Background and Hypothesis Recent studies show that, despite providing some relief, feedback about being at risk for psychosis often triggers negative emotional reactions. Inspired by Tversky and Kahneman’s (1981) work on the framing effect and medical framings that favors positive framing like “life-threatening” over “high-risk for death,” this study tested the hypothesis that positive reframing of psychosis risk (PR) could alleviate these concerns. To establish the justifiability and feasibility of testing this hypothesis with patients and their families, the study first sought to test whether mental health professionals (MHPs) view positive framing as superior to present state-of-the-art approaches. Study Design The study used an experimental design utilizing a simulated feedback session, recorded with professional actors, featuring a clinician, an adolescent, and his mother. One hundred forty-eight MHPs were randomly assigned to view either negatively or positively framed feedback and were asked about its induced impact on the adolescent and mother. Study Results The study results supported our main hypothesis, indicating significant benefits of positive framing over negative in areas like empathy, stress reduction, stigma, help-seeking, and hope. Contrary to our second hypothesis, familiarity with PR did not affect these results. Conclusions These findings suggest that MHPs view positive reframing of PR as more beneficial and less harmful than present negative framing approaches. This sets the stage for subsequent phases that will assess the perceptions and preferences of individuals at risk and their families. The discussion highlights possible misconceptions of positive framing, such as labeling, positive psychology, and de-medicalization.

中文翻译：

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临床医生认为，对精神病风险的积极重新定义比消极框架更有益且危害更小：一项实验性录像模拟反馈研究

背景和假设 最近的研究表明，尽管提供了一些缓解，但有关有精神病风险的反馈往往会引发负面情绪反应。受 Tversky 和 ​​Kahneman（1981）关于框架效应和医学框架的研究的启发，该研究倾向于使用“危及生命”等积极框架而不是“死亡高风险”，这项研究测试了这样的假设：精神病风险（PR）的积极重新框架可以缓解这些担忧。为了确定与患者及其家人一起检验这一假设的合理性和可行性，该研究首先试图检验心理健康专业人员 (MHP) 是否认为积极框架优于目前最先进的方法。研究设计 该研究采用了实验设计，利用模拟反馈会议，由专业演员录制，其中包括一名临床医生、一名青少年和他的母亲。一百四十八名 MHP 被随机分配查看消极或积极的反馈，并被询问其对青少年和母亲的影响。研究结果 研究结果支持了我们的主要假设，表明在同理心、减轻压力、耻辱、寻求帮助和希望等方面，积极的框架比消极的框架有显着的好处。与我们的第二个假设相反，对公关的熟悉程度并不影响这些结果。结论 这些发现表明，MHP 认为公关的积极重构比目前的消极构建方法更有益、危害更小。这为后续阶段评估高危个人及其家人的看法和偏好奠定了基础。讨论强调了对积极框架可能存在的误解，例如标签、积极心理学和去医疗化。