Insight, or the acquisition of a new understanding, is recognized as an important vehicle of change across a variety of theoretical approaches in psychotherapy. While it has been associated with psychotherapy for much of the past century, insight is not clearly understood. The distinguished contributors to this book delineate and integrate what is currently known about insight, and discuss new directions that could help clinicians and researchers better understand this rich and complex process. At a theoretical level, the individual chapters cover insight from psychodynamic, humanistic–experiential, cognitive–behavioral, family therapy, and integrative perspectives. A review of empirical literature is included, as well as a number of studies (involving quantitative and qualitative analyses) on insight. In addition, the book addresses important clinical issues, such as the link between insight and action, and the role of therapist and client in fostering insight. Other chapters examine how social psychology, cognitive psychology, developmental psychology, and philosophy can enhance our understanding of insight. The final chapter integrates the perspectives of prominent psychotherapy researchers on four central questions: What is insight? What facilitates it? What are its consequences? What remains to be known about it? Table of Contents:
Contributors Preface Acknowledgments Introduction: Examining Insight in Psychotherapy —Louis G. Castonguay and Clara E. Hill I: Theoretical Perspectives Insight in Psychodynamic Therapy: Theory and Assessment —Stanley B. Messer and Nancy McWilliams Insight and Awareness in Experiential Therapy —Antonio Pascual-Leone and Leslie S. Greenberg Insight in Cognitive–Behavioral Therapy —Martin Grosse Holtforth, Louis G. Castonguay, James F. Boswell, Leslie A. Wilson, Aphrodite A. Kakouros, and Thomas D. Borkovec Manifestations and Facilitation of Insight in Couple and Family Therapy —Laurie Heatherington and Myrna L. Friedlander Insight as a Stage of Assimilation: A Theoretical Perspective —William B. Stiles and Meredith Glick Brinegar Insight as a Common Factor —Bruce E. Wampold, Zac E. Imel, Kuldhir S. Bhati, Michelle D. Johnson-Jennings II: Research Insight in Psychotherapy: A Review of Empirical Literature —Mary Beth Connolly Gibbons, Paul Crits-Christoph, Jacques P. Barber, and Megan Schamberger Decoding Insight Talk: Discourse Analyses of Insight in Ordinary Language and in Psychotherapy —Robert Elliott Margaret's Story: An Intensive Case Analysis of Insight and Narrative Process Change in Client-Centered Psychotherapy —Lynne Angus and Karen Hardtke The Attainment of Insight in the Hill Dream Model: A Case Study —Clara E. Hill, Sarah Knox, Shirley A. Hess, Rachel E. Crook-Lyon, Melissa K. Goates-Jones, and Wonjin Sim The Change and Growth Experiences Scale: A Measure of Insight and Emotional Processing —Adele M. Hayes, Greg C. Feldman, and Marvin R. Goldfried III: Clinical Issues Insight and the Active Client —Arthur C. Bohart On Leading a Horse to Water: Therapist Insight, Countertransference, and Client Insight —Jeffrey A. Hayes and Joslyn M. Cruz Insight, Action, and the Therapeutic Relationship —Charles J. Gelso and James Harbin How Insight Is Developed, Consolidated, or Destroyed Between Sessions —Michele A. Schottenbauer, Carol R. Glass, and Diane B. Arnkoff A Process Model for Facilitating Supervisee Insight in Supervision —Nicholas Ladany IV: Perspectives From Basic Psychology and Philosophy Cognitive Structures and Motives as Barriers to Insight: Contributions From Social Cognition Research —Beth E. Haverkamp and Ty D. Tashiro Insight and Cognitive Psychology —Franz Caspar and Thomas Berger An Integrated Developmental Perspective on Insight —Elizabeth A. Bowman and Jeremy D. Safran A Philosophical Analysis of Insight —R. Fox Vernon V. Conclusions Insight in Psychotherapy: Definitions, Processes, Consequences, and Research Directions —Clara E. Hill, Louis G. Castonguay, Lynne Angus, Diane B. Arnkoff, Jacques P. Barber, Arthur C. Bohart, Thomas D. Borkovec, Elizabeth A. Bowman, Franz Caspar, Mary Beth Connolly Gibbons, Paul Crits-Christoph, Joslyn M. Cruz, Robert Elliott, Myrna L. Friedlander, Charles J. Gelso, Carol R. Gloss, Marvin R. Goldfried, Leslie S. Greenberg, Martin Grosse Holtforth, Beth E. Haverkamp, Adele M. Hayes, Jeffrey A. Hayes, Laurie Heatherington, Sarah Knox, Nicholas Ladany, Stanley B. Messer, Antonio Pascual-Leone, Jeremy D. Safran, Michele A. Schottenbauer, William B. Stiles, R. Fox Vernon, and Bruce E. Wampold |