{"id":1705,"date":"2018-11-06T11:18:11","date_gmt":"2018-11-06T10:18:11","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=1705"},"modified":"2019-06-27T13:54:42","modified_gmt":"2019-06-27T12:54:42","slug":"paradigm-shift-purity-progress-and-the-origins-of-first-episode-psychosis","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/11\/06\/paradigm-shift-purity-progress-and-the-origins-of-first-episode-psychosis\/","title":{"rendered":"Paradigm Shift? Purity, Progress and the Origins of First-Episode Psychosis"},"content":{"rendered":"<p>In \u201cParadigm Shift? Purity, Progress and the Origins of First-Episode Psychosis,\u201d Suze G. Berkhout examines images, concepts and metaphors in the medical literature on early intervention into first-episode psychosis (FEP) to understand how its embeds notions of purity and progress, and how the origins of the category is coeval with the development of new anti-psychotic drugs. Metaphors of purity in the FEP literature, Berkhout argues, bring with them \u2018a moral lens through which actions are justified while simultaneously reinforcing the pathologisation of difference and otherness and the valorisation of a prior, idealised \u201cnormal\u201d state\u2019 (176). The notion of progress in the literature, on the other hand, \u2018speak[s] to a futurity that casts mental disability as an obstacle to the arc of progress\u2019 (178). Rather than seeking to undermine developments in early intervention into FEP, Berkhout shows how an attention to the language of early intervention reveals assumptions that reveal how this paradigm is less radical than it appears, and that despite its successes attention to these embedded assumptions may open avenues for transforming early intervention into FEP into a truly far-reaching paradigm.<\/p>\n<p>Listen to Berkhout&#8217;s summary of her article in the soundbite below:<\/p>\n<audio class=\"wp-audio-shortcode\" id=\"audio-1705-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/11\/Berkhout-Medical-Humanities-Recording.m4a?_=1\" \/><a href=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/11\/Berkhout-Medical-Humanities-Recording.m4a\">https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/11\/Berkhout-Medical-Humanities-Recording.m4a<\/a><\/audio>\n<p>Read the full article on the <em>Medical Humanities<\/em> Journal <a href=\"https:\/\/mh.bmj.com\/content\/44\/3\/172\">website<\/a>.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In \u201cParadigm Shift? Purity, Progress and the Origins of First-Episode Psychosis,\u201d Suze G. Berkhout examines images, concepts and metaphors in the medical literature on early intervention into first-episode psychosis (FEP) to understand how its embeds notions of purity and progress, and how the origins of the category is coeval with the development of new anti-psychotic [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/11\/06\/paradigm-shift-purity-progress-and-the-origins-of-first-episode-psychosis\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":345,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15028],"tags":[15044],"class_list":["post-1705","post","type-post","status-publish","format-standard","hentry","category-journal-announcements","tag-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Paradigm Shift? Purity, Progress and the Origins of First-Episode Psychosis - Medical Humanities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/11\/06\/paradigm-shift-purity-progress-and-the-origins-of-first-episode-psychosis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Paradigm Shift? Purity, Progress and the Origins of First-Episode Psychosis - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"In \u201cParadigm Shift? Purity, Progress and the Origins of First-Episode Psychosis,\u201d Suze G. Berkhout examines images, concepts and metaphors in the medical literature on early intervention into first-episode psychosis (FEP) to understand how its embeds notions of purity and progress, and how the origins of the category is coeval with the development of new anti-psychotic [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/11\/06\/paradigm-shift-purity-progress-and-the-origins-of-first-episode-psychosis\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Humanities\" \/>\n<meta property=\"article:published_time\" content=\"2018-11-06T10:18:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-06-27T12:54:42+00:00\" \/>\n<meta name=\"author\" content=\"Chris Pak\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Chris Pak\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/11\\\/06\\\/paradigm-shift-purity-progress-and-the-origins-of-first-episode-psychosis\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2018\\\/11\\\/06\\\/paradigm-shift-purity-progress-and-the-origins-of-first-episode-psychosis\\\/\"},\"author\":{\"name\":\"Chris Pak\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#\\\/schema\\\/person\\\/0e11c1a9a0f1f9f2aa898a719652c44c\"},\"headline\":\"Paradigm Shift? 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