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International Journal of Social Psychiatry
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How Social Difficulties Produce Cognitive Problems During The Mediation Of Psychosis: A Qualitative Study

Peter K. Chadwick

Psychology Division, Birkbeck College Faculty of Continuing Education, School of Social and Natural Sciences, University of London, 26 Russell Square, Bloomsbury, London WC1B 5DQ, UK, pkc4{at}tutor.open.ac.uk

Background: The study examines effects of social difficulties such as invalidating and stressful relationships and lack of social support on cognitive processes in psychosis.

Methods: Biographical and ethnographic methods deriving insights from personal experience of psychosis; interactions with patients in hospital and hostel care and from group work.

Conclusions: Social stresses can damage the self, resulting in disarray to executive control, serial ordering, organizational and retrieval processes. Negative social experiences also skew probability judgements of the likelihood of threat/ betrayal which may be confirmed by coincidences – resulting in the adoption of a risky decisional style. This maximizes perceptions confirming of a delusional belief.

International Journal of Social Psychiatry, Vol. 52, No. 5, 459-468 (2006)
DOI: 10.1177/0020764006066827
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