This article discusses a puzzle arising from the phenomenon of insight in obsessive–compulsive disorder. “Insight” refers to an awareness or understanding of obsessive thoughts as false or irrational. I argue that a natural and plausible way of characterizing insight in OCD conflicts with several different possible explanations of the epistemic attitude underlying insight-directed obsessive thought. After laying out the puzzle for five proposed explanations of obsessive thought and then discussing several possible ways that the puzzle might be avoided, I close the article by arguing that we can avoid the puzzle by adopting a new positive view of insight-directed obsessive thought.

中文翻译：

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不和谐的认识：关于强迫症洞察力的谜题

本文讨论了强迫症的洞察现象引起的一个难题。“洞察力”是指意识到或理解强迫性想法是错误的或不合理的。我认为，在强迫症中描述洞察力的一种自然而合理的方式与对洞察力导向的强迫性思维背后的认知态度的几种不同可能的解释相冲突。在为对强迫性思维提出的五种解释提出谜题，然后讨论了几种可能避免谜题的方法之后，我认为我们可以通过对洞察力导向的强迫性思维采取新的积极观点来避免谜题，从而结束这篇文章。