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Self-Evaluation: Self-Enhancement and Self-Verification03:00

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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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Erik Erikson's fifth stage of psychosocial development, "identity versus role confusion," is crucial during adolescence (ages 12 to 18). In this stage, adolescents face the developmental task of forging a distinct personal identity, a process influenced by social, psychological, and biological changes typical of this period. Adolescents naturally explore different roles, behaviors, and ideologies as they navigate complex questions of self-concept, asking, "Who am I?" and "What is my place in...
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Psychosis: Goals of Pharmacotherapy01:26

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Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
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Psychological and Sociocultural Causes of Schizophrenia01:29

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Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
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Erikson's Theory on Socioemotional Development during Childhood01:28

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Erik Erikson, a stage theorist, adapted Freud's theory to emphasize social factors in personality development throughout life, a concept known as psychosocial development. Unlike Freud, who focused on early childhood, Erikson believed that personality evolves across eight life stages, each marked by a specific challenge or "crisis." Successful resolution of each stage fosters competence, while failure may lead to feelings of inadequacy.
The first four of Erikson's eight...
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Autism Spectrum Disorder01:19

Autism Spectrum Disorder

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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
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Related Experiment Video

Updated: Mar 23, 2026

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
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Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis

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Autonomy Support from Healthcare Professionals Improves Functioning in Early Psychosis Through Psychological Growth.

Helen Thai1,2,3, Gillian A O'Driscoll1, Richard Koestner1

  • 1Department of Psychology, McGill University, Montréal QC H3A 1G1, Canada.

Schizophrenia Bulletin
|March 21, 2026
PubMed
Summary

Autonomy support in early psychosis treatment improves functioning by fostering psychological growth. This finding highlights the importance of Self-Determination Theory (SDT) in clinical settings for better patient outcomes.

Keywords:
Self-Determination Theoryautonomy supportpsychosisrecoveryschizophrenia

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Area of Science:

  • Psychiatry
  • Psychology

Background:

  • Early psychosis and schizophrenia-spectrum disorders significantly impair functioning.
  • Existing interventions show variable outcomes, necessitating further research into mediating factors.
  • Self-Determination Theory (SDT) suggests autonomy support enhances positive outcomes, but its role in psychosis treatment is understudied.

Purpose of the Study:

  • To investigate if perceived autonomy support from healthcare providers predicts functional outcomes in early psychosis treatment.
  • To examine the mediating role of recovery-oriented psychological growth in the relationship between autonomy support and functioning.
  • To compare these effects within an SDT-informed intervention (NAVIGATE) versus community care (CC).

Main Methods:

  • Utilized data from the Recovery After an Initial Schizophrenia Episode-Early Treatment Program study, a multisite cluster-randomized trial.
  • Employed structural equation modeling to test indirect effects of autonomy support on functioning via psychological growth.
  • Analyzed data separately for the NAVIGATE intervention (n=223) and community care (CC) group (n=180), adjusting for baseline differences.

Main Results:

  • Perceived autonomy support at 3 months significantly predicted functioning at 12 months through psychological growth at 6 months in the NAVIGATE group (abps=0.063, 95%CI [0.32-3.05]).
  • This indirect effect was significant at Year 2, indicating sustained impact.
  • No significant indirect effects were found in the community care (CC) group, suggesting the intervention's specific impact.

Conclusions:

  • Autonomy-supportive treatment programs, like NAVIGATE, enhance functional outcomes by promoting recovery-oriented psychological growth.
  • Findings underscore the clinical relevance of Self-Determination Theory (SDT) in optimizing treatment for early psychosis.
  • Cultivating autonomy-supportive environments is a key strategy for improving functional recovery in this population.