<p><i>Toxic Interactions </i>is a review of quantitative research revealing how urban living trauma ethnicity stress and familial influence the risk of troubling psychotic experiences.</p><p>Each of these is reviewed in search of their social implications and a constructivist approach identifies their common threads. The contributions of newer psychotherapeutic approaches such as Open Dialogue and Recovery programmes are considered and a consistent interpretation emerges; that is not the observable features of disturbed mental state that deserve key attention but how these are generally understood by others and in particular the 'client's' close associates.</p><p><i>Toxic Interactions and the Social Geography of Psychosis </i>will be welcomed by all who find conventional approaches to mental health difficulties unsatisfactory whether that is as a practitioner frustrated by the counter-productive expectations of their institutional setting an academic exploring different perspectives a 'service user' disappointed by not experiencing the care they feel is needed or as third party perplexed by the contradictions of contemporary psychiatry. </p>
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