Family Dysfunction Sz

Question 1

What does family dysfunction state abt sz

Answer 1

Family- orientated theories that emphasise the importance of childhood upbringing, esp trauma, in the dev of sz in ADULTHOOD.
Maladaptive r/ships + poor communication in household = dev of sz IN ADULTHOOD
child experienced trauma - repressed/ denied (defence mechanism) = unconscious issue - reappear in ADULTHOOD in form of sz symptoms.

Approach claims poor family r/ships + maladaptive communication can effect the way growing child perceives reality + interacts with world - problems persist in adulthood = sz

Question 2

Schizophrenogenic Mother

Answer 2

REICHMANN - describe mother who is domineering, insensitive, controlling, over protective, rejecting - micromanage her kids and refuse to acknowledge their independence = sets up faulty communications - contribute to symptoms of sz later on in ADULTHOOD
Creating excessive stress = psychotic thinking (paranoia) dev in ADULTHD

Question 3

Double - bind Hypothesis

Answer 3

BATESON - families communicating this way make kids more susceptible to develop sz in adulthood.
Mother tells her kid she loves them then turns her head away in disgust - gives child conflicting messages = leaves them confused and cannot develop an INTERNALLY COHERENT CONSTRUCTION OF REALITY
= dev of sz in early adulthood (paranoia)

Question 4

Ev negative dysfunctional family

Answer 4

Cause and effect argument - having a child that is susceptible to mental health concerns, normal parental response is to show excessive concern, involvement.
= high expressed emotions may be a response to kids emotional distress
= unusual family behavioural patterns is a RESPONSE to sz NOT A CAUSE.

Socially sensitive - explanation can be critiqued to further cause problems for pt and family - tends to blame parents for how they’re raised + interacted with child to cause sz.
Hardly protects pts + families and can be seen to sometimes make matters worse
= clinicians must be mindful of how causal factors are pre discussed with pts and families

Question 5

Ev positive dysfunctional family

Answer 5

Evidence - LIDZ, 50 sz pts and investigated their family background.
45 (90%) had seriously disturbed families
60% one/both parents had serious personality disorders
Parental marriages were often skewed
(One dominant parent, one submissive)
+ dysfunctional families backgrounds contribute to dev of sz

Evidence - ZLAFF + HOOLEY completed meta-analysis (26 studies)
When pts returned to families with high EE, experienced more than twice rate of relapse of sz symptoms
Provides further concurrent validity to LINSZENS findings that high EE clearly correlated to sz