An analysis of existing studies on the expressed emotion (EE) concept shows that the predictive validity of the EE index depends on the definition of relapse. Whilst symptomatic relapses are recorded in patients from high-EE families, about 3 times as often as in patients from low-EE families, a comparison of hospitalization rates reveals a difference of only approximately 1.5 times. In the Münster Families Study, a prospective intervention study to evaluate the therapeutic impact of relatives' groups, the predictive value of the familial emotional atmosphere could be measured in a prospective design. Ninety-nine DSMIII Schizophrenics, 72 male, 27 female, mean age 27 (SD 6.6), mean duration of illness 5.5 (SD 4.3) were followed up. In the first eighteen months patients from high-EE- families had a risk of rehospitalisation approximately 1.5 (p < 0.05). Further analysis showed that relapse rates among patients from high-EE and low-EE families were roughly the same for patients with a duration of illness of less than 4.5 years but were significantly different after a longer duration (p = 0.019). Besides a high EE rating, resignation of relatives was also a significant (p = 0.000) predictor of rehospitalisation for high and — even more — low EE families. Possible causes of these findings and therapeutic consequences are discussed.

In this article we present the results of a panel survey in which 242 men aged 40 to 55 were followed for approximately seven years after they became involuntarily unemployed. The study focused on reintegration probabilities of the older workers and on the question of their reaction to a situation of prolonged unemployment. The study shows that if policy is not changed, the probability of the reintegration of older, long-term unemployed persons into the labour force will remain extremely low. Re-entry via a ‘normally’ functioning labour market (formal application procedures and official job intermediaries) takes place almost exclusively during the first year after dismissal. If a new job is not found, a resigned feeling occurs among almost all of this older unemployed group. Most of the older people adjust to the new circumstances sooner or later. If one wishes to protect older persons from the trap of long-term unemployment (and in many cases total exclusion), more rapid interventions must be made, and reorientation and retraining efforts must be started sooner, before it is ‘too late’. From the employer’s point of view, there is not much interest in those who are still unemployed after one year.