family dysfunction explanation Flashcards
what are the two explanations of family dysfunction?
Expressed emotion and Double bind theory
what assumption does double bind theory suggest?
mixed messages and poor communication between parent and patient. the patient is given contradictory signals which places them in an impossible situation causing conflict
what studies are there for double bind theory?
Read- reviewed 42 studies. 69% female impatient and 59% male that had a history of physical and/or sexual abuse in their childhood.
Berger- found evidence using interviews and observations of double bind comms by parents with a schiz patient compared to those without.
Liem- compared comms patterns in families with and without schiz member. abnormality was found in parent comms was a response to schiz symptoms.
evaluate double bind theory
+ berger and liem studys
- validity- conclusions tend to be based on clinical observations of patients
- only examined patients that currently have schiz but not before to see if there was a difference.
what does expressed emotion suggest?
that family processes including negative emotional climate play a role in schiz. criticism, hostility and emotional overinvolvement.
what studies dhow expressed emotion as an explanation of schiz?
Kuipers- found relapse more likely where family is high in expressed emotion.
Linzen- found 4x more likely to relapse with high expressed emotional family.
evaluate expressed emotion
- individual differences, you dont have to come from a family with expressed emotion to have schiz. its based on a biological basis.
+ real world application- family therapy.