-person approach and changing the pronoun "I" to "they" have no impact on self-reflection, self-assurance components, and overall cognitive insight of psychotic patients.…”

Section: Discussionsupporting

confidence: 90%

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Third-person Diagnostic Interview on the Cognitive Insight Level of Psychotic Patients with an Insight at the Denial Level

Mehdizadeh¹,

Rezaei

2016

Indian Journal of Psychological Medicine

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Objectives:According to the previous findings, the third-person technique improved the clinical insight of psychotic patients, therefore the present study aims to examine the effect of a third-person interview compared to a first-person interview on the level of cognitive insight of psychotic patients with an insight at the denial level.Materials and Methods:In this study, using interviews and questionnaires, a total number of 44 patients of Razi Psychiatric Educational and Treatment Center with an insight at the denial level being assessed using diagnostic interviews were divided randomly into two groups. Then, the two groups of patients' cognitive insights were evaluated using Beck Cognitive Insight Scale.Results:The findings indicated that in psychotic patients with an insight at the denial level, the third-person technique of interview compared to the first-person had little effect on the improvement of overall cognitive insight and its components, including self-reflection and self-assurance; however, this effect was not strong enough to make a significant difference between the two groups of patients.Conclusion:According to the study findings, we can conclude that the third-person interview compared to the first-person interview has no effect on the improvement of the cognitive insight of psychotic patients with an insight at the denial level. This finding is consistent with the previous studies indicating that although the theory of mind has some correlations with the clinical insight of patients, it has no effect on their cognitive insight.

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Section: Discussionsupporting

confidence: 90%

“…In another study, Islam et al . [ 34 ] used a change from the first to the third-person view to test participants with mental disorder and psychotic mood disorder. They asked 92 patients to talk about their delusions.…”

Section: Introductionmentioning

confidence: 99%

Third-person Diagnostic Interview on the Cognitive Insight Level of Psychotic Patients with an Insight at the Denial Level

Mehdizadeh¹,

Rezaei

2016

Indian Journal of Psychological Medicine

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“…This interpersonal context of ‘shared attention' resembles the corresponding process in the infant's development by which 3PP abilities were originally acquired [24]. Here, we use 3PP abilities as an umbrella term for a range of interrelated abilities that are crucial for distancing oneself from cumbering experiences [25], to view and reflect on them [26], to evaluate them from the perspective of an outside observer and finally to attribute them to their probable causes, for example, to a mental illness [27,28,29,30]. We assume that it is especially this interpersonal context of therapy that may assist the patient to eventually adopt a 3PP stance towards his experiential abnormalities.…”

Section: Clinical Conclusion: Verbalizing and Conceptualizingmentioning

confidence: 99%

From Theory to Clinical Practice: A Phenomenologically Inspired Intervention for Patients with Schizophrenia

Nischk¹,

Dölker

Rusch³

et al. 2015

Psychopathology

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Background: Phenomenological conceptualizations of schizophrenia regard the fundamental transformation of self-experience as the central feature of the schizophrenic state of mind. Recently, self-disorders as subtle, trait-like, merely subjective alterations of self-experience have received vast empirical attention. However, the question of how to address self-disorders psychotherapeutically has remained neglected. Methods: From phenomenologically inspired analyses of self-disorders we derive a therapeutic intervention that focuses on the following: (1) verbalizing diffuse changes in self-experiences and (2) conceptualizing these self-experiences in terms of aggravating and relieving factors in order to stimulate coping and derive targeted therapeutic interventions. Results: The clinical implementation is illustrated by two case studies. The feasibility of our approach is preliminarily supported by an exploratory study. Conclusions: This intervention seems promising in assisting patients to develop an embodied and enacted understanding of self-disorders.

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“…Mentalizing and insight are overlapping concepts to a certain degree. The lack of insight is stated as a difficulty of making sense of ourselves or disturbance of the “self-monitoring capacity” [ 27 ]. Awareness of illness needs a third person’s view of self, evaluating oneself relative to others; that is the mentalizing ability itself [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Are Mentalizing Abilities and Insight Related to the Severity of Obsessive-Compulsive Disorder

İnanç

Altıntaş

2018

Psychiatry Investig

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ObjectiveThe aim of this study is to investigate whether insight and mentalizing abilities are related to the severity of Obsessive Compulsive Disorder (OCD) in treatment resistant OCD. We look at the association between treatment resistance, insight, and mentalizing ability. MethodsThe study was conducted with 71 OCD patients; 30 of them met the criteria for treatment resistant OCD, whereas the other 41 (57.7%) were labeled as responder group. All patients were assessed with the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Reading the Mind in the Eyes Test (RMET), Brown Assessment of Beliefs Scale (BABS), Mini International Neuropsychiatric Interview, Beck Depression Inventory, and Beck Anxiety Inventory.ResultsThe resistant group received higher depression and anxiety mean scores and had significantly longer illness duration. The RMET score was significantly higher for responders. The Y-BOCS insight score and the BABS score were significantly higher for the resistant group. BABS scores were negatively correlated with RMET total scores. RMET scores were found to be significant predictor of insight even when other potential factors were controlled for.ConclusionResults suggest that better mentalizing abilities may be a predictor of better treatment outcome in patients with OCD.

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First- and Third-Person Perspectives in Psychotic Disorders and Mood Disorders with Psychotic Features

Cited by 3 publications

References 17 publications

Third-person Diagnostic Interview on the Cognitive Insight Level of Psychotic Patients with an Insight at the Denial Level

Third-person Diagnostic Interview on the Cognitive Insight Level of Psychotic Patients with an Insight at the Denial Level

From Theory to Clinical Practice: A Phenomenologically Inspired Intervention for Patients with Schizophrenia

Are Mentalizing Abilities and Insight Related to the Severity of Obsessive-Compulsive Disorder

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