Psychological explanation (family) Flashcards
what is family dysfunction
any form of abnormal proccesses within a fam such as conflict, EE, criticism, control, over-involvment
double bind theory is
proposed by
and example
considered to be a cause
proposed by Bateason
children who receive contradictory messagesfrom parents are more likely to develop schiz,
such as saying ‘i love you’ while appearing angry
what double bind results in
internal coherent construction of reality doesn’t develop
therefore causing +ive symptoms
Expressed Emotions is
a family communication style, in which a member of a family with a psychiatric patient talks about the patient in a hostile, critical way
they are also being over-invilved and too controling
study supporting EE and behaviour of fam mem
Kuipers et al 1983
found that high EE realtives talk more and listen less
EE influences relapse rates (increase of symptoms)
those patients who eturn to EE fams are 4 times more likely to develop relapse, than those with no EE
eval 1 top
fam relationship
importance of fam re-ship in schizophrenia - demonstarted in adoption study by Tienari at al 1994
eval 1 point
fam relationship
chilldren + schiz parents = schiz
chilldren + no schiz parents = less likely
however the differance emerged in situations when adopted family was disturbing and/or with unstable environment
suugesting the influence of nurture and importance of it as it can either lower or increase chance of schiz
eval 1 tail
fam relationship
illness manifests itself when has the right conditions, therefore genetic vulnurability isnt the only explanation
eval 2 top
abt double bind theory
family re-ship may lead to schiz
eval 2 point
abt double bind theory
Berger 1965 - schizs reported a higher recall of double bind statemnets from their non-schiz moms,
Liem 1974 - measured patterns of parental communication in fams with schiz child and found no diff when compared to normal fams
eval 2 tail
abt double bind theory
Gibney
the real value of research is that it led to family therapy
if interaction could be problematic and pathology producing,
then they might also organised more constructively and so become health producing
eval 3 top
indiv dif
not all patients who live in high EE ralpse
not all patients who live in low EE dont relapse
eval 3 point
indiv dif
Altorfer et al: 1/4 of ppatientshave no physiologcal responses to stresfull comments from relatives. Vulnurability to EE can be psychological .
Lebell: how patients appraise the behaviour of their relatives is important,when high EE isnt perecived as something negative - they dont effcet as much
regardless how fam env is rated
eval 3 tail
indiv dif
not all patients are vulnurable to EE within the family env
eval nature nurture
biol mom with schiz = nature
adoptive fam dist = nurture
there has to be biol predisposition bit the environment has to trigger the genes
