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Expressed emotion in the therapeutic relationship with schizophrenic patients

Published online by Cambridge University Press:  16 April 2020

FM Stark  and
T Siol
FM Stark
Affiliation:
Department of Psychiatry, University Clinic Eppendorf, Martinistr 52, 20246Hamburg, FRGermany
T Siol
Affiliation:
Department of Psychiatry, University Clinic Eppendorf, Martinistr 52, 20246Hamburg, FRGermany
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Summary

Patterns of interaction and attitudes in the relationships of 21 young schizophrenic patients, their parents and therapists were explored and compared with each other in this pilot study. The focus was on expressed emotion (EE), which was revealed to have an important impact on the course of the illness. In this study, the EE status of the relatives as well as of the therapists was rated using the five-minute speech sample method. Furthermore, data on the quality of interaction of therapists and parents with the patients were derived from the therapist/relative-patient interaction scale. Results showed that one-third of both the therapists and the parents were rated high on EE. High-EE relatives were rejected and perceived as inscrutable by the patients. The assessment of the therapeutic and familial relationships demonstrated the patients’ need for unequivocal communication. Differences and similarities in the interaction styles, and their implications for research and therapy are discussed.

Keywords

therapeutic relationshipexpressed emotionschizophreniafamilial relationship
Type
Original article
Information
European Psychiatry , Volume 9 , Issue 6 , 1994 , pp. 299 - 303
Copyright
Copyright © European Psychiatric Association 1994

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