Skip to content

Psychotic symptoms in the general population – an evolutionary perspective

Ian Kelleher, Jack A. Jenner, Mary Cannon

The British Journal of Psychiatry August 31, 2010 DOI: 10.1192/bjp.bp.109.076018 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Citations 82
Key points Argues that psychotic symptoms occur in the general population more frequently than previously recognized, and proposes that this non-clinical phenotype may be understood in an evolutionary context, potentially explaining the persistence of psychosis and offering new research directions.

Abstract

Our ideas about the intrinsically pathological nature of hallucinations and delusions are being challenged by findings from epidemiology, neuroimaging and clinical research. Population-based studies using both self-report and interview surveys show that the prevalence of psychotic symptoms is far greater than had been previously considered, prompting us to re-evaluate these psychotic symptoms and their meaning in an evolutionary context. This non-clinical phenotype may hold the key to understanding the persistence of psychosis in the population. From a neuroscientific point of view, detailed investigation of the non-clinical psychosis phenotype should provide novel leads for research into the aetiology, nosology and treatment of psychosis.