In the global context of mental health, a concerning reality persists stigma and discrimination towards individuals with chronic mental disorders pose significant challenges affecting their quality of life and social integration. This study focuses on schizophrenia, one of the most stigmatized disorders, specifically exploring the phenomenon of insight and its interaction with internalized stigma. Previous findings are replicated and extended, involving a sample of 83 men diagnosed with psychotic spectrum disorders. K-means cluster analysis and ANOVA were used to identify subgroups based on levels of insight and stigma. This revealed significant differences between subgroups in psychosocial variables such as depression, quality of life, and global patient functioning. The results confirm an "insight paradox," where greater insight may be associated with poorer psychosocial outcomes in the presence of significant internalized stigma. These findings underscore the need for clinical interventions aimed at reducing stigma and enhancing the psychosocial well-being of individuals with psychotic spectrum disorders.