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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
    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.
  • Publication
    Métadonnées seulement
    Unpacking ‘the City’: An experience-based approach to the role of urban living in psychosis
    (2016-11)
    Söderström, Ola 
    ;
    Abrahamyan Empson, Lilith
    ;
    Codeluppi, Zoé 
    ;
    Söderström, Dag
    ;
    Baumann, Philipp S.
    ;
    Conus, Philippe
    Primarily on the basis of epidemiological studies, recent research in psychiatry has established a robust link between urban living and psychosis. This paper argues first, that an experienced-based approach, moving beyond epidemiology, is needed in order to enable more fine-grained understandings of the city/psychosis nexus. The second part of the paper presents preliminary fieldwork results based on video-elicitation sessions with first-episode patients with psychotic disorders. These results lead to the generation of a series of hypotheses for further research on the role of density, sensory overload and social interaction as factors in the onset of non-affective psychoses. The conclusion discusses the insights gained from viewing the city as an experiential milieu rather than as a set of substances. We argue that such insights enable, on the one hand, observation of the role of specific places and situations - and thus to unpack ‘the city’; and, on the other, to envisage the urban milieu as a nexus of possible sites of recovery.