Individual Differences and Psychosis-Risk Screening: Practical Suggestions to Improve the Scope and Quality of Early Identification
Approaches to identifying individuals at clinical high-risk (CHR) for psychosis currently do not carefully weigh considerations around individual differences. Effective identification depends on awareness of factors beyond psychopathology as it is reflected in the current literature, such as sensiti...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-02-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2019.00006/full |
| _version_ | 1818543696115662848 |
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| author | Jason Schiffman Lauren M. Ellman Vijay A. Mittal |
| author_facet | Jason Schiffman Lauren M. Ellman Vijay A. Mittal |
| author_sort | Jason Schiffman |
| collection | DOAJ |
| description | Approaches to identifying individuals at clinical high-risk (CHR) for psychosis currently do not carefully weigh considerations around individual differences. Effective identification depends on awareness of factors beyond psychopathology as it is reflected in the current literature, such as sensitivity to idiographic circumstances and individual differences. The inability to address contextual factors when employing the status quo method of identification likely contributes to the unacceptably poor accuracy when identifying people at CHR. Individual differences related to factors such as culture, race, comorbidity, and development likely play an important role in accurate identification, and have the potential to improve the validity of approaches intended to identify this population. Tailored approaches to assessment based on an awareness of context, identity, setting, and preferences of clients are possible, and customizing assessment efforts accordingly may be useful for accurate identification of people at CHR. Highlighting the potential for the existing early identification paradigm to marginalize or misunderstand certain groups, we describe how effective identification and ethical diagnosis require sensitivity to individual differences writ large. We suggest that recognizing the importance of these factors advances a more inclusive and accurate approach to identification. |
| first_indexed | 2024-12-11T22:38:45Z |
| format | Article |
| id | doaj.art-85f9475f1f594942adc3c407036bedaa |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-11T22:38:45Z |
| publishDate | 2019-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-85f9475f1f594942adc3c407036bedaa2022-12-22T00:47:52ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-02-011010.3389/fpsyt.2019.00006436102Individual Differences and Psychosis-Risk Screening: Practical Suggestions to Improve the Scope and Quality of Early IdentificationJason Schiffman0Lauren M. Ellman1Vijay A. Mittal2Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, United StatesDepartment of Psychology, Temple University, Philadelphia, PA, United StatesDepartment of Psychology, Northwestern University, Chicago, IL, United StatesApproaches to identifying individuals at clinical high-risk (CHR) for psychosis currently do not carefully weigh considerations around individual differences. Effective identification depends on awareness of factors beyond psychopathology as it is reflected in the current literature, such as sensitivity to idiographic circumstances and individual differences. The inability to address contextual factors when employing the status quo method of identification likely contributes to the unacceptably poor accuracy when identifying people at CHR. Individual differences related to factors such as culture, race, comorbidity, and development likely play an important role in accurate identification, and have the potential to improve the validity of approaches intended to identify this population. Tailored approaches to assessment based on an awareness of context, identity, setting, and preferences of clients are possible, and customizing assessment efforts accordingly may be useful for accurate identification of people at CHR. Highlighting the potential for the existing early identification paradigm to marginalize or misunderstand certain groups, we describe how effective identification and ethical diagnosis require sensitivity to individual differences writ large. We suggest that recognizing the importance of these factors advances a more inclusive and accurate approach to identification.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00006/fullindividual differencesidiographicclinical high riskultra high riskprodromal psychosisearly identification |
| spellingShingle | Jason Schiffman Lauren M. Ellman Vijay A. Mittal Individual Differences and Psychosis-Risk Screening: Practical Suggestions to Improve the Scope and Quality of Early Identification Frontiers in Psychiatry individual differences idiographic clinical high risk ultra high risk prodromal psychosis early identification |
| title | Individual Differences and Psychosis-Risk Screening: Practical Suggestions to Improve the Scope and Quality of Early Identification |
| title_full | Individual Differences and Psychosis-Risk Screening: Practical Suggestions to Improve the Scope and Quality of Early Identification |
| title_fullStr | Individual Differences and Psychosis-Risk Screening: Practical Suggestions to Improve the Scope and Quality of Early Identification |
| title_full_unstemmed | Individual Differences and Psychosis-Risk Screening: Practical Suggestions to Improve the Scope and Quality of Early Identification |
| title_short | Individual Differences and Psychosis-Risk Screening: Practical Suggestions to Improve the Scope and Quality of Early Identification |
| title_sort | individual differences and psychosis risk screening practical suggestions to improve the scope and quality of early identification |
| topic | individual differences idiographic clinical high risk ultra high risk prodromal psychosis early identification |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2019.00006/full |
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