Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-01T02:12:59.144Z Has data issue: false hasContentIssue false
  • English
  • Français

The Impact of Individual and Family Treatment on the Affective Climate of Families of Schizophrenics

Published online by Cambridge University Press:  29 January 2018

Jeri A. Doane ,
Michael J. Goldstein ,
David J. Miklowitz  and
Ian R. H. Falloon
Jeri A. Doane*
Affiliation:
Yale University School of Medicine, and Yale Psychiatric Institute, P. O. Box 12A, Yale Station, New Haven, Connecticut, 06520, USA
Michael J. Goldstein
Affiliation:
University of California, Los Angeles, California, USA
David J. Miklowitz
Affiliation:
Department of Psychology, University of California, Los Angeles, California, USA
Ian R. H. Falloon
Affiliation:
University of Southern California School of Medicine, Los Angeles, California; Buckingham Hospital, Buckingham, Bucks
*
Correspondence
Get access Rights & Permissions [Opens in a new window]

Abstract

Measures of parental affective style were compared for families of schizophrenics participating in a controlled treatment study which contrasted individual and family-based therapeutic programmes. The total number of critical statements and non-critical, intrusive remarks was significantly lower after three months for parents of schizophrenics participating in family therapy, compared to those whose offspring received only individual therapy. An increased risk for relapse was associated with an increase in the number of critical and/or intrusive remarks for patients in individual treatment. A significant increase in non-emotional, problem-solving statements was observed in parents who received family therapy, compared with those who did not. The results suggest that a behaviourally-oriented, problem-solving family approach may have reduced the risk of relapse in the first nine months after discharge from hospital by teaching families concrete ways of solving problems and concomitantly reducing the amount of negative emotional relating between family members.

Type
Papers
Information
The British Journal of Psychiatry , Volume 148 , Issue 3 , March 1986 , pp. 279 - 287
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic manual of mental disorders (3rd ed.), Washington, D. C. 1980.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, 241–258.CrossRefGoogle ScholarPubMed
Cohen, J. (1960) A coefficient of agreement for nominal scales. Educ. Psychol Meas, 20, 37–46.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, 679–685.CrossRefGoogle ScholarPubMed
Jones, J. E. Falloon, I. R. H., Goldstein, M. J., & Mintz, J. (1985) Parental affective style and the treatment of schizophrenia: Predicting course of illness and social functioning. Archives of General Psychiatry, 42, 34–42.Google Scholar
Falloon, I. R. H., Boyd, J. L., & McGill, C. W. (1984) Behavioural family management of mental illness: Enhancing family coping in community care. New York: Guilford.Google Scholar
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, 1437–1440.Google Scholar
Falloon, I. R. H., Marshall, G. N., Boyd, J., Razani, J., & Wood-Siverio, C. (1983) Relapse in schizophrenia: A review of the concept and its definitions. Psychological Medicine, 13, 469–477.CrossRefGoogle ScholarPubMed
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, 102–104.CrossRefGoogle ScholarPubMed
Robin, A. L., Kent, R., & O'Leary, D. (1977) An approach to teaching parents and adolescents problem-solving communication skills: A preliminary report. Behavior Therapy, 8, 639–643.CrossRefGoogle Scholar
Vaughn, C. E. & Leff, J. P. (1976a) The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry, 129, 125–137.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, 157–165.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, 425–426.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.