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文献概要
抄録 統合失調症の病識欠如は当初から知られているが，1990年代に客観的評価方法が開発され，脳機能や社会文化的要因との関連性についての研究が増加した。そしてclinical insightと並んで，メタ認知機能と関係の深いcognitive insightが注目され，心理教育や認知行動療法などとともに，cognitive insightへの介入プログラムが開発されてきた。しかし両者ともにまだ成果は十分ではない。薬物療法も特に慢性期において効果が不十分である。急性期の大きな混乱に見舞われている時期から，主観的な体験に寄り添って支援し，回復してきたら仲間とともに心理教育に参加し，さらに個々人の志向に沿ってメタ認知トレーニングや認知行動療法に参加することが望ましい。家族心理教育も重要である。
参考文献
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