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Video self-observation: a means of improving insight in psychosis

West London Mental Health NHS Trust

Nishi Yarger

West London Mental Health NHS Trust, Southall, Middlesex

Adrian Coxell, London Directorate

Broadmoor Hospital, West London Mental Health NHS Trust, Crowthorne

Michael Maier

^*Academic Centre, West London Mental Health NHS Trust, Uxbridge Road, Southall, Middlesex UB1 3EU, email: michael.maier{at}wlmht.nhs.uk

Declaration of interest

None.

AIMS AND METHOD

To improve the level of insight (measured using standardised instruments) using a video interview and self-observation. Changes in levels of insight were measured using the Schedule for Assessing Insight (SAI) at the time of admission, at the time of discharge (both prior to and following the viewing of the videotape) and at follow-up a few months later.

RESULTS

The comparison of the SAI scores indicated a significant improvement in insight at the time of discharge (P<0.005), with a further significant improvement after watching the video (P<0.006). This appeared to be sustained at 3- to 6-month follow-up.

CLINICAL IMPLICATIONS

Video self-observation is a simple, inexpensive procedure that can be used to improve insight in psychosis. This study provides further support for the clinical utility of video self-observation in improving client’s insight.

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