The first episode psychosis movement: an ethnography of new hopes to untangle stigma and psychosis

Renseignements sur le financement
Canadian Institutes of Health Research
  • Type de subvention: Subvention de fonctionnement
  • Années: 2010/11 à 2012/13
  • Financement total: $107,760
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Sommaire du projet

Early intervention for persons with psychosis is an emerging field in psychiatry and a radical shift in conceptualizing and treating psychosis. Early intervention in first episodes of psychosis rests on the premise that treating early and using best practices will improve the prognosis of psychosis. This is an ambitious goal, as past advances in bio-psycho-social research of psychosis failed to materialize into durable and significant improvements for the persons suffering from psychosis. Stigma, which is a deeply discrediting narrative about the person experiencing psychosis, can explain why overall real-life prognosis of psychosis might not have improved in spite of all the advances of biomedical sciences. We need to know what is at stake when the diagnosis of psychosis is given earlier and aggressive treatment is offered. The experience of stigma can be deeply changed, with both positive effects (for example dissipating pessimistic views on schizophrenia) and negative pitfalls (such as increasing the capacity of being labeled as "psychotic" by lay persons following public education campaigns). We are a team of clinicians trained and engaged in the FEP movement who are motivated to reflect and critically upraise our clinical practice in order to understand the deeper and broader implications of this shift in treatment paradigm on our practices and on our patients. We are dually trained as clinicians and social scientists and we aim to use our dual expertise in order to create a rigorous reflexive space in which to research the new manifestations of stigma in psychosis. Given the success of the FEP movement and of the changes undertaken in its becoming a mainstream therapeutic paradigm, one cannot overemphasize the importance of exploring stigma in this new context. Our analyses will have a final goal in finding potential targets for interventions aimed at reducing stigma in psychosis

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