ABSTRACT

This chapter outlines the importance of social and interpersonal functioning in psychosis, including decreased social networks and difficulties in engagement with services. We highlight the importance of social cognition in psychosis and propose that it is a potential mediating concept between insecure attachment and social functioning outcomes. We propose the following developmental pathway: childhood adverse events leads to insecure attachment and impaired social cognition which in turn negatively impacts on social and interpersonal functioning. The clinical implications of the proposed model are highlighted.