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Söderström, Ola

Nom
Söderström, Ola
Affiliation principale
Fonction
Professeur ordinaire
Email
ola.soderstrom@unine.ch
Identifiants
https://libra.unine.ch/handle/123456789/395
_
0000-0002-7111-8765

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  • Publication
    Accès libre
    Urban remediation: a new recovery-oriented strategy to manage urban stress after first-episode psychosis
    (2019-10-9)
    Baumann, Philipp S.
    ;
    Söderström, Ola 
    ;
    Abrahamyan Empson, Lilith
    ;
    Söderström, Dag
    ;
    Codeluppi, Zoé 
    ;
    Golay, Philippe
    ;
    Birchwood, Max
    ;
    Conus, Philippe
    Purpose : Urban living is a major risk factor for psychosis. Considering worldwide increasing rates of urbanization, new approaches are needed to enhance patients’ wellbeing in cities. Recent data suggest that once psychosis has emerged, patients struggle to adapt to urban milieu and that they lose access to city centers, which contributes to isolation and reduced social contacts. While it is acknowledged that there are promising initiatives to improve mental health in cities, concrete therapeutic strategies to help patients with psychosis to better handle urban stress are lacking. We believe that we should no longer wait to develop and test new therapeutic approaches. Method : In this review, we first focus on the role of urban planning, policies, and design, and second on possible novel therapeutic strategies at the individual level. We review how patients with psychosis may experience stress in the urban environment. We then review and describe a set of possible strategies, which could be proposed to patients with the first-episode psychosis. Results : We propose to group these strategies under the umbrella term of ‘urban remediation’ and discuss how this novel approach could help patients to recover from their first psychotic episode. Conclusion : The concepts developed in this paper are speculative and a lot of work remains to be done before it can be usefully proposed to patients. However, considering the high prevalence of social withdrawal and its detrimental impact on the recovery process, we strongly believe that researchers should invest this new domain to help patients regain access to city centers.
  • Publication
    Accès libre
    City Avoidance in the Early Phase of Psychosis: A Neglected Domain of Assessment and a Potential Target for Recovery Strategies
    (2019-6-3)
    Conus, Philippe
    ;
    Empson, Lilith Abrahamyan
    ;
    Codeluppi, Zoé 
    ;
    Baumann, Philipp Sebastien
    ;
    Söderström, Ola 
    ;
    Söderström, Dag
    ;
    Golay, Philippe
    Background: A considerable amount of research has explored the link between living in an urban environment during childhood and the increased risk to develop psychosis. However, the urban milieu is more than a risk factor as it is also a place for socialization and enrichment. The aims of the current study were to explore, in a large sample of early psychosis (EP) patients, their pattern of use of the city, their perception when exposed to various critical stressors, and their sensitivity to diverse forms of stimuli. Methods: We sent a questionnaire (based on previous work conducted in a group of patients, including video-recorded walk-along in the city and a literature review) to 305 EP patients and to 220 medical students. Results: Response rate in patients was low (38%). City avoidance and negative perceptions towards the urban environment increased in patients after onset of psychosis. Patients’ tendency to avoid city center correlates with both problematic social interactions and stimuli perceived as unpleasant. Patients seemed less likely to enjoy urban spaces considered as relaxing, suggesting a lower capacity to benefit from positive aspects of this environment. Conclusions: The development of psychosis influences the way EP patients perceive the city and their capacity to feel at ease in the urban environment, leading to a high rate of city avoidance. Considering the possible influence of city avoidance on social relations and the recovery process, the development of strategies to help patients in this regard may have a significant effect on their recovery process.