Insight and personal narratives of illness in schizophrenia

Paul H. Lysaker, Catherine A. Clements, Cynthia D. Plascak-Hallberg, Stacy J. Knipscheer, Dustin Eric Wright

Research output: Contribution to journalArticle

207 Citations (Scopus)

Abstract

Insight in schizophrenia tends to be assessed as the degree to which one possesses specific knowledge. It therefore often fails to account for the fact that awareness of illness is an inextricable part of a personal narrative and may be incoherent or incomplete for many different narrative reasons. Accordingly, we have developed a means of eliciting narratives of illness: the Indiana Psychiatric Illness Interview, and a method for rating the coherence of those narratives: the Narrative Coherence Rating Scale. In this article we describe these methods and present data on their reliability and validity in a study of the illness narratives of 33 outpatients with schizophrenia or schizoaffective disorder. Results suggest our measures possess sufficient internal consistency and good to excellent interrater reliability. Additionally, as predicted, our measures of narrative coherence were significantly correlated with traditional measures of insight and with measures of cognitive impairment and hopelessness gathered earlier.

Original languageEnglish (US)
Pages (from-to)197-206
Number of pages10
JournalPsychiatry
Volume65
Issue number3
DOIs
StatePublished - Sep 1 2002

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Personal Narratives
Schizophrenia
Reproducibility of Results
Psychotic Disorders
Psychiatry
Outpatients
Interviews

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Lysaker, P. H., Clements, C. A., Plascak-Hallberg, C. D., Knipscheer, S. J., & Wright, D. E. (2002). Insight and personal narratives of illness in schizophrenia. Psychiatry, 65(3), 197-206. https://doi.org/10.1521/psyc.65.3.197.20174

Insight and personal narratives of illness in schizophrenia. / Lysaker, Paul H.; Clements, Catherine A.; Plascak-Hallberg, Cynthia D.; Knipscheer, Stacy J.; Wright, Dustin Eric.

In: Psychiatry, Vol. 65, No. 3, 01.09.2002, p. 197-206.

Research output: Contribution to journalArticle

Lysaker, PH, Clements, CA, Plascak-Hallberg, CD, Knipscheer, SJ & Wright, DE 2002, 'Insight and personal narratives of illness in schizophrenia', Psychiatry, vol. 65, no. 3, pp. 197-206. https://doi.org/10.1521/psyc.65.3.197.20174
Lysaker PH, Clements CA, Plascak-Hallberg CD, Knipscheer SJ, Wright DE. Insight and personal narratives of illness in schizophrenia. Psychiatry. 2002 Sep 1;65(3):197-206. https://doi.org/10.1521/psyc.65.3.197.20174
Lysaker, Paul H. ; Clements, Catherine A. ; Plascak-Hallberg, Cynthia D. ; Knipscheer, Stacy J. ; Wright, Dustin Eric. / Insight and personal narratives of illness in schizophrenia. In: Psychiatry. 2002 ; Vol. 65, No. 3. pp. 197-206.
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