Hostname: page-component-8448b6f56d-c4f8m Total loading time: 0 Render date: 2024-04-19T11:52:39.279Z Has data issue: false hasContentIssue false
  • English
  • Français

Family Management Programmes for Schizophrenic Patients

Prevention of Relapse and Modification of Familial Communication Patterns

Published online by Cambridge University Press:  06 August 2018

Kurt Hahlweg ,
Eli Feinstein ,
Ursula Müller  and
Matthias Dose
Kurt Hahlweg
Affiliation:
Technische Universität Braunschweig
Eli Feinstein
Affiliation:
Max-Planck-Institut für Psychiatrie, München
Ursula Müller
Affiliation:
Max-Planck-Institut für Psychiatrie, München
Matthias Dose
Affiliation:
Max-Planck-Institut für Psychiatrie, München
Get access Rights & Permissions [Opens in a new window]

Extract

Hypotheses on the relationship of schizophrenia and family variables have changed considerably over the last 15 years: whereas speculations on the causal role of familial interaction for the onset of schizophrenic psychosis previously dominated the field of psychological theorising and psychotherapy (Bateson et al, 1956), it was not possible to confirm these theories empirically. In accordance with the research on Expressed Emotion (EE), a shift in emphasis to the influence of family variables on the further course of the illness has taken place. As a consequence, promising new techniques have been developed for the prevention or postponement of relapse.

Type
IV. From the Perspective of Person-Environment Relationships
Information
The British Journal of Psychiatry , Volume 155 , Issue S5: Schizophrenia as a Systems Disorder: The Relevance of Mediating Processes for Theory and Therapy , July 1989 , pp. 112 - 116
Copyright
Copyright © 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

Anderson, C. M., Reiss, D. J. & Hogarty, G. E. (1986) Schizophrenia and the Family. New York: Guilford Press.Google Scholar
Bateson, G., Jackson, D. D., Haley, J., et al (1956) Toward a theory of schizophrenia. Behavioral Science, 1, 251–264.CrossRefGoogle Scholar
Barrowclough, C. & Tarrier, N. (1984) ‘Psychosocial’ interactions with families and their effects on the course of schizophrenia: A review. Psychological Medicine, 14, 629–642.Google Scholar
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972) Influence of family life on the course of schizophrenic disorders: A replication. British Journal of Psychiatry, 121, 241–258.Google Scholar
Cozolino, L. J. & Goldstein, M. J. (1986) Family education as a component of extended family oriented treatment programs for schizophrenia. In Treatment of Schizophrenia: Family Assessment and Intervention (eds Goldstein, M. J., Hand, I. & Hahlweg, K.). Berlin: Springer.Google Scholar
Creer, C. & Wing, J. K. (1974) Schizophrenia at Home. Surrey: National Schizophrenia Fellowship.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 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.CrossRefGoogle ScholarPubMed
Dulz, B. & Hand, I. (1986) Short term relapse in young schizophrenics. Can it be predicted and affected by family (CFI), patient, and treatment variables? An experimental study. In Treatment of Schizophrenia: Family Assessment and Intervention in Treatment of Schizophrenia: Family Assessment and Intervention (eds Goldstein, M. J., Hand, I. & Hahlweg, K.). Berlin: Springer.Google Scholar
Falloon, I. R. H., McGill, C. W. & Boyd, J. L. (1984) Family Care of Schizophrenia. New York: Guilford Press.Google Scholar
Goldman, H. H. & Gatozzi, A. A. (1981) Defining and counting the chronically mentally ill. Hospital and Community Psychiatry, 32, 21–27.Google Scholar
Goldstein, M. J. & Strachan, A. M. (1986) The impact of family intervention programs on family communication and the short-term course of schizophrenia. In Treatment of Schizophrenia: Family Assessment and Intervention (eds Goldstein, M. J., Hand, I. & Hahlweg, K.). Berlin: Springer.CrossRefGoogle Scholar
Goldstein, M. J., Rodnick, E. H., Evans, J. R., et al (1978) Drug and family therapy in the aftercare of acute schizophrenics. Archives of General Psychiatry, 35, 1169–1177.Google Scholar
Goldstein, M. J., Hand, I. & Hahlweg, K. (eds) (1986) Treatment of Schizophrenia: Family Assessment and Intervention. Berlin: Springer.Google Scholar
Hahlweg, K., Reisner, L., Kohli, G., et al (1984) Development and validity of a new system to analyze interpersonal communication (KPI). In Marital Interaction: Analysis and Modification (eds Hahlweg, K. & Jacobson, N. S.). New York: Guilford Press.Google Scholar
Hahlweg, K., Falloon, I. R. H. & Goldstein, M. J. (1985) Changes in schizophrenic families’ communication patterns after behavioural family care. Paper presented at 15th European Congress of Behaviour Therapy, Munich.Google Scholar
Hahlweg, K., Nuechterlein, K. H., Goldstein, M. J., et al (1987) Parental expressed emotion attitudes and intrafamilial communication behavior. In Understanding Major Mental Disorder. The Contribution of Family Interaction Research (eds Hahlweg, K. & Goldstein, M. J.). New York: Family Process Press.Google Scholar
Hahlweg, K., Goldstein, M. J., Nuechterlein, K. H., et al (in press) Interactional sequences in high and low EE families of schizophrenic patients. Journal of Consulting and Clinical Psychology.Google Scholar
Hirsch, S. R. (1986) Clinical management of schizophrenia. In The Psychopharmacology and Treatment of Schizophrenia (eds Bradley, P. B. & Hirsch, S. R.). Oxford: Oxford University Press.Google Scholar
Hogarty, G. E. (1984) Depot neuroleptica. The relevance of psychosocial factors – A United States perspective. Journal of Clinical Psychiatry, 45, 36–42.Google Scholar
Hogarty, G. E., Anderson, C. M., Reiss, , et al (1986) Family psycho-education, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia: I. One year effects of a controlled study on relapse and expressed emotion. Archives of General Psychiatry, 43, 633–642.Google Scholar
Jenkins, J. H., Karno, M., Selva, A., et al (1986) Expressed emotion, maintenance pharmacotherapy and schizophrenic relapse among Mexican-Americans. Psychopharmacology Bulletin, 22, 621–627.Google Scholar
Katschnig, H. & Konieczna, T. (1986) Die Philosophie und Praxis der Selbsthilfe für Angehörige psychisch Kranker. In Bewältigung der Schizophrenie (eds Böker, W. & Brenner, H. D.). Bern: Huber.Google Scholar
Leff, J. P. & Vaughn, C. E. (1985) Expressed Emotion in Families. New York: Guilford Press.Google Scholar
Leff, J. P., Kuipers, L., Berkowitz, R., et al (1982) A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121–134.Google Scholar
McCreadie, R. G. & Robinson, A. D. T. (1987) The Scottish first episode schizophrenia study. IV. Psychiatric and social impact on relatives. British Journal of Psychiatry, 150, 340–344.CrossRefGoogle Scholar
Macmillan, J. F., Gold, A., Crow, T. J., et al (1986) Northwick Park study of first episodes of schizophrenia. IV. Expressed emotion and relapse. British Journal of Psychiatry, 148, 133–143.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, 359–367.Google Scholar
Mintz, J., Mintz, L. & Goldstein, M. J. (1987) Expressed emotion and relapse in first episodes of schizophrenia. A rejoinder to McMillan et al (1986) British Journal of Psychiatry, 151, 314–320.Google Scholar
Moline, R. A., Singh, S., Morris, A., et al (1985) Family expressed emotion and relapse in schizophrenia in 24 urban American patients. American Journal of Psychiatry, 142, 1078–1081.Google Scholar
Nuechterlein, K. H. & Dawson, M. E. (1984) A heuristic vulnerability/stress model of schizophrenic episodes. Schizophrenia Bulletin, 10, 300–312.Google Scholar
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, 633–639.Google Scholar
Smith, J. V. & Birchwood, M. J. (1987) Specific and non-specific effects of educational intervention with families living with a schizophrenic relative. British Journal of Psychiatry, 150, 645–652.Google Scholar
Spaniol, L. R., Jung, H., Zippel, A. M., et al (1987) Families as a resource in the rehabilitation of the severely psychiatrically disabled. In Families of the Mentally Ill. Coping and Adaptation (eds Hatfield, A. B. & Lefley, H. P.). New York: Guilford.Google Scholar
Strachan, A. M., Goldstein, M. J. & Miklowitz, D. J. (1986) Do relatives express expressed emotion? In Treatment of Schizophrenia: Family Assessment and Intervention (eds Goldstein, M.J., Hand, I. & Hahlweg, K.). Berlin: Springer.Google Scholar
Sturgeon, D., Turpin, G., Kuipers, L., et al (1984) Psychophysiological responses of schizophrenic patients to high and low expressed emotion relatives: A follow-up study. British Journal of Psychiatry, 145, 62–69.Google Scholar
Tarrier, N., Vaughn, C., Lader, M. H., et al (1979) Bodily reactions to people and events in schizophrenia. Archives of General Psychiatry, 36, 311–315.Google Scholar
Tarrier, N., Barrowclough, C., Vaughn, C. E., et al (1988) The community management of schizophrenia: A controlled trial of a behavioural intervention with families to reduce relapse. British Journal of Psychiatry, 153, 352–542.CrossRefGoogle ScholarPubMed
Vaughn, C. E. (1986) Comment on Ch. 5 (Dulz & Hand). In Treatment of Schizophrenia: Family Assessment and Intervention (eds Goldstein, M. J., Hand, I. & Hahlweg, K.). Berlin: Springer.Google Scholar
Vaughn, C. E., Leff, J. P. (1976) The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry, 129, 125–137.CrossRefGoogle ScholarPubMed
Vaughn, C. E., Snyder, K. S., Jones, S., et al (1984) Family factors in schizophrenic relapse. Archives of General Psychiatry, 41, 1169–1177.Google Scholar
Zubin, J. & Spring, B. (1977) Vulnerability – a new view of schizophrenia. Journal of Abnormal Psychology, 86, 103–126.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.