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Stress-Indicative Patterns of Non-Verbal Behaviour Their Role in Family Interaction

Published online by Cambridge University Press:  06 August 2018

Andreas Altorfer*
Affiliation:
Psychiatrische Universitätsklinik, Bern
Michael J. Goldstein
Affiliation:
Department of Psychology, University of California Los Angeles, USA
David J. Miklowitz
Affiliation:
Department of Psychology, University of Colorado, USA
Keith H. Nuechterlein
Affiliation:
Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, USA
*
Correspondence

Extract

Research in the field of interpersonal behaviour is widely recognised as an important key to understanding the nature of mental illness. In schizophrenic patients especially, deviant social interaction has been proved to be associated with pathological behaviour (see Bellack et al, 1989). Numerous studies have revealed that affective attitudes expressed towards the patient by a relative during hospital admission for an episode of schizophrenia (high expressed emotion (EE)) are predictive of the short-term course of the disorder (Leff & Vaughn, 1985; Jenkins et al, 1986; Nuechterlein et al, 1986; Mintz et al, 1987).

Type
Stressors
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Altorfer, A. (1988) Eine Methode zur Untersuchung der interaktiven Bedeutung von nichtverbalen Verhaltensweisen. Sprache und Kognition, 7, 99112.Google Scholar
Altorfer, A., Hirsbrunner, H. P. & Kässermann, M. L. (1990) Messung psychophysiologischer Variablen während Gesprächen: Die Quantifizierung des Volumenpulsgeschehens. Zeitschrift für Psychologie, 198, 293308.Google Scholar
Altorfer, A., Hirsbrunner, H. P. & Kässermann, M. L. (1991) Erhebung und Analyse des Fingerpulsvolumens auf der Basis einer quasi-kontinuierlichen Messung von Periode und Amplitude. Zeitschrift für Differentielle und Diagnostische Psychologie, 12, 3341.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
Asendorpf, J. (1980) Nichtreaktive Stressmessung: Bewegungs stereotypien als Aktivierungsindikatoren. Zeitschrift für Experimentelle und Angewandte Psychologie, 27, 4458.Google Scholar
Bellack, A. S., Morrison, R. L. & Mueser, K. T. (1989) Social problem solving in schizophrenia. Schizophrenia Bulletin, 15, 101116.Google Scholar
Breznitz, S. (1983) The Denial of Stress. New York: International Universities Press.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, 679685.Google Scholar
Duncan, S. D. & Fiske, D. W. (1977) Face to Face Interaction. New York: John Wiley & Sons.Google Scholar
Ekman, P. & Friesen, W. (1967) Head and body cues in the judgement of emotion: a reformulation. Perceptual & Motor Skills, 24, 711724.CrossRefGoogle ScholarPubMed
Ekman, P. & Friesen, W. (1972) Hand movements. Journal of Communication, 22, 353374.Google Scholar
Ellgring, H. (1989) Nonverbal Communication in Depression. Cambridge: Cambridge University Press.Google Scholar
Fisher, S. (1986) Stress and Strategy. London: Lawrence Erlbaum Associates.Google Scholar
Fredrikson, M. (1989) Psychophysiological and biochemical indices in “stress” research: applications to psychopathology and pathophysiology. In Handbook of Clinical Psychophysiology (ed. Turpin, G.), pp. 241279. New York: John Wiley & Sons.Google Scholar
Jenkins, J. K., Karno, M., dela Selva, A., et al (1986) Expressed emotion, maintenance psychotherapy, and schizophrenic relapse among Mexican-Americans. Psychopharmacology Bulletin, 22, 621627.Google Scholar
Käsermann, M. L. (1983) Form und Funktion schizophrener Sprachstörungen. Sprache und Kognition, 3, 132147.Google Scholar
Käsermann, M. L. & Altorfer, A. (1989) Family discourse: situations differing in degree of stress and their physiological correlates. British Journal of Psychiatry, 155 (suppl. 5), 136143.Google Scholar
Käsermann, M. L. & Altorfer, A. (1990) Was uns in Gesprächen aufregt … Störendes kommunikatives Verhalten und seine Wirkung auf den Gesprächspartner. In Ueber die richtige Art Psychologie zu treiben (eds K. Grawe, R. Hänni, N. Semmer, et al), pp. 341356. Göttingen: Hogrefe.Google Scholar
Lazarus, R. S. & Folkman, S. (1984) Stress, Appraisal, and Coping. New York: Springer.Google Scholar
Leff, J. & Vaughn, C. E. (1985) Expressed Emotion in Families. New York: Guilford Press.Google Scholar
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, 359367.Google Scholar
Miklowitz, D. J., Goldstein, M. J., Doane, J. A., et al (1989) Is expressed emotion an index of transactional process ? I. Parents’ affective style. Family Process, 28, 153167.CrossRefGoogle ScholarPubMed
Miklowitz, D. J., Goldstein, M. J., Nuechterlein, K. H., et al (1988) Family factors and the course of bipolar affective disorder. Archives of General Psychiatry, 45, 225231.Google Scholar
Mintz, L. I., Liberman, R. P., Miklowitz, D. J. et al (1987) Expressed emotion: a call for partnership among relatives, patients, and professionals. Schizophrenia Bulletin, 13, 227235.Google Scholar
Nuechterlein, K. H. & Dawson, M. E. (1984) A heuristic vulnerability/stress model of schizophrenic episodes. Schizophrenia Bulletin, 10, 300312.CrossRefGoogle ScholarPubMed
Nuechterlein, K. H., Snyder, K. S., Dawson, M. E., et al (1986) Expressed emotion, fixed dose fluphenazine decanoate maintenance, and relapse in recent-onset schizophrenia. Psychopharmacology Bulletin, 22, 633639.Google Scholar
Rosenfeld, H. M. (1982). Measurement of body motion and orientation. In Handbook of Methods in Nonverbal Behavior Research (eds. Scherer, K. R. & Ekman, P.), pp. 199286. Cambridge: Cambridge University Press.Google Scholar
Sainsbury, P. (1955) Gestural movement during psychiatric interviews. Psychosomatic Medicine, 17, 458469.Google Scholar
Sainsbury, P. & Costain, W. R. (1971) The measurement of psychomotor activity: some clinical applications. Journal of Psyschosomatic Research, 15, 487494.Google Scholar
Sainsbury, P. & Wood, E. (1977) Measuring gesture: its cultural and clinical correlates. Psychological Medicine, 7, 6372.Google Scholar
Scherer, K. R. (1979). Non-linguistic vocal indicators of emotions and psychopathology. In Emotions in Personality and Psychopathology (ed. Izard, C. E.), pp. 493529. New York: Plenum Press.Google Scholar
Scherer, K. R. (1988) On the symbolic functions of vocal affect expression. Journal of Language & Social Psychology, 7, 79100.Google Scholar
Scherer, K. R., Wallbott, H. G., Tolkmitt, F. J., et al (1985) Die Stressreaktion: Physiologie und Verhalten. Göttingen: Hogrefe.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research diagnostic criteria: rationale and reliability. Archives of General Psychiatry, 35, 773782.Google Scholar
Strachan, A. M., Feingold, D., Goldstein, M. J., et al (1989) Is expressed emotion an index of transactional process? II. Patient's coping style. Family Process, 28, 169181.Google Scholar
Strachan, A. M., Leff, J. P., Goldstein, M. J., et al (1986) Emotional attitudes and direct communication in the families of schizophrenics: a cross-national replication. British Journal of Psychiatry, 149, 279287.Google Scholar
Sturgeon, D., Kuipers, L., Berkowitz, R., et al (1981) Psychophysiological responses of schizophrenic patients to high and low expressed emotion relatives. British Journal of Psychiatry, 138, 4045.CrossRefGoogle ScholarPubMed
Tarrier, N. & Barrowclough, C. (1984) Psychophysiological assessment of expressed emotion in schizophrenia: a case study. British Journal of Psychiatry, 145, 197203.Google Scholar
Tarrier, N., Barrowclough, C., Procedu, K., et al (1988) The assessment of psychophysiological reactivity to expressed emotion of the relatives of schizophrenic patients. British Journal of Psychiatry, 152, 618624.Google Scholar
Vaughn, C. & Leff, J. (1976) The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social & Clinical Psychology, 15, 157165.Google Scholar
Wallbott, H. G. (1982) Bewegungsstil und Bewegungsqualitat. Weinheim und Basel: Beltz.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorious, N. (1974) The Measurement and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and CATEGO Program. Cambridge: Cambridge University Press.Google Scholar
Zubin, J. & Spring, B. (1977) Vulnerability – a new view of schizophrenia. Journal of Abnormal Psychology, 86, 103126.Google Scholar
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