DYSFUNTIONAL FAMILIES Flashcards
1
Q
DOUBLE BIND
A
- entails children being punished for doing what was told such as giving hug then being pushed away and then punished again for not being given a reason why
- suggets children will become confused and loose their grip on reality
- negative symptoms and social withdrawal and flat affect may be an appropriate and logical response to double bind situations
- Bateson suggested this and was the first to look at family dynamic
- stated that if children received mixed signals they learn they cannot trust the messages received from others resulting in them not trusting their own feelings and perceptions
2
Q
EXPRESSED EMOTION
A
- this is a family communication style that involves critical comments both in tone and content occasionally accompanied by violence
- hostility towards patient including anger and rejection
- emotional over involvement in life of patient including needless sacrifice this doesn’t let the individual feel for themselves
- if these factors are high this can lead to relapse
3
Q
EE EVIDENCE
A
- brown found that families where communications are to do with criticism hostility and disapproval have high EE
- those recovering from schiz and discharged from hospital were followed over a 9 month period interviews with family determined level of expressed emotion
- found families with high EE resulted in 58% schizos returning to hospital for treatment compared to only 10% of schizos with low EE families
- family relationships can affect the degree of recovery rates
4
Q
DB EVIDENCE
A
- beger found that schizos reported a higher recall of double bind statements by mothers than non
