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Insight and Psychosis Cylinder-Block no inevitability inThe insight a patient shares into their own psychosis is fundamental to their condition it goes to the heart of what we understand 'madness' to be. Can a person be expected to accept treatment for a condition that they deny they have? Can a person be held responsible for their actions if those actions are inspired by their own unique perceptions and beliefs beliefs that no one else shares? The topic of insight in schizophrenia and related disorders