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Family Interaction Versus Individual Psychopathology

Do They Indicate the Same Processes in the Families of Schizophrenics?

Published online by Cambridge University Press:  06 August 2018

Michael J. Goldstein ,
Sharon A. Talovic ,
Keith H. Nuechterlein ,
David L. Fogelson ,
Kenneth L. Subotnik  and
Robert F. Asarnow
Michael J. Goldstein*
Affiliation:
Department of Psychology, 1285 Franz Hall, 405 Hilgard Avenue, Los Angeles, CA 90024-1563, USA
Sharon A. Talovic
Affiliation:
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA
Keith H. Nuechterlein
Affiliation:
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA
David L. Fogelson
Affiliation:
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA
Kenneth L. Subotnik
Affiliation:
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA
Robert F. Asarnow
Affiliation:
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA
*
Correspondence
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Extract

Numerous studies have examined whether certain specific attributes of intrafamilial attitudes and relationships are related to the onset and course of schizophrenia. A frequent underlying assumption of this research has been that these attributes interact with a biological predisposition to the disorder, raising or lowering the probability of its expression or of recurrences, once the initial onset has appeared. Previous work within a longitudinal study of disturbed adolescents indicated that a number of qualities in parents were associated with an increased risk for schizophrenia spectrum disorder, particularly deviant communication and negative affective attitudes and interaction behaviour (Goldstein, 1987). In assessing the quality of communication, the construct and operational definition of communication deviance (CD) as elucidated by Wynne et al (1976) were used. With regard to affective attitudes, the operational definition of high expressed emotion (EE), developed by Brown et al (1972) and by Vaughn & Leff (1976), was used, while affective interactive behaviour was coded using the affective style system of Doane et al (1981).

Type
Course
Information
The British Journal of Psychiatry , Volume 161 , Issue S18: Onset and Course of Schizophrenic Disorders: Dynamic Interactions between Relevant Factors , October 1992 , pp. 97 - 102
Copyright
Copyright © The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.Google Scholar
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972) The influence of family life on the course of schizophrenic disorders. British Journal of Psychiatry, 121, 241–258.Google Scholar
Doane, J. A., West, K. L., Goldstein, M. J., et al (1981) Parental communication deviance and affective style: predictors of subsequent schizophrenia spectrum disorders in vulnerable adolescents. Archives of General Psychiatry, 38, 679–685.CrossRefGoogle ScholarPubMed
Doane, J. A., Falloon, I. R. H., Goldstein, M. J., et al (1985) Parental affective style and the treatment of schizophrenia: predicting the course of illness and social functioning. Archives of General Psychiatry, 42, 34–42.Google Scholar
Doane, J. A., Goldstein, M. J., Miklowitz, D. J., et al (1986) The impact of individual and family treatment on the affective climate of families of schizophrenics. British Journal of Psychiatry, 148, 279–287.Google Scholar
Endicott, J., Spitzer, R. L., Fliess, J. L., et al (1976) The Global Assessment Scale: a procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry, 33, 766–771.CrossRefGoogle Scholar
Fogelson, D. L., Nuechterlein, K. H., Asarnow, R. F., et al (1991) Interrater reliability for personality disorder diagnoses: a study of the structured clinical interview for DSM-III-R. Psychiatry Research, 39, 55–63.Google Scholar
Goldstein, M. J. (1987) The UCLA high risk project. Schizophrenia Bulletin, 13, 505–514.Google Scholar
Goldstein, M. J., Miklowitz, D. J., Strachan, A. M., et al (1989) Patterns of expressed emotion and patient coping styles that characterize the families of recent onset schizophrenics. British Journal of Psychiatry, 155 (suppl. 5), 107–111.Google Scholar
Jones, J. E. (1977) Patterns of transactional style deviance in the TATs of parents of schizophrenics. Family Process, 16, 327–337.Google Scholar
Magana, A. B., Goldstein, M. J., Karno, M., et al (1986) A brief method for assessing expressed emotion in relatives of psychiatric patients. Psychiatry Research, 17, 203–212.Google Scholar
Miklowitz, D. J. Goldstein, M. J., Falloon, I. R. H., et al (1984) Interactional correlates of expressed emotion in families of schizophrenics. British Journal of Psychiatry, 144, 482–487.Google Scholar
Miklowitz, D. J. Goldstein, M. J., Doane, J. A., et al (1989) Is expressed emotion an index of a transactional style? 1. Parents affective style. Family Process, 28, 153–167.Google Scholar
Nuechterlein, K. H., Snyder, K. S., Dawson, M. E., et al (1986) Expressed emotion and fixed dose fluphenazine decanoate maintenance and relapse in recent-onset schizophrenia. Psychopharmacology Bulletin, 22, 633–639.Google Scholar
Nuechterlein, K. H., Goldstein, M. J., Ventura, J., et al (1989) Patient-environment relationships in schizophrenia: information processing, communication deviance, autonomic arousal, and stressful life events. British Journal of Psychiatry, 155 (suppl. 5), 84–89.Google Scholar
Robins, L. N., Helzer, J. E., Broughan, J., et al (1981) National Institute of Mental Health Diagnostic Interview Schedule. Archives of General Psychiatry, 38, 381–389.CrossRefGoogle ScholarPubMed
Spitzer, R. L., Williams, J. B. W. & Gibbon, M. (1987) A Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II, 3/1/87). New York: Biometrics Research Department, New York State Psychiatric Institute.Google Scholar
Subotnik, K. L. (1989) Affective and Negative Symptoms in Schizophrenia: Relationship to Familial Psychiatric Illness. University of California, Los Angeles: Dissertation, Department of Psychology.Google Scholar
Vaughn, C. E. & Leff, J. P. (1976) The influence of family and social factors in the course of psychiatric illness: a comparison of schizophrenia and depressed patients. British Journal of Psychiatry, 129, 125–137.Google Scholar
Vaughn, C. E., Snyder, K. S., Jones, S., et al (1984) Family factors in schizophrenic relapse: replication in California of the British research on expressed emotion. Archives of General Psychiatry, 41, 1169–1177.CrossRefGoogle ScholarPubMed
Wagener, D. K., Hogarty, G. E., Goldstein, M. J., et al (1986) Information processing and communication deviance in schizophrenic patients and their mothers. Psychiatry Research, 18, 365–377.Google Scholar
Wing, J., Cooper, J. E. & Sartorius, N. C. (1974) The Measurement and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and CATEGO Programs. London: Cambridge University Press.Google Scholar
Wynne, L. C., Singer, M. T., Bartko, J. J., et al (1977) Schizophrenics and their families: research on parental communication. In Developments in Psychiatric Research (ed. Tanner, J. M.), pp. 254–286. London: Hodder and Stoughton.Google Scholar
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