Psych · Foundations — social psychology and group dynamics
Social psychology and group dynamics
Also known as Conformity and obedience · Attribution theory · Bystander effect · Groupthink and polarisation · Social identity theory · Cognitive dissonance · Expressed emotion family · Mental illness stigma · Team psychological safety · Group dynamics psychiatry
Exam-exhaustive fellowship reference on social psychology and group dynamics for psychiatrists — attribution, attitudes and dissonance, conformity, obedience, bystander processes, social identity, groupthink and polarisation, stigma, family expressed emotion, and applications to teams, groups, and formulation. FRANZCP-primary, globally tagged.
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Red flags
- Using obedience or authority pressure to coerce beyond capacity and legal thresholds
- Blaming families for relapse via EE language without offering skills, education, and support
- Diffusion of responsibility on wards — no named leader when a patient deteriorates
- Unmoderated groups that spread self-harm methods or substance cues
- Education-only anti-stigma campaigns as the sole plan when contact-based work is feasible
- Biogenetic 'illness like any other' messaging that increases social distance while reducing blame
Meet the patient
A 19-year-old man is two weeks into recovery from a first episode of psychosis. At the discharge family meeting his father, who has barely slept in months, says the patient "could snap out of it if he really tried" and that the flatness is "just laziness". The patient goes quiet.[8][11]
Last weekend on the ward this same patient stopped eating and grew withdrawn. Three nurses each noticed, each documented the concern, and each assumed someone else would escalate. Nobody did until Monday.[3]
Two exam questions are live on this ward round, and both are social psychology: why does this family's tone predict relapse? and why did three competent nurses each stay silent? Answer them and you change what happens at the next discharge and the next weekend.[9][3]
References16ShowHide
- [1]Milgram S Behavioral study of obedience J Abnorm Psychol, 1963.PMID 14049516
- [2]Burger JM Replicating milgram: would people still obey today? Am Psychol, 2009.PMID 19209958
- [3]Darley JM, Latané B Bystander intervention in emergencies: diffusion of responsibility J Pers Soc Psychol, 1968.PMID 5645600
- [4]Festinger L, Carlsmith JM Cognitive consequences of forced compliance J Abnorm Psychol, 1959.PMID 13640824
- [5]Levine JM Solomon Asch's legacy for group research Pers Soc Psychol Rev, 1999.PMID 15661682
- [6]Bandura A Self-efficacy: toward a unifying theory of behavioral change Psychol Rev, 1977.PMID 847061
- [7]Jetten J, Spears R, Postmes T Intergroup distinctiveness and differentiation: a meta-analytic integration J Pers Soc Psychol, 2004.PMID 15149260
- [8]Brown GW, Birley JL, Wing JK Influence of family life on the course of schizophrenic disorders: a replication Br J Psychiatry, 1972.PMID 5073778
- [9]Butzlaff RL, Hooley JM Expressed emotion and psychiatric relapse: a meta-analysis Arch Gen Psychiatry, 1998.PMID 9633674
- [10]Hooley JM Expressed emotion and relapse of psychopathology Annu Rev Clin Psychol, 2007.PMID 17716059
- [11]Barrowclough C, Hooley JM Attributions and expressed emotion: a review Clin Psychol Rev, 2003.PMID 14529701
- [12]Corrigan PW, Watson AC Understanding the impact of stigma on people with mental illness World Psychiatry, 2002.PMID 16946807
- [13]Thornicroft G, Mehta N, Clement S, et al. Evidence for effective interventions to reduce mental-health-related stigma and discrimination Lancet, 2016.PMID 26410341
- [14]Clement S, Schauman O, Graham T, et al. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies Psychol Med, 2015.PMID 24569086
- [15]Corrigan PW, Rao D On the self-stigma of mental illness: stages, disclosure, and strategies for change Can J Psychiatry, 2012.PMID 22854028
- [16]Pescosolido BA, Martin JK, Long JS, et al. "A disease like any other"? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence Am J Psychiatry, 2010.PMID 20843872