Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-28T00:09:28.808Z Has data issue: false hasContentIssue false

Metacognition, mindreading, and insight in schizophrenia

Published online by Cambridge University Press:  23 April 2009

Ben Wiffen
Affiliation:
Department of Psychological Medicine and Psychiatry, Institute of Psychiatry, King's College London, London SE5 8AF, United Kingdom. [email protected]@iop.kcl.ac.ukwww.iop.kcl.ac.uk/staff/?go=10055
Anthony David
Affiliation:
Department of Psychological Medicine and Psychiatry, Institute of Psychiatry, King's College London, London SE5 8AF, United Kingdom. [email protected]@iop.kcl.ac.ukwww.iop.kcl.ac.uk/staff/?go=10055

Abstract

Mindreading in schizophrenia has been shown to be impaired in a multitude of studies. Furthermore, there is increasing evidence to suggest that metacognition is damaged as well. Lack of insight, or the inability to recognise one's own disorder, is an example of such a failure. We suggest that mindreading and metacognition are linked, but separable.

Type
Open Peer Commentary
Copyright
Copyright © Cambridge University Press 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beck, A. T., Baruch, E., Balter, J. M., Steer, R. A. & Warman, D. M. (2004) A new instrument for measuring insight: The Beck Cognitive Insight Scale. Schizophrenia Research 68(2–3):319–29.CrossRefGoogle ScholarPubMed
Bedford, N. & David, A. (2008) Denial of illness in schizophrenia: Genuine or motivated? Unpublished doctoral dissertation, Institute of Psychiatry, King's College London.Google Scholar
Brüne, M., Lissek, S., Fuchs, N., Witthaus, H., Peters, S., Nicolas, V., Juckel, G. & Tegenthoff, M. (2008) An fMRI study of theory of mind in schizophrenic patients with “passivity” symptoms. Neuropsychologia 46(7):19922001.CrossRefGoogle ScholarPubMed
Corcoran, R., Mercer, G. & Frith, C. D. (1995) Schizophrenia, symptomatology and social inference: investigating “theory of mind” in people with schizophrenia. Schizophrenia Research 17(1):513.CrossRefGoogle Scholar
David, A. S. (2004) The clinical importance of insight: An overview. In: Insight and psychosis: Awareness of illness in schizophrenia and related disorders, 2nd edition, ed. Amador, X. F. & David, A. S.. Oxford University Press.Google Scholar
Davidoff, S. A., Forester, B. P., Ghaemi, S. N. & Bodkin, J. A. (1998) Effect of video self-observation on development of insight in psychotic disorders. Journal of Nervous and Mental Disease 186(11):697700.CrossRefGoogle ScholarPubMed
Frith, C. D. (1992) The cognitive neuropsychology of schizophrenia. Psychology Press.Google Scholar
Gilleen, J., Greenwood, K. & David, A. S.(in press) Anosognosia in schizophrenia and other neuropsychiatric disorders: similarities and differences. In: Advances in the study of anosognosia, ed. Prigatano, G. P.. Oxford University Press.Google Scholar
Harrington, L., Siegert, R. & McClure, J. (2005) Theory of mind in schizophrenia: A critical review. Cognitive Neuropsychiatry 10(4):249–86.CrossRefGoogle ScholarPubMed
Koren, D., Seidman, L. J., Poyurovsky, M., Goldsmith, M., Viksman, P., Zichel, S. & Klein, E. (2004) The neuropsychological basis of insight in first-episode schizophrenia: A pilot metacognitive study. Schizophrenia Research 70 (2–3):195202.CrossRefGoogle ScholarPubMed
Marcel, A. J., Tegnér, R. & Nimmo-Smith, I. (2004) Anosognosia for plegia: Specificity, extension, partiality and disunity of bodily unawareness. Cortex 40(1):1940.CrossRefGoogle ScholarPubMed
McEvoy, J. P., Schooler, N. R., Friedman, E., Steingard, S. & Allen, M. (1993) Use of psychopathology vignettes by patients with schizophrenia or schizoaffective disorder and by mental health professionals to judge patients' insight. American Journal of Psychiatry 150(11):1649–53.Google ScholarPubMed
Medalia, A. & Thysen, J. (2008) Insight into neurocognitive dysfunction in schizophrenia. Schizophrenia Bulletin 34(6):1221–30.CrossRefGoogle ScholarPubMed
Pickup, G. J. & Frith, C. D. (2001) Theory of mind impairments in schizophrenia: Symptomatology, severity and specificity. Psychological Medicine 31(2):207–20.CrossRefGoogle ScholarPubMed
Pousa, E., Duñó, R., Blas Navarro, J., Ruiz, A. I., Obiols, J. E. & David, A. S. (2008) Exploratory study of the association between insight and Theory of Mind (ToM) in stable schizophrenia patients. Cognitive Neuropsychiatry 13(3):210–32.CrossRefGoogle ScholarPubMed
Rockeach, M. (1964) The three Christs of Ypsilanti. Knopf.Google Scholar
Sprong, M., Schothorst, P., Vos, E., Hox, J. & Van Engeland, H. (2007) Theory of mind in schizophrenia: Meta-analysis. British Journal of Psychiatry 191(1):513.CrossRefGoogle ScholarPubMed
Startup, M. (1997) Awareness of own and others' schizophrenic illness. Schizophrenia Research 26(2–3):203–11.CrossRefGoogle ScholarPubMed
Warman, D. M., Lysaker, P. H. & Martin, J. M. (2007) Cognitive insight and psychotic disorder: The impact of active delusions. Schizophrenia Research 90(1–3):325–33.CrossRefGoogle ScholarPubMed