The Emotional Insight Rating Scale

Insight and symptom reduction in time-limited psychoanalytic counseling.

“…Theoretically, client insight should increase with treatment. Studies by Hohage and Kubler (1988) and Grenyer and Luborsky (1996) have shown that insight is higher at the end of treatment when compared to the beginning of treatment. The study by O'Connor et al (1994), however, suggested that simply describing client insight as linearly increasing across treatment may not be accurate.…”

“…The testing phenomena may be apparent only with the very specific measure of insight derived from Weiss's theory. The IRS rated general insight in a manner similar to the insight ratings in the Hohage and Kubler and Grenyer and Luborsky studies. When global measures of insight are used, clients seem to be increasingly insightful as treatment progresses.…”

“…If this were true in those therapeutic relationships that were successful, one would expect to see changes in amount and kind of insight experienced by clients over the course of treatment. For example, Hohage and Kubler (1988) used the Emotional Insight Scale to rate patient statements at the beginning and at the end of psychoanalytic treatment. They found a significant increase in emotional insight from the beginning to the end of treatment.…”

The German specimen case, Amalia X: Empirical studies

“…(a) change of emotional insight (Hohage and Kübler, 1988) (b) change of self-esteem (Neudert et al, 1987) (c) types of subjective suffering (Neudert and Hohage, 1988) (d) change in dreams (Leuzinger-Bohleber and Kächele, 1988) (e) focal model of process assessed by the Core Confl ictual Relationship Theme (CCRT) method (Albani et al, 2002) (f) breaks between sessions and the analytic process (Jiménez et al, 2006) (g) the 'unconscious plan' in terms of Control-Mastery theory (Albani et al, 2000) (h) psychoanalytic technique by assessed by the Psychotherapy Process Q-Sort method (Albani et al, 2002).…”

“…The concept of insight is one of the key concepts in psychoanalytic treatment, although substantial measures of change in emotional insight have been rare. Hohage and Kübler (1988) constructed a rating scale that differentiates between a patient's cognitive access (C-score) and emotional access (E-score) to her material. Added to this is a combined score of the specifi c construct called 'emotional insight' which is fully described in Hohage's manual (1986).…”