The role of insight in the process of recovery from schizophrenia: A review of three views

The relationship between insight and autobiographical memory for emotional events in schizophrenia

“…Our results are consistent with insight in schizophrenia reflecting a narrative account of challenges related to mental illness (Lysaker et al, 2009). A profound impairment (i.e., despite retrieval supports) in ability to recall details of temporally and spatially specific illness-related events would consequently impede development of a coherent narrative of experiences related to having a mental illness.…”

“…Lack of insight predicts poorer treatment adherence (Beck et al, 2011) and worse outcomes (Drake et al, 2007;Lincoln et al, 2007). Insight has been conceptualized as a storied account or narrative of different aspects of illness and their consequences that requires different forms of awareness and the recognition of pertinent historical details such as a hospitalization (Lysaker et al, 2009(Lysaker et al, , 2013. Patients with schizophrenia produce less coherent personal narratives (Raffard et al, 2010;Lysaker et al, 2005); and deficits in narrative identity are associated with aspects of poor insight (Lysaker et al, 2002(Lysaker et al, , 2008.…”

Talking About Life and Finding Solutions to Different Hardships

“…However, the invitation for “being,” or thinking deeply about oneself as a being in the world, is likely to generate anxiety (Yalom, 1980). The metacognitive capacities of persons with SMI might be overtaxed when thinking about their own thinking in unfamiliar ways (Lysaker et al, 2009). At times, this activity might be more painful than pleasurable.…”

Exploring the compatibility of biomedical and psychological approaches to treating psychosis

“…The already confused client is faced with one professional opinion that their problems are caused by an inherited chemical brain dysfunction, and another opinion that they are caused by their experiences of significant life events and relationships. And then, to top it all off, they are being universally told that they have no insight into their problems (Lysaker, Yanos & Roe, 2009). …”