Emotional Attitudes and Direct Communication in the Families of Schizophrenics

ANGUS M. STRACHAN · Michael J. Goldstein · Julian Leff · Carol Burtt · Jeri A. Doane

96 citations0/0 files storedThe British Journal of Psychiatry

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Family Caregiving in Mental Illness Schizophrenia research and treatment Counseling, Therapy, and Family Dynamics

Abstract

To examine how the measure of expressed emotion relates to family life, 30 relatives of schizophrenic patients were assessed for EE and then observed in ten-minute discussions with the patients. It was found that high-EE relatives express more negative emotional statements than low-EE relatives when face-to-face with the patient; they also talk more rapidly, and this speech rate is correlated with the patient speech rate. Whereas low-EE relatives expressed few criticisms or intrusive statements, high-EE over-involved relatives were more intrusive, and high-EE critical relatives were more critical as well as more intrusive in direct interaction. These findings emphasise the importance of understanding divergent EE sub-styles and the complementary behaviour of patients. The findings of an earlier Los Angeles study were replicated.

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References

1976The Influence of Family and Social Factors on the Course of Psychiatric Illness 1976Toward an Interactional Description of Depression 1976Depression and the response of others.1976The Measurement of Expressed Emotion in the Families of Psychiatric Patients 1982A Controlled Trial of Social Intervention in the Families of Schizophrenic Patients 1985Family Management in the Prevention of Morbidity of Schizophrenia 1984Family Factors in Schizophrenic Relapse 1985A Controlled Trial of Social Intervention in the Families of Schizophrenic Patients: Two Year Follow-up

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1994The clinical utility of expressed emotion in schizophrenia 1992Expressed Emotion and Schizophrenia in Italy 1995Expressed emotion and subclinical psychopathology observable within the transactions between schizophrenic patients and their family members.1986Family Intervention for the Rehabilitation of Schizophrenia: Toward Protection and Coping 1989Expressed Emotion in Family Relationships

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