psychotic insight, a stage in the development of a psychosis that follows an initial experience of confusion, bizarreness, and apprehension, characterized by an insight that enables the patient to interpret the external world in terms of a delusional system of thinking. With the new insight, the factors that had previously been confusing become a part of the systematized pattern of the delusion, which, although irrational to an observer, is perceived by the patient as the attainment of exceptionally lucid thinking.