I’ve got an article in The Atlantic on how paranoia and psychosis are more common in cities and why the quest to explain the ‘urban psychosis effect’ is reshaping psychiatry.
The more urban your neighbourhood, the higher the rate of diagnosed schizophrenia and you are more likely to experience what are broadly known as ‘non-affective psychosis-psychoses’ – that is, delusions, hallucinations, and paranoia not primarily caused by mood problems.
This has led to a long and ongoing debate about why this is, with some arguing that it is an effect of city-living on the mind, while others arguing the association is better explained by a complex interaction between genetic risk factors and limited life chances.
The article discusses the science behind exactly this debate, partly a judgement on the value of the city itself, and notes how it’s pushing psychiatry to re-examine how it deals with what is often euphemistically called ‘the environment’.
Link to ‘The Mystery of Urban Psychosis’ in The Atlantic.