Family relationships in relation to mental illness Flashcards
Described the schizophrenogenic family patterns
Lidz
‘Marital schism’ schizophrenogenic family pattern
Repeated threats of parental separation, parents downplay each others’ roles and may attempt to collude with children to exclude the other
Belief behind the schizophrenogenic family patterns
The idea that the socialisation between parents can affect the aetiology of schizophrenia in their children
‘Marital skew’ schizophrenogenic family pattern
There is an equilibrium in the family but the parents’ relationship is skewed, e.g. one parent is very dominant and the other is very submissive
Described the double bind theory within communication
Bateson
Type of relationship where superficial communication does not match the behavioural and other deeper types of communication within a family - can increase the risk of psychosis in later life although now disputed
Double bind
Condition previously felt to be associated with the ‘refrigerator mother’
Autism
Developed the Camberwell family interview
Brown and Rutter
Modified the Camberwell family interview
Vaughn and Leff
Area the Camberwell family interview looks at
Expressed emotions of family members of patients with mental health conditions
Relapse rate for schizophrenia for patients in families with high expressed emotions compared to low expressed emotions
50% vs 21%
In patients with schizophrenia, sex more affected by high expressed emotions in terms of relapse
Female
Proportion of high expressed emotion among carers of people with schizophrenia
> 50%
Domains of high expressed emotion most predictive of relapse
Critical comments
Hostility
Emotional over-involvement
Domains of high expressed emotion most predictive of relapse
Critical comments
Hostility
Emotional over-involvement
