Psychotic Symptoms/Childhood Trauma Common in Primary as Well as Psychiatric Care


Researchers in Finland reviewed questionnaires filled out by 911 primary and psychiatric care patients over 16 years of age. They found that more than half of the patients in primary care had had at least one psychotic symptom during their lifetime, and nearly 70% had experienced a childhood trauma at least once. Rates were higher in psychiatric care patients. Across both groups, psychotic symptoms correlated in a dose-response relationship with traumatic events, irrespective of age, type of service received, and patient’s functioning. Results will appear in European Psychiatry.

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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].


  1. Pure common- sense really because life is just what it is. It is a matter of learning how to deal with what life throws at you. It is not always easy to do and some people get subjected to more trauma than others

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  2. you won’t let me log in and view the article I requested to see, no matter how many times I fill in the details, having been ‘accepted’. what’s this about? that I clicked ‘other’ twice – because your pre-set categories don’t fit my reality?

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