Studies indicate that approximately 9%–30% of adults diagnosed with obsessive-compulsive disorder have poor insight into their symptoms. That is, they fail to recognize the excessiveness or irrationality of the obsessive thoughts or their compulsive behaviors. Poor insight in OCD is associated with more severe symptoms, earlier age of illness onset, longer illness duration, and higher rates of comorbid depression. Moreover, some studies have also reported that patients with poor insight are less likely than are those with good or fair insight to respond to first-line treatments such as exposure and response prevention (ERP). Despite the clinical relevance of poor insight, very little research has focused on how to enhance therapy with strategies specifically used to target it. In this report, we use a case study to demonstrate how different techniques can be emphasized or integrated with standard ERP to improve treatment outcomes for this subset of patients.

中文翻译：

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利用暴露和反应预防来解决强迫症中的弱视力。

研究表明，大约9％–30％的被诊断为强迫症的成年人对其症状缺乏深刻的了解。也就是说，他们没有认识到强迫观念或强迫行为的过度或不合理。对强迫症的深刻见解与更严重的症状，较早的发病年龄，更长的疾病持续时间以及更高的合并症抑郁相关。此外，一些研究还报告说，有见识较差的患者比对有暴露和反应预防（ERP）等一线治疗有反应的患者更少。尽管缺乏洞察力在临床上具有相关性，但很少有研究集中在如何使用专门针对其的策略来增强治疗。在这份报告中