2017
DOI: 10.1016/j.eurpsy.2016.07.007
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Much ado about everything: A literature review of insight in first episode psychosis and schizophrenia

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Cited by 22 publications
(31 citation statements)
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References 115 publications
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“…A second subgroup of violent patients could be specific to EPP, in relation to lack of insight during this phase (at program entry: 47% of VP had no insight and 30% of NVP [Moulin et al, in press]) and its consequence in social interactions. While the issue of insight should be approached carefully with EPP, attempts to promote its development should always be part of treatment and considered as a therapeutic process (Elowe & Conus, 2017). (3) 0 Sexual aggression % (n) 2.8 (2) 0 5.9 (1) 0 10.0 (1) Murder or attempted murder % (n) 4.2 (3) 5.0 (1) 5.9 (1) 0 10.0 (1) GAF, Global Assessment of Functioning; SOFAS, Social and Occupational Functioning Assessment Scale.…”
Section: Discussionmentioning
confidence: 99%
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“…A second subgroup of violent patients could be specific to EPP, in relation to lack of insight during this phase (at program entry: 47% of VP had no insight and 30% of NVP [Moulin et al, in press]) and its consequence in social interactions. While the issue of insight should be approached carefully with EPP, attempts to promote its development should always be part of treatment and considered as a therapeutic process (Elowe & Conus, 2017). (3) 0 Sexual aggression % (n) 2.8 (2) 0 5.9 (1) 0 10.0 (1) Murder or attempted murder % (n) 4.2 (3) 5.0 (1) 5.9 (1) 0 10.0 (1) GAF, Global Assessment of Functioning; SOFAS, Social and Occupational Functioning Assessment Scale.…”
Section: Discussionmentioning
confidence: 99%
“…A second subgroup of violent patients could be specific to EPP, in relation to lack of insight during this phase (at program entry: 47% of VP had no insight and 30% of NVP [Moulin et al, ]) and its consequence in social interactions. While the issue of insight should be approached carefully with EPP, attempts to promote its development should always be part of treatment and considered as a therapeutic process (Elowe & Conus, ).…”
Section: Discussionmentioning
confidence: 99%
“…3,25,36 D’un point de vue clinique, si le développement de l’insight a longtemps été identifié comme l’un des objectifs principaux dans la prise en charge des patients souffrant de psychose et si son impact favorable sur l’évolution des troubles a été démontré, 54 différentes publications ont souligné son influence parfois négative, en particulier sur l’humeur. 6,55 Ainsi, si les programmes de “psycho-éducation” visent à aider le patient à prendre conscience du trouble afin de favoriser son engagement dans le traitement, un soutien trop actif à la prise de conscience de la maladie peut susciter du déni (« sealing over » 56 ), de l’auto-stigmatisation, voire de la révolte. Récemment, l’attention a été attirée 7 sur la nécessité d’un travail d’adaptation des patients face au développement d’une nouvelle identité sociale qui découle d’un trouble psychotique et les variations de l’humeur qui accompagnent ce processus.…”
Section: Discussionunclassified
“…Concernant l’évolution des capacités d’insight: à l’entrée dans le programme, la proportion de patients n’ayant aucune conscience de la maladie et de la nécessité d’un traitement apparaît élevée puisqu’elle atteint 47% chez les PV et 35% chez les PNV. 6 Cependant, elle diminue progressivement et significativement au cours du traitement dans les deux groupes. Ceci suggère que le travail d’intégration et de prise de conscience de la maladie se fait de manière progressive et qu’il est possible pour tous les patients.…”
Section: Discussionunclassified
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