Remember Me
Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:

OpenAIRE is about to release its new face with lots of new content and services.
During September, you may notice downtime in services, while some functionalities (e.g. user registration, login, validation, claiming) will be temporarily disabled.
We apologize for the inconvenience, please stay tuned!
For further information please contact helpdesk[at]openaire.eu

fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Moynihan, Manus (2015)
Languages: English
Types: Doctoral thesis
Insight is a term used in adult mental heath to try to think about and understand how service users’ understand their difficulties. There has been a growth in interest in its potential use in practice. This has led to the development of multiple theories and scales. Research in this area has yielded a vast array of results. Although to date, this enterprise has yielded inconsistent results. While the various insight theories implicate different factors in their models, there is convergence on three recurrent themes: acceptance of mental illness, agreement with treatment, and ability to label experiences as pathological.\ud However, insight in adult mental health is a term that is often used but rarely\ud defined. This research took a social constructionist stance to explore the way insight is deployed by clinical psychologists in practice. It sought to explore the degree to which ideas about insight are used in practice. Conversely it also looked to explore if insight was not used what, if any, analogous psychological theories were deployed in their day-to-day work. The research actively explored a variety of contexts in which clinical psychologists might encounter “insight talk” and how they negotiate these contexts.\ud Nine clinical psychologists working in a variety of adult mental health services within one NHS trust were recruited. Semi-structured interviews were used to explore if, and how, insight is used. The transcripts were analysed using a mixed design of Discursive Psychology and Foucauldian Discourse Analysis.\ud The results suggest that insight and analogous terms are used at different levels of practice. In terms of service user contact (micro-politics) “insight talk” considered insight as psy-model, narrative insight, and formulation. In discussion with colleagues (meso-politics), psychologists constructed their colleagues “insight”. At a system level (macro-politics) psychologists constructed systems as lacking insight and the promotion of a psychologically minded workforce.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • Read, J. & Ross, C.A. (2003). Psychological trauma and psychosis: Another reason why people with diagnosed schizophrenia must be offered psychological therapies. The American Academy of Psychoanalysis and Dynamic Psychiatry, 31, 247-268.
    • Roback, H.B. (1971). The comparative influence of insight and non-insight psychotherapies on therapeutic outcome: a review of the experimental literature. Psychotherapy: Theory, Research & Practice, 8, 23-25.
    • Roe, D. & Davidson, L. (2005). Self and narrative in schizophrenia: Time to author a new story. Medical Humanities, 31, 2, 89-94.
    • Roe, D., Hasson-Ohayon, I., Kravetz, Yanos, P. T., & Lysaker, P. H. (2008). Call it a monster for lack of anything else: Narrative insight in psychosis. Journal of Nervous and Mental Disease, 196, 12, 859-865. doi:10.1097/NMD.0b013e31818ec6e7
    • Roe, D., & Kravetz, S. (2003). Different ways of being aware of and acknowledging a psychiatric disability. A multifunctional narrative approach to insight into mental disorder. Journal of Nervous and Mental Disease, 191, 7, 417-424. doi:10.1097/01.NMD.0000081645.31919.6B
    • Rogers, A. & Pilgrim. D. (2010). A sociology of mental health and illness. (4th Ed.). Milton Keynes: Open University Press.
    • Romme, M. & Escher, S. (1993). Accepting voices. London: Mind Publications.
    • Romme, M. & Escher, S. (2000). Making sense of voices: a guide for mental health professionals working with voice-hearers. London: Mind Publications
    • Rorty, R. (1979). Philosophy and the mirror of nature. New Jersey: Princeton University Press.
    • Ross, L. (1977). The intuitive psychologist and his shortcomings: Distortions in the attribution process. In L. Berkowitz. (Ed.). Advances in experimental social psychology 10. (pp. 173-220). New York: Academic Press.
    • Sapara, A., Ffytche, D.H., Birchwood, M., Cooke, M., Fannona, D., Williams, S.C.R., Kuipers, E. & Kumari, V. (2014). Preservation and compensation: The functional neuroanatomy of insight and working memory in schizophrenia. Schizophrenia Research 152, 201-209
    • Saravan, B., Jacobs, K.S., Prince, M., Bhugra, D. & David, A.S. (2004). Culture and insight revisited. British Journal of Psychiatry, 184, 107-109.
    • Schegloff E. (1997). Whose text? Whose context? Discourse and Society, 8, 165-187.
    • Schon, D.A. (1987). Educating the reflective practitioner. San Francisco: Jossey-Bass.
    • Sloterdijk. P. (1988). Critique of cynical reason. (M. Eldred Trans.). Minneapolis: University of Minnesota. (Original work published in 1983).
    • Smail, D. (2006). Implications for Practice, Clinical Psychology Forum, 162, 17- 20.
    • Speed, E. (2011). Discourses of acceptance and resistance: Speaking out about psychiatry. In M. Rapley, J. Moncrieff & J. Dillon (Eds.). Demedicalizing misery: psychiatry, psychology and the human condition. (pp. 123-140). Hampshire: Palgrave Macmillan.
    • Stanghellini, G., Bolton, D. & Fulford, W.K.M (2013). Person-centered psychopathology of schizophrenia: building on Karl Jaspers' understanding of patient's attitude toward his Sicllhniezsosp.hrenia Bulletin, 39, 2, 287-294, doi:10.1093/schbul/sbs154
    • Strong, T., Gaete, J., Sametband, I. N., French, J., & Eeson, J. (2012). Counsellors respond to the DSM-IV-TR. Canadian Journal of Counselling and Psychotherapy, 46, 85-106.
    • Szasz, T. (1972). The myth of mental illness. London: Paladin.
    • Taylor, G. (2011). Making sense of unusual experiences: a dialogical approach to insight. Unpublished doctoral thesis. University of East London, Stratford, London.
    • Taylor, S. (2007). Narrative as construction and discursive resource. In. M. Bamberg (Ed.). Narrative - state of the art. (pp. 113-122). Amsterdam: John Benjamins Publishing Company.
    • Temperley, J. (1984). Settings for psychotherapy. British Journal of Psychotherapy, 1, 2, 101-112.
    • Thomas, M. S. C. & Karmiloff-Smith, A. (2002). Modelling typical and atypical cognitive development. In U. Goswami (Ed.). Handbook of childhood development (pp. 575-599). Oxford: Blackwells Publishers.
    • Thompson, K. (2003). Forms of resistance: Foucault on tactical reversal and self-formation. Continental Philosophy Review. 36: 113-138
    • Tranulis, C., Lepage, M., & Malla, A. (2008). Insight in first episode psychosis: who is measuring what? Early Intervention in Psychiatry, 2, 34-41.
    • Trzepacz, P.T. & Baker, R.W. (1993). The psychiatric mental status examination. Oxford: Oxford University Press.
    • Tversky, A. and Kahneman, D. (1973). On the psychology of prediction. Psychological Review, 804, 237-251
    • van Dijk T. (2011). Discourse studies: a multidisciplinary introduction. (2nd Ed.). London: Sage.
    • Van Putten, T., Crumpton, E. & Yale, C. (1976). Drug refusal in schizophrenia and the wish to be crazy. Archives of General Psychiatry, 33, 12, 1443- 1446.
    • van Os, J., Kenis, G., & Rutten, B. (2011). The environment and schizophrenia. Nature, 468, 203-212.
    • Vaughn, C. & Leff, J. (1976). The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social and Clinical Psychology, 15, 2, 157-165.
    • Venn, C. (1998). The subject of psychology. In J. Henriques, W. Hollway, C. Urwin, C. Venn & V. Walkerdine (Ed.). Changing the subject (pp. 119- 152). London: Methuen & Co.
    • Warner, L. (2005). Acute care in crisis. In A. Bell & P. Lindley (Eds.). Beyond the waters towers, the unfinished business revolution in mental health services 1985-2005 (pp. 37-48). London: The Sainsbury Centre for Mental Health.
    • Weider, D. (1974). Language and social reality: the case of telling the convict code. The Hague: Mouton
    • Weingarten, K., (1997). The mother's voice: strengthening intimacy in families (2nd Ed.). New York: Guilford Publications.
    • Weingarten, K. (1998). The small and the ordinary: The daily practice of postmodern narrative therapy. Family Process, 37, 1, 3-16.
    • Wetherell, M., (1998). Positioning and interpretative repertoires: Conversation analysis and post-structuralism in dialogue. Discourse and Society, 9, 387-412.
    • White, M., & Epston, D. (1990). Narrative means to therapeutic ends. New York: Norton.
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article

Cookies make it easier for us to provide you with our services. With the usage of our services you permit us to use cookies.
More information Ok