Psychosis in the General Population


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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Mad in America hosts blogs by a diverse group of writers. These posts are designed to serve as a public forum for a discussion—broadly speaking—of psychiatry and its treatments. The opinions expressed are the writers’ own.


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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].