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from
Part II
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Social factors and the onset of psychosis
By
Jane Boydell, Section of Epidemiology and Social Psychiatry, Department of Psychiatry and Psychological Medicine, Box 63, Institute of Psychiatry De Crespigny Park, London, UK,
Kwame McKenzie, Department of Mental Health Sciences, University College, London (Hampstead Campus), Rowland Hill Street, London, UK
This chapter discusses the impact of society, place and space on the incidence of psychosis. It introduces the history of social causation theory before using the well established effect of urban residence on the incidence of psychosis in general, and schizophrenia in particular, as a lens through which to consider the possibilities for, and problems with, this research field. The chapter explains the reasons why the socioenvironmental context seems to be important. Over time, society, place and space have been conceptualised in a number of different ways. The environment has been considered as a cause of illness at a population level and at an individual level, and as a vector of risk factors at an individual level. The urban environment may simply increase the possibility of individuals encountering known risk factors. It may increase the impact of known risk factors or it may produce new risk factors for an individual.
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