Psychosis in the General Population

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Schizophrenia Bulletin explores “the extended psychosis phenotype,” finding that affective dysregulation, psychotic experiences, motivational impairments, and cognitive alterations are distributed throughout the population, and suggestive of a continuum of vulnerability for psychosis more than a categorical phenotype. In assessing rates of psychosis in the population, however, methods of data collection account for more variance than any other factor. The high rate of self-reported psychosis, they say, may represent a continuum of the “psychosis phenotype” in the general population that is not in need of clinical care.
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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].

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