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Interactional Correlates of Expressed Emotion in the Families of Schizophrenics

Published online by Cambridge University Press:  29 January 2018

David J. Miklowitz ,
Michael J. Goldstein ,
Ian R. H. Falloon  and
Jeri A. Doane
David J. Miklowitz
Affiliation:
UCLA Family Project, Department of Psychology
Michael J. Goldstein
Affiliation:
UCLA Family Project, Department of Psychology
Ian R. H. Falloon
Affiliation:
University of Southern California, Los Angeles
Jeri A. Doane
Affiliation:
UCLA Family Project, Department of Psychology University of California, Los Angeles, California 90024, USA
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Summary

Measures of intrafamilial expressed emotion (EE) predict relapse in schizophrenic patients, but previous research has not investigated whether EE scores are representative of ongoing family transactions. Parents of 42 hospitalized schizophrenic patients were rated for level and type of EE. Following the patient's discharge, families participated in two 10-minute direct interaction tasks. Transcripts from these interactions were coded on dimensions of affective communication.

High-EE parents exhibited more negatively charged emotional verbal behaviour in direct transaction with their schizophrenic offspring than did low-EE parents. Some parents rated high-EE were distinguished by their frequent usage of critical comments during the interactions, whereas high-EE overinvolved parents used more intrusive, invasive statements. These findings support the construct validity of expressed emotion.

Type
Papers
Information
The British Journal of Psychiatry , Volume 144 , Issue 5 , May 1984 , pp. 482 - 487
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders III. Washington, D. C: American Psychiatric Association.Google Scholar
Berkowitz, R., Kuipers, L., Eberlein-Fries, R., & Leff, J. (1981) Lowering expressed emotion in relatives of schizophrenics. In New Developments in interventions with families of schizophrenics. (Ed. M. J. Goldstein). San Francisco: Jossey-Bass.Google Scholar
Brown, G. W., Birley, J. L. T., & Wing, J. F. (1972) Influence of family life on the course of schizophrenic disorders: A replication. British Journal of Psychiatry, 121, 241–58.Google Scholar
Brown, G. W. & Rutter, M. (1966) The measurement of family activities and relationships. A methodological study. Human Relations, 19, 241–63.Google Scholar
Doane, J. A., West, K. L., Goldstein, M. J., Rodnick, E. H. & Jones, J. E. (1981) Parental communication deviance and affective style: Predictors of subsequent schizophrenia spectrum disorders in vulnerable adolescents. Archives of General Psychiatry, 38, 679–85.CrossRefGoogle ScholarPubMed
Falloon, I. R. H., Boyd, J. L., McGill, C. W., Razani, J., Moss, H. B. & Gilderman, A. M. (1982) Family management in the prevention of exacerbations of schizophrenia. New England Journal of Medicine, 306, 1437–40.Google Scholar
Goldstein, M. J. (1978) Further data concerning the relation between premorbid adjustment and paranoid symptomatology. Schizophrenia Bulletin, 4, 236–43.Google Scholar
Leff, J. & Vaughn, C. (1981) The role of maintenance therapy and relatives' expressed emotion in relapse of schizophrenia: A two-year follow-up. British Journal of Psychiatry, 139, 102–4.CrossRefGoogle ScholarPubMed
Miklowitz, D. J., Goldstein, M. J., & Falloon, I. R. H. (1983) Premorbid and symptomatic characteristics of schizophrenics from families with high and low levels of expressed emotion. Journal of Abnormal Psychology, 92, 359–67.Google Scholar
Norton, J. P. (1982) Expressed emotion, affective style, voice tone and communication deviance as predictors of offspring schizophrenia spectrum disorders. Unpublished doctoral dissertation, University of California, Los Angeles.Google Scholar
Overall, J. E. & Gorham, D. R. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799–812.Google Scholar
Rutter, M. & Brown, G. W. (1966) The reliability and validity of measures of family life and relationships in families containing a psychiatric patient. Social Psychiatry, 1, 38–53.CrossRefGoogle Scholar
Valone, K., Norton, J. P., Goldstein, M. J. & Doane, J. A. (1983) Parental expressed emotion and affective style in an adolescent sample at risk for schizophrenia spectrum disorders. Journal of Abnormal Psychology, 92, 399–407.Google Scholar
Vaughn, C. E., & Leff, J. P. (1976a) The influence of family and social factors on the course of psychiatric illness: A comparison of schizophrenic and neurotic patients. British Journal of Psychiatry, 129, 125–37.Google Scholar
Vaughn, C. E., & Leff, J. P. (1976b) The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social and Clinical Psychology, 15, 157–65.Google Scholar
Vaughn, C. E., Snyder, K. S., Freeman, W. B., Jones, S., Falloon, I. R. H., & Liberman, R. P. (1982) Family factors in schizophrenic relapse: A replication. Schizophrenia Bulletin, 8, 425–26.Google Scholar
Vaughn, C. E., Snyder, K. S., Jones, S., Freeman, W. B., & Falloon, I. R. H. (1984) Family factors in schizophrenic relapse: A California replication of the British research on expressed emotion. Archives of General Psychiatry. (in press).Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Description and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and CATEGO System. London: Cambridge University Press.Google Scholar
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