Individuals with schizophrenia and other psychotic disorders often show a
remarkable lack of awareness, both of their deficits and ofthe consequences
the disease has on their lives. Poor insight is an important feature of psychoses
since it is usually associated with low treatment adherence anci poor outcome.
Indeed, compliance might be considered to be the behavioral-external
side ofthe internai-suhjcctive perspective of one's illness: itisight. Given
that insight has important clinical consequences,therapies to improve insight
and compliance are essential for a comprehensive therapeutic approach to schizophrenia, lt is the purpose of this article both to give a useful conceptual background iov such therapeutic approaches in the fLiture and to darif clinical problems concerning compliance and insight in psychotic disorders.While reviewing ways to increase insight and treatment adherence, its focus is on the method of Motivational Interviewing.