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Vol. 42, No. 5, 2009
Issue release date: August 2009
Section title: Review
Psychopathology 2009;42:277–282
(DOI:10.1159/000228836)

Insight and Obsessive-Compulsive Disorder: A Conceptual Analysis

Marková I.S. · Jaafari N. · Berrios G.E.
aDepartment of Psychiatry, University of Hull, Hull, UK; bCentre Hospitalier Henri Laborit, CIC-INSERM U-802, Université et CHU de Poitiers, Poitiers, France; cDepartment of Psychiatry, University of Cambridge, Cambridge, UK

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Article / Publication Details

First-Page Preview
Abstract of Review

Received: 7/21/2008
Accepted: 12/11/2008
Published online: 7/16/2009

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 0

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: http://www.karger.com/PSP

Abstract

Analysis of insight in obsessive-compulsive disorders (OCD) raises conceptual problems that need addressing before meaningful empirical work can be undertaken. Insight and OCD are locked within a definitional contradiction relevant both to the nosological boundaries of OCD and the meaning of insight itself. Given that it is a form of self-knowledge, it is proposed here that insight is best conceived as a mental state rather than symptom or symptom-dimension. As an aspect of this mental state, the clinical phenomenon of insight should be understood as independent of any underlying disease albeit influenced by it and by other factors. As the focus of empirical research, the phenomenon of insight is dependent on the concept of insight, the measure by which it is assessed and on the ‘object’ of insight assessment. Explication of these factors allows for the delineation of specific insight phenomena whose respective usefulness can be determined by empirical research.


  

Author Contacts

Dr. Ivana S. Marková
Department of Psychiatry, Hertford Building
University of Hull, Cottingham Road
Hull HU6 7RX (UK)
Tel. +44 1482 464 564, Fax +44 1482 464 569, E-Mail ismarkova@fastmail.co.uk

  

Article Information

Received: July 21, 2008
Accepted after revision: December 11, 2008
Published online: July 16, 2009
Number of Print Pages : 6
Number of Figures : 0, Number of Tables : 0, Number of References : 23

  

Publication Details

Psychopathology (International Journal of Descriptive and Experimental Psychopathology, Phenomenology and Psychiatric Diagnosis)

Vol. 42, No. 5, Year 2009 (Cover Date: August 2009)

Journal Editor: Mundt C. (Heidelberg), Akiskal H.S. (San Diego, Calif.), Mezzich J.E. (New York, N.Y.)
ISSN: 0254-4962 (Print), eISSN: 1423-033X (Online)

For additional information: http://www.karger.com/PSP


Article / Publication Details

First-Page Preview
Abstract of Review

Received: 7/21/2008
Accepted: 12/11/2008
Published online: 7/16/2009

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 0

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: http://www.karger.com/PSP


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