3.2.4 Dysfunctional Families exp. (Sch) Flashcards

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1
Q

what theory did Bateson come up with?

A

double bind theory

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2
Q

(double bind) symptoms of schizophrenia are due to difficulties in what?

A

communication

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3
Q

(double bind) these communication difficulties are found particularly where?

A

in the family

particularly the parent child relationship

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4
Q

(double bind) what was Bateson’s example of double bind communication with a mother and her schizophrenic son?

A
visited him in hospital
happy to see her he hugged her
she stiffened (non verbal)
he let go
she said "don't you love me anymore?" (verbal)
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5
Q

(double bind) what is communication split into?

A
verbal (35%)
Non verbal (65%) e.g. facial expressions, body language
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6
Q

(double bind) what can parents do with the different types of communication?

A

give conflicting messages

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7
Q

(double bind) no matter what the child does they what?

A

lose

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8
Q

(double bind) Bateson - crazy communication leads to what in the child?

A

crazy thought processes and behaviour

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9
Q

(double bind) the child also finds it hard to metacommunicate what does this mean?

A

tell the parents their messages are conflicting

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10
Q

(double bind) with long term double bind communication the child learns to perceive the world in terms of what?

A

contradictory input

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11
Q

(double bind) eventually the communication leads to a manifestation of symptoms such as what and why?

A

hallucinations, confusion, difficulty communicating, withdrawal, delusions
as a way of escaping the contradictions

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12
Q

(expressed emotion) what can expressed emotion be used to explain?

A

relapse

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13
Q

(expressed emotion) in the 1950s chlorpromazine was used for treatment, after patients were stabilised and released what often happened?

A

readmission due to relapse

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14
Q

(expressed emotion) Brown investigated who?

A

156 discharged men

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15
Q

(expressed emotion) Brown found relapse was connected to what?

A

the type of home men were discharged to

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16
Q

(expressed emotion) Brown - men discharged to live with their parents/wives showed higher what?

A

rates of relapse

17
Q

(expressed emotion) Brown conducted interviews with who?

A

wives and parents of men with schizophrenia

18
Q

(expressed emotion) Brown assessed expressed emotion by recording the interview and rating the number of what?

A

critical comments
statements of resentment
or statements of emotional over involvement

19
Q

(expressed emotion) Brown found a positive correlation between what?

A

amount of expressed emotion and likelihood of relapse

20
Q

(expressed emotion) what were the 5 characteristics Brown identified?

A
critical comments
hostility
emotional over involvement
warmth
positive regard
21
Q

(expressed emotion) what did Brown find regarding critical comments in high and low EE homes?

A

high - critical comments about individuals behaviour e.g. “they’re so lazy”
low - recognised the behaviours were due to illness

22
Q

(expressed emotion) what did Brown find regarding hostility and high EE homes?

A

high levels of hostility possibly due to anger, irritation or resentment at patient

23
Q

(expressed emotion) what did Brown find with high EE homes and emotional over involvement?

A

high levels of happiness and sadness
high levels of self sacrifice and over protectiveness
particularly with parents who felt guilty about their child’s illness

24
Q

(expressed emotion) what did Brown find with regard to warmth?

A

smiling and empathy when talking about schizophrenic individual were more evident in low EE caregivers

25
Q

(expressed emotion) what did Brown find with regard to positive regard?

A

reinforcing statements where the caregiver showed support and appreciation of the individual with schizophrenia lacking in low EE homes