Encyclopedia of Clinical Neuropsychology

2018 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan

Insight: Effects on Rehabilitation

  • Matthew M. KurtzEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-57111-9_1091


Awareness of illness


Insight is an ability to recognize and/or accept one’s own illness and the impact of one’s illness on the capacity to perform daily functions and meet rehabilitation goals. Disruptions in illness recognition often produce discrepancies between self-ratings of skills and ratings of these same skills by treaters and family members. Patients with poor recognition of illness will often display limited motivation in rehabilitation treatment, and poor progress in rehabilitation will often lead to frustration, further impacting the ability of clients to benefit from treatment interventions (Prigatano 1999).

Current Knowledge

Studies have shown that insight, as measured through clinician ratings, as well as discrepancies between relative and patient ratings of patient functioning has been linked to compliance with treatment in integrated holistic brain injury rehabilitation programs (Schonberger et al. 2006). In severe mental illness, poor insight has...

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References and Readings

  1. Mintz, A. R., Dobson, K. S., & Romney, D. M. (2003). Insight in schizophrenia: A meta-analysis. Schizophrenia Research, 61, 75–88.PubMedCrossRefGoogle Scholar
  2. Prigatano, G. P. (1999). Principles of neuropsychological rehabilitation. New York: Oxford University Press.Google Scholar
  3. Schonberger, M., Humle, F., Zeeman, P., & Teasdale, T. W. (2006). Patient compliance in brain injury rehabilitation in relation to awareness and cognitive and physical improvement. Neuropsychological Rehabilitation, 16, 561–578.PubMedCrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PsychologyWesleyan UniversityMiddletownUSA