Measuring Insight: A Comprehensive Look at Its Core Elements

Year 2025, Volume: 17 Issue: 3, 445 - 467

Oğuzhan Herdi

https://doi.org/10.18863/pgy.1519135

Abstract

The present article discusses the concept of insight in terms of the scales in the literature that measure or assess insight. A search of Google Scholar and PubMed using the terms 'insight scale', 'insight questionnaire', 'insight survey', 'insight checklist', 'insight inventory' and ‘insight + major psychiatric diagnostic categories’ identified 44 scales that assess 6 different insight themes: 1) psychological insight, 2) cognitive insight, 3) clinical insight, 4) therapeutic insight 5) social insight, 6) Buddhist insight. Psychological insight is the state of awareness and understanding of one's own feelings, thoughts, beliefs, behaviours, personality, traits and whatever belongs to the self and the self's relationship with the environment. Cognitive insight assesses how inclined and intentional the person is to reflect on the cognitions he/she holds and at the same time how firmly he/she holds to his/her beliefs and cognitions and how much he/she believes in their accuracy. Clinical insight assesses awareness of the illness, importance of the symptoms and awareness of the cost of the illness. Psychotherapeutic insight is a type of insight that can be related to the patient's therapeutic rapport, in which the patient's awareness of himself or herself and the relationship he or she establishes with his or her environment during the sessions. While social insight brings the construct of insight a social context, Buddhist insight is an introspection or insight which is the aim of Buddhist or mindfulness practice. In conclusion, insight has a complex and unique construct which causes confusion while identify it comprehensively. Although there is an abundance of work on insight in the literature, there is still some way to go to elucidate this concept.

Keywords

insight, scale, psychiatry

İçgörünün Ölçülmesi: Temel Unsurlarına Kapsamlı Bir Bakış

Abstract

Bu makale, içgörü kavramını literatürde içgörüyü ölçen veya değerlendiren ölçekler üzerinden tartışmaktadır. Google Scholar ve PubMed'de 'içgörü ölçeği', 'içgörü anketi', 'içgörü testi', 'içgörü kontrol listesi', 'içgörü envanteri' ve 'içgörü + başlıca psikiyatrik tanı kategorileri' terimleri kullanılarak yapılan aramada 6 farklı içgörü temasını değerlendiren 44 ölçek tespit edilmiştir: 1) psikolojik içgörü, 2) bilişsel içgörü, 3) klinik içgörü, 4) psikoterapötik içgörü, 5) sosyal içgörü, 6) Budist içgörü. Psikolojik içgörü, kişinin kendi duygularının, düşüncelerinin, inançlarının, davranışlarının, kişiliğinin, örüntülerinin ve benliğine ait her şeyin ve benliğinin çevreyle olan ilişkisinin farkında olma ve anlama durumudur. Bilişsel içgörü, kişinin sahip olduğu bilişler üzerinde düşünmeye ne kadar eğilimli ve niyetli olduğunu ve aynı zamanda inançlarına ve bilişlerine ne kadar sıkı sıkıya bağlı olduğunu ve bunların doğruluğuna ne kadar inandığını değerlendirir. Klinik içgörü, hastalığın farkındalığını, semptomların önemini ve hastalığın yüküne dair farkındalığını değerlendirir. Psikoterapötik içgörü, hastanın terapötik uyumuyla ilişkilendirilebilecek, seanslar sırasında hastanın kendisi hakkındaki farkındalığının ve çevresiyle kurduğu ilişkinin değerlendirildiği bir içgörü türüdür. Sosyal içgörü, içgörü yapısına sosyal bir bağlam kazandırırken, Budist içgörü Budist veya zihinsellik pratiğinin amacı olan bir iç gözlem veya içgörüdür. Sonuç olarak, içgörü karmaşık ve benzersiz bir yapıya sahiptir ve bu da onu kapsamlı bir şekilde tanımlarken kafa karışıklığına neden olmaktadır. Literatürde içgörü üzerine çok sayıda çalışma olmasına rağmen, bu kavramın aydınlatılması için hala alınması gereken uzun bir yol bulunmaktadır.

Keywords

içgörü, ölçek, psikiyatri

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