{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T22:56:32Z","timestamp":1789944992884,"version":"4.0.1"},"reference-count":58,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Law and Psychiatry"],"published-print":{"date-parts":[[2016,11]]},"DOI":"10.1016\/j.ijlp.2016.08.005","type":"journal-article","created":{"date-parts":[[2016,9,13]],"date-time":"2016-09-13T17:42:08Z","timestamp":1473788528000},"page":"124-129","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"special_numbering":"PA","title":["The struggle for schizophrenia treatment: A case study"],"prefix":"10.1016","volume":"49","author":[{"given":"Maria","family":"Kozlowski-Gibson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ijlp.2016.08.005_bb0005","unstructured":"Adult Guardianship and Protective Proceedings Jurisdiction Act, Ohio Rev. Code \u00a7\u00a7 2112.011\u20132112.43 (LAWWriter 2016)."},{"key":"10.1016\/j.ijlp.2016.08.005_bb0010","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1192\/bjp.189.3.204","article-title":"Insight in psychosis and neuropsychological function: Meta-analysis","volume":"189","author":"Aleman","year":"2006","journal-title":"The British Journal of Psychiatry"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0015","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/S0193-953X(05)70359-2","article-title":"Psychopathologic domains and insight in schizophrenia","volume":"21","author":"Amador","year":"1998","journal-title":"Psychiatric Clinics of North America"},{"issue":"10","key":"10.1016\/j.ijlp.2016.08.005_bb0020","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1001\/archpsyc.1994.03950100074007","article-title":"Awareness of illness in schizophrenia and schizoaffective and mood disorders","volume":"51","author":"Amador","year":"1994","journal-title":"Archives of General Psychiatry"},{"issue":"6","key":"10.1016\/j.ijlp.2016.08.005_bb0025","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1176\/ajp.150.6.873","article-title":"Assessment of insight in psychosis","volume":"150","author":"Amador","year":"1993","journal-title":"American Journal of Psychiatry"},{"issue":"4","key":"10.1016\/j.ijlp.2016.08.005_bb0030","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1007\/s11920-010-0125-7","article-title":"Insight in schizophrenia: A review","volume":"12","author":"Baier","year":"2010","journal-title":"Current Psychiatry Reports"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0035","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1146\/annurev.clinpsy.1.102803.144205","article-title":"Cognitive approaches to schizophrenia: Theory and therapy","volume":"1","author":"Beck","year":"2005","journal-title":"Annual Review of Clinical Psychology"},{"issue":"2","key":"10.1016\/j.ijlp.2016.08.005_bb0040","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1111\/j.1467-8519.2011.01894.x","article-title":"Wellbeing, schizophrenia and experience machines","volume":"27","author":"Birks","year":"2013","journal-title":"Bioethics"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0045","unstructured":"C\u00f3digo Civil, Lei 10406\/02, Art. 1767, de 10 de Janeiro de 2002."},{"key":"10.1016\/j.ijlp.2016.08.005_bb0050","unstructured":"Constitui\u00e7\u00e3o da Republica Federativa do Brasil de 1988, Art 127"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0055","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1192\/bjp.161.5.599","article-title":"The assessment of insight in psychosis","volume":"161","author":"David","year":"1992","journal-title":"The British Journal of Psychiatry"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0060","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1192\/bjp.188.6.504","article-title":"Fusion of mental health and incapacity legislation","volume":"188","author":"Dawson","year":"2006","journal-title":"British Journal of Psychiatry"},{"issue":"8","key":"10.1016\/j.ijlp.2016.08.005_bb0065","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.eurpsy.2009.04.004","article-title":"Evaluation of the association between insight and symptoms in a large sample of patients with schizophrenia","volume":"24","author":"De Herta","year":"2009","journal-title":"European Psychiatry"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0070","author":"Decreto N\u00b0 6.949, de 25 de agosto de 2009"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0075","unstructured":"Estatuto da Pessoa com Defici\u00eancia, Lei N\u00b0 13.146, de 6 de julho de 2015."},{"issue":"11","key":"10.1016\/j.ijlp.2016.08.005_bb0080","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1176\/ps.48.11.1415","article-title":"The MacCAT-T: A clinical tool to assess patient's capacities to make treatment decisions","volume":"48","author":"Grisso","year":"1997","journal-title":"Psychiatric Services"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0085","unstructured":"Guardians; Conservatorships, Ohio Rev. Code \u00a7 2111.01 et seq. (LAWWriter 2016)."},{"key":"10.1016\/j.ijlp.2016.08.005_bb0090","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.psychres.2008.04.019","article-title":"Insight into severe mental illness, hope, and quality of life of persons with schizophrenia and schizoaffective disorders","volume":"167","author":"Hasson-Ohayon","year":"2009","journal-title":"Psychiatry Research"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0095","unstructured":"Health Insurance Portability and Accountability Act (1996). 42 U.S. Code \u00a7 1320d-6"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0100","unstructured":"Hospitalization of Mentally Ill, Ohio Rev. Code ORC \u00a7 5122.01 et seq. (LAWWriter 2016)."},{"issue":"1","key":"10.1016\/j.ijlp.2016.08.005_bb0105","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1093\/schbul\/sbj001","article-title":"Magnitude of impairment in decisional capacity in people with schizophrenia compared to normal subjects: An overview","volume":"32","author":"Jeste","year":"2006","journal-title":"Schizophrenia Bulletin"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0110","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/0253-7176.150797","article-title":"Insight in schizophrenia: Relationship to positive, negative and neurocognitive dimensions","volume":"37","author":"Joseph","year":"2015","journal-title":"Indian Journal of Psychological Medicine"},{"issue":"2","key":"10.1016\/j.ijlp.2016.08.005_bb0115","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.eurpsy.2003.07.009","article-title":"Clinical predictors of admission status in first episode schizophrenia","volume":"19","author":"Kelly","year":"2004","journal-title":"European Psychiatry"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0120","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.psychres.2013.11.028","article-title":"Correlates of insight with symptomatology and executive function in patients with first-episode schizophrenia-spectrum disorder: A longitudinal perspective","volume":"216","author":"Kit Wa Chan","year":"2014","journal-title":"Psychiatry Research"},{"issue":"9","key":"10.1016\/j.ijlp.2016.08.005_bb0125","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1176\/appi.ps.54.9.1247","article-title":"Competence to consent to research among long-stay inpatients with chronic schizophrenia","volume":"54","author":"Kovnick","year":"2003","journal-title":"Psychiatric Services"},{"issue":"6","key":"10.1016\/j.ijlp.2016.08.005_bb0130","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1093\/schbul\/sbm002","article-title":"Correlates and long-term consequences of poor insight in patients with schizophrenia: A systematic review","volume":"33","author":"Lincoln","year":"2007","journal-title":"Schizophrenia Bulletin"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0135","unstructured":"M. C. M. v. A. S. et al., Apela\u00e7\u00e3o C\u00edvel AC 624715 SC 2007.062471\u20135, (TJ-SC, 2009)."},{"key":"10.1016\/j.ijlp.2016.08.005_bb0140","series-title":"Toward a psychology of being","author":"Maslow","year":"1968"},{"issue":"7","key":"10.1016\/j.ijlp.2016.08.005_bb0145","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1176\/appi.ajp.159.7.1201","article-title":"Capacity to provide informed consent for participation in schizophrenia and HIV research","volume":"159","author":"Moser","year":"2002","journal-title":"The American Journal of Psychiatry"},{"issue":"3","key":"10.1016\/j.ijlp.2016.08.005_bb0150","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/j.comppsych.2011.08.008","article-title":"Insight, symptomatic dimensions, and cognition in patients with acute-phase psychosis","volume":"53","author":"Nieto","year":"2012","journal-title":"Comprehensive Psychiatry"},{"issue":"1","key":"10.1016\/j.ijlp.2016.08.005_bb0155","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1146\/annurev.med.47.1.473","article-title":"The epidemiology of psychiatric disorders and the de facto mental health system","volume":"47","author":"Norquist","year":"1996","journal-title":"Annual Review of Medicine"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0160","unstructured":"Ohio Civ. Procedures R. 16 (Supreme Court 2016)."},{"key":"10.1016\/j.ijlp.2016.08.005_bb0165","unstructured":"Ohio Rules of Civil Procedures (Supreme Court 2016)."},{"key":"10.1016\/j.ijlp.2016.08.005_bb0170","unstructured":"Olmstead v. L. C., 527 U.S. 581 (1999)."},{"issue":"1","key":"10.1016\/j.ijlp.2016.08.005_bb0175","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.comppsych.2007.08.001","article-title":"Insight in schizophrenia: A review of etiological models and supporting research","volume":"49","author":"Osatuke","year":"2008","journal-title":"Comprehensive Psychiatry"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0180","series-title":"Forensic reports and testimony: A guide to effective communication for psychologists and psychiatrists","author":"Otto","year":"2014"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0185","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1017\/S0033291708004637","article-title":"Mental capacity, diagnosis and insight in psychiatric in-patients: A cross-sectional study","volume":"39","author":"Owen","year":"2008","journal-title":"Psychological Medicine"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0190","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1001\/archpsyc.61.3.230","article-title":"Correlates of treatment-related decision-making capacity among middle-age and older patients with schizophrenia","volume":"61","author":"Palmer","year":"2004","journal-title":"Archives of General Psychiatry"},{"issue":"6","key":"10.1016\/j.ijlp.2016.08.005_bb0195","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.ijlp.2014.02.026","article-title":"\u201cThe ladder of the law has no top and no bottom\u201d: How therapeutic jurisprudence can give life to international human rights","volume":"37","author":"Perlin","year":"2014","journal-title":"International Journal of Law and Psychiatry"},{"issue":"1","key":"10.1016\/j.ijlp.2016.08.005_bb0200","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1017\/S0033291702006803","article-title":"Insight: Its relationship with cognitive function, brain volume and symptoms in schizophrenia","volume":"33","author":"Rossell","year":"2003","journal-title":"Psychological Medicine"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0205","unstructured":"Rules of Superintendence for the Courts of Ohio, Sup. R. 66.01, et seq. (2015)."},{"key":"10.1016\/j.ijlp.2016.08.005_bb0210","author":"Schizophrenia Research Institute"},{"issue":"1","key":"10.1016\/j.ijlp.2016.08.005_bb0215","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1093\/oxfordjournals.schbul.a033439","article-title":"Insight, symptoms, and neurocognition in schizophrenia and schizoaffective disorder","volume":"26","author":"Smith","year":"2000","journal-title":"Schizophrenia Bulletin"},{"issue":"1","key":"10.1016\/j.ijlp.2016.08.005_bb0220","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.schres.2005.08.007","article-title":"Decision making capacity for research participation among individuals in the CATIE schizophrenia trial","volume":"80","author":"Stroup","year":"2005","journal-title":"Schizophrenia Research"},{"issue":"3","key":"10.1016\/j.ijlp.2016.08.005_bb0225","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.ijlp.2013.11.024","article-title":"Mental health law and the UN convention on the rights of persons with disabilities","volume":"37","author":"Szmukler","year":"2014","journal-title":"International Journal of Law and Psychiatry"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0230","first-page":"1","article-title":"A model law fusing incapacity and mental health legislation","volume":"20","author":"Szmukler","year":"2010","journal-title":"Journal of Mental Health Law"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0235","unstructured":"The United Nations Convention on the Rights of Persons with Disabilities \u2014 CRPD, A\/RES\/61\/106 (2007)."},{"key":"10.1016\/j.ijlp.2016.08.005_bb0240","unstructured":"TJ-SP \u2014 Apela\u00e7\u00e3o APL 990101344122 SP, Relator: Desembargador D\u00e9cio Notarangeli, 01.09.2010."},{"key":"10.1016\/j.ijlp.2016.08.005_bb0245","unstructured":"Trial Procedure, 23 O.R.C. \u00a7 1501 et seq. (LAWWriter 2016)."},{"key":"10.1016\/j.ijlp.2016.08.005_bb0250","unstructured":"Union Pacific R. Co. v. Botsford, 141 U.S. 250 (1891)."},{"key":"10.1016\/j.ijlp.2016.08.005_bb0255","unstructured":"United Nations Convention on the Rights of Persons with Disabilities \u2014 CRPD, March 30, 2007."},{"issue":"12","key":"10.1016\/j.ijlp.2016.08.005_bb0260","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1001\/archpsyc.1976.01770120047004","article-title":"Drug refusal in schizophrenia and the wish to be crazy","volume":"33","author":"Van Putten","year":"1976","journal-title":"Archives of General Psychiatry"},{"issue":"4","key":"10.1016\/j.ijlp.2016.08.005_bb0265","first-page":"419","article-title":"The frontal lobes and schizophrenia","volume":"6","author":"Weinberger","year":"1994","journal-title":"Journal of Neuropsychiatry and Clinical Neurosciences"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0270","first-page":"17","article-title":"Two decades of therapeutic jurisprudence","volume":"24","author":"Wexler","year":"2008","journal-title":"Touro Law Review"},{"issue":"4","key":"10.1016\/j.ijlp.2016.08.005_bb0275","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1525\/fsr.2011.23.4.278","article-title":"The relevance of therapeutic jurisprudence and its literature","volume":"23","author":"Wexler","year":"2011","journal-title":"Federal Sentencing Reporter"},{"issue":"1","key":"10.1016\/j.ijlp.2016.08.005_bb0280","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s00406-012-0325-8","article-title":"Changes in cortical thickness in the frontal lobes in schizophrenia are a result of thinning of pyramidal cell layers","volume":"263","author":"Williams","year":"2013","journal-title":"European Archives of Psychiatry and Clinical Neuroscience"},{"issue":"5","key":"10.1016\/j.ijlp.2016.08.005_bb0285","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1097\/01.nmd.0000161685.54077.e4","article-title":"Decision-making capacity of inpatients with schizophrenia in Hong Kong","volume":"193","author":"Wong","year":"2005","journal-title":"The Journal of Nervous and Mental Disease"},{"key":"10.1016\/j.ijlp.2016.08.005_bb0290","series-title":"The World Bank legal review volume 6 improving delivery in development: The role of voice, social contract, and accountability","author":"Wouters","year":"2015"}],"container-title":["International Journal of Law and Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0160252716301844?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0160252716301844?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T00:41:00Z","timestamp":1601080860000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0160252716301844"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11]]},"references-count":58,"alternative-id":["S0160252716301844"],"URL":"https:\/\/doi.org\/10.1016\/j.ijlp.2016.08.005","relation":{},"ISSN":["0160-2527"],"issn-type":[{"value":"0160-2527","type":"print"}],"subject":[],"published":{"date-parts":[[2016,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The struggle for schizophrenia treatment: A case study","name":"articletitle","label":"Article Title"},{"value":"International Journal of Law and Psychiatry","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijlp.2016.08.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}