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Understanding the relations between psychosis an urban milieus: an experience-based approach

English title Understanding the relations between psychosis an urban milieus: an experience-based approach
Applicant Söderström Ola
Number 153320
Funding scheme Interdisciplinary projects
Research institution Institut de géographie Faculté des lettres et sciences humaines Université de Neuchâtel
Institution of higher education University of Neuchatel - NE
Main discipline Social geography and ecology
Start/End 01.10.2014 - 31.03.2019
Approved amount 500'994.00
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All Disciplines (3)

Discipline
Social geography and ecology
Neurology, Psychiatry
Mental Disorders, Psychosomatic Diseases

Keywords (6)

Mixed methods; Biography; Psychiatry; Psychosis; Urban milieu; Human geography

Lay Summary (French)

Lead
Quelles sont les relations entre milieux urbains et psychose ? Tel est le thème de cette recherche interdisciplinaire entre géographie urbaine et psychiatrie conduite par Ola Söderström, professeur à l’Institut de géographie de l’Université de Neuchâtel, en collaboration avec le professeur Philippe Conus, directeur du département de psychiatrie du CHUV à Lausanne. Cette recherche est accompagnée par des experts issus des universités de Maastricht et de Glasgow.
Lay summary

La communauté scientifique s’accorde sur un constat : les causes des troubles psychotiques sont multifactorielles et résultent de l’interaction entre des facteurs de vulnérabilité génétique, des facteurs psychologiques et des facteurs environnementaux. Depuis la fin des années 1930, on a relevé une incidence plus importante des troubles psychotiques dans les villes. Plus récemment, la recherche a montré que ce phénomène n’était pas lié simplement à une présence proportionnellement plus importante de personnes à risque dans les milieux urbains, mais que ces derniers jouaient un rôle intrinsèque dans le déclenchement de la maladie. On ignore cependant en grande partie les mécanismes qui sont à l’œuvre dans ce lien entre ville et psychose.

L’hypothèse générale de cette recherche est qu’une analyse de la biographie et de l’expérience des espaces urbains de jeunes patients pourrait permettre de révéler des éléments importants et de générer de nouvelles hypothèses pour avancer la compréhension du rapport entre milieux urbains et émergence de la psychose. Le but de cette recherche sera de répondre à la question suivante : Comment, où et quand se développe une sensation de stress – ou à l’inverse de protection – dans l’expérience urbaine des jeunes patients ? Les personnes avec qui s’effectuera cette recherche sont de jeunes patients faisant partie d’un programme de recherche et de soin du département de psychiatrie de Lausanne qui s’intéresse aux premières phases de développement des troubles psychotiques.

L’interdisciplinarité entre géographie humaine et psychiatrie permet de changer la perspective adoptée jusqu’ici sur cette question et vise ainsi à mieux comprendre les causes environnementales de la psychose. En matière d’impact, cette recherche vise à offrir de nouvelles orientations pour le soin des patients et pour l’aménagement urbain, notamment en matière d’implantation et d’organisation des milieux hospitaliers spécialisés dans la santé mentale.
Direct link to Lay Summary Last update: 28.03.2014

Responsible applicant and co-applicants

Employees

Publications

Publication
Precarious encounters with urban life: The city/psychosis nexus beyond epidemiology and social constructivism
Söderström Ola (2019), Precarious encounters with urban life: The city/psychosis nexus beyond epidemiology and social constructivism, in Geoforum, 101, 80-89.
Crossing the street: How pedestrians interact with cars
Merlino Sara, Mondada Lorenza (2019), Crossing the street: How pedestrians interact with cars, in Language & Communication, 65, 131-147.
Du retrait à la reconquête : pratiquer la ville après un épisode psychotique
Codeluppi Zoé (2019), Du retrait à la reconquête : pratiquer la ville après un épisode psychotique, in Geographica Helvetica, 74(1), 41-58.
Emplacing recovery: how persons diagnosed with psychosis handle stress in cities
Söderström Ola, Söderström Dag, Codeluppi Zoé, Empson Lilith Abrahamyan, Conus Philippe (2017), Emplacing recovery: how persons diagnosed with psychosis handle stress in cities, in Psychosis, 9(4), 322-329.
On alternative smart citiesFrom a technology-intensive to a knowledge-intensive smart urbanism
McFarlane Colin, Söderström Ola (2017), On alternative smart citiesFrom a technology-intensive to a knowledge-intensive smart urbanism, in City, 21(3-4), 312-328.
Unpacking ‘the City’: An experience-based approach to the role of urban living in psychosis
Söderström Ola, Empson Lilith Abrahamyan, Codeluppi Zoé, Söderström Dag, Baumann Philipp S., Conus Philippe (2016), Unpacking ‘the City’: An experience-based approach to the role of urban living in psychosis, in Health & Place, 42, 104-110.
“I don’t care about places”: the whereabouts of design in mental health care
SöderströmOla (2016), “I don’t care about places”: the whereabouts of design in mental health care, in Kullman Kim, Bates Charlotte, Imrie Rob (ed.), Wiley-Blackwell, Oxford, 56-73.
Entre le plein et le vide : les espace-temps quotidiens des jeunes patients souffrant de troubles psychotiques à Lausanne, GéoRegards. 9, 119-133.
CodeluppiZoé (2016), Entre le plein et le vide : les espace-temps quotidiens des jeunes patients souffrant de troubles psychotiques à Lausanne, GéoRegards. 9, 119-133., in GéoRegards, 9, 119-133.
From a technology-intensive to a knowledge-intensive smart urbanism
SöderströmOla (2015), From a technology-intensive to a knowledge-intensive smart urbanism, in Stollmann Jörg (ed.), TU Verlag, Berlin, 63-69.
Densité urbaine et psychose – est-ce que vivre en ville rend schizophrène ?
SöderströmDag, JungoSolange, ConusPhilippe, PedrozoSilvana, SöderströmOla (2014), Densité urbaine et psychose – est-ce que vivre en ville rend schizophrène ?, in Revue Médicale Suisse, 9, 1682-1686.

Collaboration

Group / person Country
Types of collaboration
Dr. Hester Parr, Reader at the Department of Geography, University of Glasgow Great Britain and Northern Ireland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Exchange of personnel
Prof. Jim van Os, Department of Psychiatry and Psychology, Maastricht University Netherlands (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Prof. Christopher Philo, Department of Geography, University of Glasgow Great Britain and Northern Ireland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Exchange of personnel
Prof. Lorenza Mondada, Department of Linguistics and Literature, University of Basel Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
Service de Psychiatrie Générale, Cery, DP-CHUV Talk given at a conference Urban remediation: a new recovery oriented strategy to manage urban stress after first episode psychosis 20.03.2019 Lausanne, Switzerland Baumann Philipp;
Conference: The Future of Urban Health: visions and perspectives, Habitat Research Centre, EPFL Talk given at a conference Urban living and psychosis : from ‘co-laborative’ research to living lab 07.11.2018 Lausanne, Switzerland Söderström Ola;
Congrès annuel de SSPP Talk given at a conference Milieu urbain et psychose : nouvelles voies d’exploration 01.09.2018 Berne, Switzerland Abrahamyan Empson Lilit;
Cities and mental health interdisciplinary experiments Talk given at a conference From the clinic to video-recorded go-alongs : connecting milieus 13.06.2018 Lausanne, Switzerland Merlino Sara; Conus Philippe; Söderström Ola;
Cities and mental health interdisciplinary experiments Talk given at a conference Stress and ways of dealing with it in Lausanne 12.06.2018 Lausanne, Switzerland Conus Philippe; Söderström Ola;
Workshop: Prototyping the Idiotic City, Centre for Invention and Social Processes, Goldsmith's College Talk given at a conference A schizo-analysis of the smart city 04.06.2018 Londres, Great Britain and Northern Ireland Söderström Ola;
Clinique Belle Idée, HUG Individual talk Vie urbaine et schizophrénie : une approche par l’expérience 08.02.2018 Genève, Switzerland Söderström Ola;
STS-Lab, Université de Lausanne Individual talk Explorer des enchevêtrements bio-sociaux: une co-expérimentation sur le rapport entre vie urbaine et psychose 13.12.2017 Lausanne, Switzerland Söderström Ola;
Après –midi de recherche, symposium, DP- CHUV Talk given at a conference Relation entre ville et psychose: une approche basée sur l’expérience 01.11.2017 Lausanne, Switzerland Abrahamyan Empson Lilit;
Geographica Helvetica Lecture at the Deutscher Kongress für Geographie 2017 Individual talk Exploring bio-social entanglements : co-experimentations on the city-psychosis nexus. 02.10.2017 Tübingen, Germany Söderström Ola;
Conférence, Colloque RGS-IBG, Session: Sensing and making sense of ‘nature’ in the context of illness and impairment Talk given at a conference Exploring young psychotic patients’ spaces of recovery in the city of Lausanne 29.08.2017 Londres, Great Britain and Northern Ireland Codeluppi Zoé;
Department of European Ethnology Humboldt Universität Individual talk Designing and doing co-laboration on the role of urban living in psychosis 06.06.2017 Berlin, Germany Söderström Ola;
STS Workshop - Department of European Ethnology Humboldt Universität Talk given at a conference Experiencing urban space with psychosis 06.06.2017 Berlin, Germany Codeluppi Zoé;
Conférence, Colloque SIEF, Session: The everyday makeshifts of life at the urban margins Talk given at a conference Experimenting urban spaces of recovery: exploring the everyday makeshifts of dwelling of young psychotic patients in the city of Lausanne 26.03.2017 Göttingen, Germany Codeluppi Zoé;
Communication dans le colloque: “The enduring relevance of the Chicago School of Sociology for contemporary urban studies” Talk given at a conference Robert Faris and H. Warren Dunham, Mental Disorders in Urban Areas (1939) 16.03.2017 Amsterdam - University of Amsterdam's Centre of Urban Studies (CUS), Netherlands Söderström Ola;
Conférence dans le cycle de conférences : Le monde des regards. Le tournant visuel des sciences sociales, Univ. de Genève Individual talk Vidéo et co-expérimentation dans l’analyse du rapport entre vie urbaine et psychose 01.12.2016 Genève, Switzerland Söderström Ola;
Conférence pour colloque de clôture de l’exposition Horizontal Metropolis, Biennale d’architecture de Venise Talk given at a conference A knowledge-intensive urbanism 26.11.2016 Venise, Italy Söderström Ola;
Conférence dans le cycle de conférences : Figures et personnages de l'urbain - Ecole doctorale Architecture et Sciences de la ville, EPFL Individual talk La figure urbaine du fou 05.10.2016 Lausanne - EPFL, Switzerland Söderström Ola;
Colloque du Service de Pédiatrie de Neuchâtel Individual talk Stress in the City: porte vers les psychoses non affectives ? 28.09.2016 Neuchâtel, Hôpital Pourtalès, Switzerland Abrahamyan Empson Lilit;
Conférence dans le cadre des jeudis de la Société Vaudoise de Médecine sur le thème Santé, climat et environnement Talk given at a conference Stress and the city : la ville qui rend fou ou la ville qui soigne 15.09.2016 Lausanne, Switzerland Conus Philippe;
Conférence, Colloque RGS-IBG, Session: Reconceptualising spaces of health and wellbeing through nexus thinking Talk given at a conference Combining narrative and visual methodologies in the study of spaces of wellbeing and health 30.08.2016 Londres, Great Britain and Northern Ireland Codeluppi Zoé;
Conférence, Colloque annuel RGS-IBG, Session: On edge in the city: precarious urban lives Talk given at a conference Encountering the urban: the city/psychosis nexus beyond epidemiology 29.08.2016 Londres, Great Britain and Northern Ireland Söderström Ola;
13ème journée de la Schizophrénie Talk given at a conference Ville et psychose: nouveau paradigme de recherche 27.08.2016 Neuchâtel, Switzerland Abrahamyan Empson Lilit;
Conférence, Workshop: Smart Cities and Social Justice A Workshop on urban futures, Univ. of Leeds Talk given at a conference From technology intensive to knowledge intensive smart city 29.06.2016 Leeds, Great Britain and Northern Ireland Söderström Ola;
Conférence, Colloque: EURA conference, Session: Committed Positioning. Politics, activism and ethnographic encounters in the contemporary city Talk given at a conference Positionality as Learning in geographies of mental health 16.06.2016 Turin, Italy Söderström Ola;
Following patients outside the psychiatric consultation: walking and talking in the city as an original basis for diagnosis of psychosis Talk given at a conference 8th International Conference on Conversation Analysis and Psychotherapy 08.06.2016 Helsinki, Finland Merlino Sara;
Data session - Center of Excellence (CoE) Individual talk Psychosis and walks along in the city 06.06.2016 Helsinki, Finland Merlino Sara;
Conférence, Colloque AAG, Session: Health Geography, Medical Humanities and narrative medicine Talk given at a conference The contribution of videos in narratives of patients living with mental health problems 27.03.2016 San Francisco, United States of America Codeluppi Zoé;
Conférence, Workshop: Paths towards dwelling: an exploratory working conference, Department of Cultural Anthropology/European Ethnology, Univ. Göttingen Talk given at a conference Practices of home-making in the city by persons living with a diagnosis of psychotic disorder 19.02.2016 Göttingen, Germany Söderström Ola;
Conférence, Colloque: Erasing Disciplinary Boundaries in Urban Studies: Social Science and Computation, European University at St. Petersburg Talk given at a conference From a technology-intensive to a knowledge-intensive smart urbanism 17.12.2015 St. Petersburg, Russia Söderström Ola;
Présentation, Colloque interne Institut de Géographie, Université de Neuchâtel Individual talk Ville et psychose: Expérience urbaine des patients du programme TIPP: réflexion sur les espaces de soins dans les pratiques urbaines des patients et résultats préliminaires 08.10.2015 Neuchâtel, Switzerland Codeluppi Zoé;
Symposium, TU Berlin, Session: Beware of Smart People! Talk given at a conference From a technology-intensive to a knowledge-intensive smart urbanism 19.06.2015 Berlin, Germany Söderström Ola;
Nordic geographers Meeting 2015, Session: Exploring therapeutic spaces Talk given at a conference Mobile Video-ethnographies and the exploration of the city/psychosis nexus 15.06.2015 Tallinn et Tartu, Estonia Söderström Ola; Codeluppi Zoé;
9ème Journée ISPS Suisse : Ville et psychose : quel lien, quels soins ? Talk given at a conference Faire avec la ville : ce que nous disent les études urbaines des relations entre ville et psychose ET Ville et psychose: nouveau paradigme de recherche 10.06.2015 Neuchâtel - Centre Neuchâtelois de psychiatrie, Switzerland Abrahamyan Empson Lilit; Söderström Ola;
Congrès ISPS Talk given at a conference City and psychosis: a new research paradigm: From DNA to neighborhood: Relationship and Experience in Psychosis - An International Dialogue 01.03.2015 New York, United States of America Abrahamyan Empson Lilit;
Colloque TIPP, Consultation Chauderon, CHUV Individual talk Ville et urbanicité: une approche basée sur l’expérience 26.01.2015 Lausanne, Switzerland Codeluppi Zoé;
Société Neuchâteloise des Sciences Naturelles Individual talk Les villes rendent-elles fous? 19.11.2014 Neuchâtel, Switzerland Söderström Ola;


Knowledge transfer events

Active participation

Title Type of contribution Date Place Persons involved
Restitution des résultats du terrain de thèse à l’Institut maïeutique : trajectoires spatiales et espaces de rétablissement (Présentation/discussion, Institut maïeutique) Performances, exhibitions (e.g. for education institutions) 01.09.2017 Lausanne, Switzerland Codeluppi Zoé;
Présentation des premiers résultats du projet FNS des résultats de thèse (Présentation dans le cadre de l’enseignement de Géographie sociale et culturelle (Isabelle Schoepfer), Université de Neuchâtel) Performances, exhibitions (e.g. for education institutions) 01.06.2017 Neuchâtel, Switzerland Codeluppi Zoé;
Qualité de vie urbaine à Lausanne: Les espaces de confort urbains de personnes souffrant de troubles psychiques (Présentation dans le cadre de l’enseignement de Géographie urbaine (Prof. Yvonne Riaño), Université de Neuchâtel) Performances, exhibitions (e.g. for education institutions) 04.05.2017 Neuchâtel, Switzerland Codeluppi Zoé;
"Ville et psychose: une recherche interdisciplinaire", Service de psychiatrie communautaire, CHUV Talk 08.03.2017 Lausanne, Switzerland Conus Philippe; Söderström Ola;
Présentation du questionnaire (Présentation, Colloque Minkovski, Consultation Chauderon, CHUV) Performances, exhibitions (e.g. for education institutions) 22.11.2016 Lausanne, Switzerland Abrahamyan Empson Lilit; Codeluppi Zoé;
Présentation du questionnaire (Présentation, Colloque TIPP, Consultation Chauderon, CHUV) Performances, exhibitions (e.g. for education institutions) 30.10.2016 Lausanne, Switzerland Codeluppi Zoé; Abrahamyan Empson Lilit;
Séance de restitution des résultats auprès des patients (Consultation Chauderon, CHUV) Performances, exhibitions (e.g. for education institutions) 01.06.2016 Lausanne, Switzerland Codeluppi Zoé;
La ville rend-elle fou ? - Conférence, Journée de la schizophrénie 2016 : Schiz and the city, EPFL Talk 01.03.2016 Lausanne (EPFL), Switzerland Söderström Ola;
Understanding the relations between psychosis and urban milieus: an experience-based approach – Résultats préliminaires (Présentation, Colloque TIPP, Consultation Chauderon, CHUV) Performances, exhibitions (e.g. for education institutions) 16.11.2015 Lausanne, Switzerland Codeluppi Zoé; Abrahamyan Empson Lilit;


Self-organised

Title Date Place
Co-organisation of conference : Ethique et psychiatrie. Quels lieux d'accueil pour la souffrance psychique aujourd'hui ? 09.11.2018 Lausanne, Switzerland
Organisation of the conference and workshop: Cities and mental health interdisciplinary experiments With King’s College London 12.06.2018 Lausanne, Switzerland

Communication with the public

Communication Title Media Place Year
Media relations: print media, online media A quand un plan de santé mentale dans les villes suisses ? Le Temps Western Switzerland Rhaeto-Romanic Switzerland Italian-speaking Switzerland German-speaking Switzerland 2019
Video/Film See and Listen to Patients in the City Western Switzerland 2018
Media relations: print media, online media Géographies de la santé mentale Revue Géo Agenda Italian-speaking Switzerland Rhaeto-Romanic Switzerland German-speaking Switzerland Western Switzerland 2017
Media relations: radio, television La ville rend fou RSR1 - émission CQFD Western Switzerland 2017
Other activities Quel logement dans le Canton de Neuchâtel pour les personnes souffrant de troubles psychotiques Western Switzerland 2017
Other activities Territoire - pièce théâtrale Western Switzerland 2017
Media relations: print media, online media Et si la ville influençait aussi la santé psychique ? Bulletin d'informations, rue d el'Avenir (association mobilité piétonne) Italian-speaking Switzerland German-speaking Switzerland Rhaeto-Romanic Switzerland Western Switzerland 2016
Media relations: radio, television Vie urbaine et psychose RTS - Grand Format du Journal de 19:30 Western Switzerland 2016
Media relations: print media, online media Sous les pavés, la psychose Magazine InVivo Western Switzerland 2015
Media relations: radio, television Les villes rendent-elles fous ? RSR1 Western Switzerland 2014

Associated projects

Number Title Start Funding scheme
173211 Metabolic syndrome in psychiatry: clinical, genetic and pharmacogenetic studies 01.04.2017 Project funding (Div. I-III)
164784 Théâtre de la connaissance IV: Territoire 01.03.2016 Agora
185822 Constructing the Biosocial: an engaged inquiry into epigenetics and post-genomic biosciences 01.07.2020 Ambizione

Abstract

This research aims to better understand the relationship between the urban milieu and psychosis. There is general agreement among the scientific community that the aetiology of psychotic disorders is multi-factorial, resulting from the interaction between constitutional (genetic, biological, psychological) factors of vulnerability and external stressors. Among the latter, living in an urban milieu has been identified as a potential risk factor since the first half of the 20th century. However, despite recent renewed interest in environmental aspects of psychosis, the mechanisms involved are still very unclear and various facets of the problem have not yet been addressed. In particular, there are no studies in psychiatry analysing how different factors of stress related to an urban milieu combine in patients’ everyday lives.Building on work conducted since the 1980s in human geography on patients' experience of the city, we propose that understanding the mechanisms relating city environments and psychosis requires a change in scale and perspective with regards to classic epidemiological approaches. Thus, the general hypothesis on which this research is based is that an analysis of young patients’ residential biographies and experience of urban space will provide important elements and generate new hypotheses to advance the understanding of how urban milieus influence the emergence and development of psychosis.The research aims to provide an answer to the following research question: How, when and where is a sense of stress or protection occasioned in young psychotic patients' experience of urban milieus?The analytical frame of the research is organised around five concepts: 1. identity categorisation; 2. exclusion/inclusion; 3. social norms; 4. built environment and 5. mobility. The first three define social interaction in the city, the last two focus on specific spatial features of the experience of the city.Methodologically, the research uses mixed methods: a survey; narrative and semi-structured interviews; a focus group; and video recordings of urban practices. Empirically, it is based on a patient cohort and their care workers involved in the Treatment and Early Intervention in Psychosis Program (TIPP), a clinical and research program focusing on the early phase of psychotic disorders at the Department of Psychiatry in Lausanne which has involved 400 patients since 2004.The interdisciplinary research framework developed in this research, combining psychiatry and human geography, brings about the change of scale and perspective necessary to advance knowledge on the city/psychosis nexus. In terms of its broader impact, the research will provide new orientations for urban planning, for therapeutic strategies in psychiatry and for the spatial organisation of mental health care.
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