Poor insight and low treatment adherence are common features among persons
with schizophrenia that are often related to poor outcome. While insight
is a multidimensional phenomenon, common measures of insight have
shortcomings and do not include all items relevant for insight and compliance.
Different causes of poor insight and compliance such as neurocognitive
deficits and psychological coping mechanisms are considered aud also
the role of awareness in the context of health behavior theory aud the stages
of change-model. Motivational Interviewing can, with specific modifications
for persons with schizophrenia, successfully increase their insight and compliance,
because it allows them to explore their own goals and to take a
more active role in treatment.