Emplacing recovery: how persons diagnosed with psychosis handle stress in cities

Söderström, Ola; Söderström, Dag; Codeluppi, Zoé; Empson, Lilith Abrahamyan; Conus, Philippe

doi:10.1080/17522439.2017.1344296

Cited by 25 publications

(34 citation statements)

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“…Recent work stemming from different social sciences has been interested in similar questions. Such research has highlighted how persons living with mental health problems create and use urban 'niches' to help them handle their difficulties (Bister et al 2016); how such niches or 'bubbles' are constituted and may burst (McGrath et al 2019); how different elements in cities may come together and constitute 'enabling places' and 'atmospheres of recovery' (Duff 2012(Duff , 2016; how-using video elicitation and video analysis to analyse it-stress in cities is experienced and handled (Söderström et al 2016(Söderström et al , 2017; and how, through ethnography and mobile app devices, the links between migration and mental health in Shanghai can be understood (Manning et al 2018). This body of partly interdisciplinary work moves towards the forms of collaboration between the life sciences and the social sciences suggested by proponents of re-vitalized social sciences.…”

Section: Why Do We Need a Biosocial Approach To The City-psychosis Nementioning

confidence: 99%

“…In previous work (Söderström et al 2016(Söderström et al , 2017, we have used video-recorded go-alongs and video elicitation with service users as means to produce narratives about their everyday experiences of the city. These methods have led us to respecify, situate, and attend to the complexities of, the 'factors of stress' described in medical research, such as density, deprivation or criminality.…”

Section: Narrating Urban Stressmentioning

confidence: 99%

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How environments get to the skin: biosensory ethnography as a method for investigating the relation between psychosis and the city

Winz

Söderström

2020

BioSocieties

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Epidemiological research in psychiatry has established robust evidence of the link between urban living and psychosis, but the situated experience of the city, as well as the precise ecology of psychosis remain largely unexplored. In this context, the aim of this paper is to discuss the productive potential of a 'revitalized' biosocial geographical thinking and researching on urban mental health. We do so through a methodological proposition. First, we discuss the need for a biosocial approach to the city/psychosis nexus and argue that a broader biological view, beyond epigenetics and neurosciences and a more precise investigation of 'the social' need to be developed. Second, a telling and recurring motto of recent reflections on biosocial processes is to understand how the environment or the social 'gets under the skin'. We suggest examining a specific place in this pathway, the skin itself. This leads us to expose a methodology using electrodermal activity (EDA), combined with ethnographic observations and interviews, as a strategy for analysing ecological processes in psychosis. In doing so, we discuss the potential of 'biosensory ethnographies' in studies of urban mental health and more broadly as a biosocial approach to the geography of health.

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Section: Why Do We Need a Biosocial Approach To The City-psychosis Nementioning

confidence: 99%

Section: Narrating Urban Stressmentioning

confidence: 99%

How environments get to the skin: biosensory ethnography as a method for investigating the relation between psychosis and the city

Winz

Söderström

2020

BioSocieties

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“…Ce papier intitulé "Emplacing recovery: how persons diagnosed with psychosis handle stress in cities" 24 met en évidence les différentes "tactiques" (De Certeau, 1984) utilisées par les jeunes patients ayant récemment vécu un épisode psychotique dans la gestion des facteurs urbains de stress. Ces tactiques peuvent être définies comme des pratiques souvent inconscientes qui permettent de faire face aux situations de stress en milieu urbain (Söderström et al, 2017). L'analyse se base sur des entretiens vidéo menés suite à une série de parcours urbains filmés et sur des observations ethnographiques réalisées dans un centre thérapeutique à Lausanne 25 .…”

Section: En Quoi La Fluctuation Des Troubles Expérimentée Par Les Parunclassified

“…Comme mentionné plus haut, ceux-ci évitent toute sollicitation sensorielle en raison du phénomène de surstimulation sensorielle déjà évoqué plus haut (Kapur, 2003). Les jeunes gens cherchent à se préserver du bruit ainsi que de toute interaction avec des inconnus qui amplifient leur mal-être au moment de la manifestation des troubles (Söderström et al, 2017). Eléonore, par exemple explique : « Dans ces moments-là [les moments de crise]... j'ai beaucoup de peine avec le bruit... avec les gens... surtout ceux que je connais pas... la proximité physique aussi... c'est problématique pour moi... après je peux très vite paniquer… » (Extrait du cahier des observations, juillet, 2016).…”

Section: Une Mobilisation De Ressources Matérielles Sociales Et Sensunclassified

“…de leur rétablissement. Les pratiques désignent les différentes formes de mobilisation de l'environnement, conscientes et inconscientes, qui sont développées de façon récurrente par les jeunes gens vivant avec un diagnostic de schizophrénie dans leur expérience de la ville (Söderström et al, 2017). Le rétablissement fait quant à lui référence au lent processus d'autonomisation des personnes souffrant de schizophrénie 56 .…”

Section: Introductionunclassified

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Reconquérir la ville après un épisode psychotique: pratiques, espaces et temporalités

Codeluppi¹

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The aim of this research is to investigate the role of the urban environment in the recovery process of psychosis. I look at the practices, spaces and temporalities of reconquering the city. I focus particularly on young people having recently experienced a first psychotic episode in the city of Lausanne, Switzerland. This analysis examines recovery from an ecological perspective that considers the city in its systemic dimension as a set of interactions between living beings, and spatially and temporally located milieus. I look at the way the constantly wavering temporal dynamics of psychosis affect people's practices. I show how these temporal dynamics imply various levels of involvement with the urban environment, which translates into the use of specific material, social, sensory and affective resources. First, my analysis outlines the process of reclaiming urban space while recovering. I highlight the great range and diversity of spaces mobilized by young people in their daily trajectories, which include institutional care spaces such as hospitals, community care centers or outpatient clinics, as well as more informal care settings such as parks or coffee shops. Second, I draw on the concept of "intensity of engagement" developed by Laurent Thévenot (2006), in order to point out how participants are constantly adjusting their involvement with the material, social, emotional and sensory resources of the environment, according to the frequency and intensity of symptoms. I argue that the temporal recovery dynamics of psychosis involve a short and a long cycle, implying an alternation of practices between withdrawal and reconquest of the urban space. Third, I develop a broader analysis that touches upon the strategies and tactics developed by people living with a diagnosis of psychosis when facing stressful situations in the city. In my concluding discussion, I show how the knowledge of practices, temporalities and spatialities of the recovery process provides a new line of thought for care professionals and urban planners, in order to rethink the livability of our cities and the quality of life of their inhabitants. More generally, this work is part of an interdisciplinary research project between psychiatry and human geography, funded by the Swiss National Research Foundation (SNSF), which aims to better understand the role of the urban environment in the emergence of psychosis. This analysis has been conducted with patients of an early intervention program for psychotic disorders called TIPP (Traitement et intervention précoce dans les troubles psychotiques) belonging to the Vaud University Hospital Centre (CHUV). My work is based on an ethnography conducted in a community care service with participants involved in the TIPP program, as well as on go-alongs, interviews and focus groups with another group of patients from the same program.

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Explaining Strategies to Reduce Urban Stress

Jalilisadrabad,

Behzadfar,

Moghani Rahimi

2023

Stress Relief Urban Planning

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Emplacing recovery: how persons diagnosed with psychosis handle stress in cities

Cited by 25 publications

References 35 publications

How environments get to the skin: biosensory ethnography as a method for investigating the relation between psychosis and the city

How environments get to the skin: biosensory ethnography as a method for investigating the relation between psychosis and the city

Reconquérir la ville après un épisode psychotique: pratiques, espaces et temporalités

Explaining Strategies to Reduce Urban Stress

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