研究生: |
鄭夙芬 |
---|---|
論文名稱: |
精神分裂症患者主要家屬照顧者之溝通訓練效果研究 |
指導教授: | 吳就君 |
學位類別: |
博士 Doctor |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2002 |
畢業學年度: | 89 |
語文別: | 中文 |
論文頁數: | 416 |
中文關鍵詞: | 精神分裂症 、溝通訓練 、情緒表露 、衛生教育團體 、主要家屬照顧者 |
論文種類: | 學術論文 |
相關次數: | 點閱:520 下載:53 |
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本研究旨在探討精神分裂症患者主要家屬照顧者接受溝通訓練的效果與探討教案實施之團體動力因素。研究方法以23名主要家屬照顧者為研究對象,分為實驗組與控制組,實驗組接受六個單元的溝通訓練,資料蒐集分為量化與質化兩部分,量化部分透過自製溝通問卷與「中國人五分鐘演說樣本」測量而得,分別在教案實施前後一個月進行施測,以進行統計分析,質化部分包括透過情緒表露逐字稿、團體過程記錄逐字稿收集而得並加以探討。研究結果發現:(一) 溝通訓練有效維持低情緒表露或降高情緒表露。(二)經溝通訓練後,原先「表達正向感受」得分高之實驗組成員,在該技巧之習得有顯著改善。(三)實驗組成員溝通技巧的習得,有助於降低高情緒表露,但對維持低情緒表露者則不盡然;從質化資料中,發現情緒表露降低者,其表達負向感受技巧明顯改善;維持低情緒表露者在做正向要求技巧較有進步。(四)影響教案實施的動力因素包括:團體前的準備、教案與教材的設計執行、團體目標與個人需求、成員互動溝通、團體規範與價值觀及領導者介入。最後,研究者對於精神分裂症患者主要照顧家屬之溝通訓練介入效果、溝通與情緒表露變化之現象、有利的衛教團體動力因子、家屬溝通現象的展現、伙伴關係、家屬充權的潛能等部分提出討論,並形成建議。 The purpose of this study was to investigate the effects of communication training program on family caregivers of Schizophrenic patients’. Methods A total of 23 family caregivers were included in the study and divided into two groups, which were experimental and control groups. Individuals in the experimental group received six sessions of communication training program whereas the ones in the control group did not. Quantitative and qualitative methods were performed to all participants one month before and after the conduction of the communication training program. The Chinese Five Minutes Speech Sample (CFMSS) and a communication questionnaire designed by our lab were used as the quantitative methods. Qualitative methods were based on the transcripts of CFMSS and of group process records. The study data were analyzed by SPSS statistic model. Results and conclusions Results indicated that (1) the communication-training program decreased high expressed emotion (EE) and maintained low EE. (2) The scores of Expressing Positive Feelings (EPF) were significantly increased on the individuals who had higher scores of EPF before the conduction of the training program in the experimental group. (3) There was relationship between the changes of communication skill and the variance of EE in the experimental group. The qualitative data showed that individuals changing from high EE to low EE had markable improvement on Expressing Negative Feeling. Individuals maintaining low EE had improvement on Making Positive Requests . The dynamic factors that influenced the education of the communication-training program were discussed.
The purpose of this study was to investigate the effects of communication
training program on family caregivers of Schizophrenic patients’.
Methods
A total of 23 family caregivers were included in the study and divided into
two groups, which were experimental and control groups. Individuals in the
experimental group received six sessions of communication training program
whereas the ones in the control group did not. Quantitative and qualitative
methods were performed to all participants one month before and after the
conduction of the communication training program. The Chinese Five Minutes
Speech Sample (CFMSS) and a communication questionnaire designed by our lab
were used as the quantitative methods. Qualitative methods were based on the
transcripts of CFMSS and of group process records. The study data were
analyzed by SPSS statistic model.
Results and conclusions
Results indicated that (1) the communication-training program decreased high
expressed emotion (EE) and maintained low EE.
(2) The scores of Expressing Positive Feelings (EPF) were significantly
increased on the individuals who had higher scores of EPF before the
conduction of the training program in the experimental group.
(3) There was relationship between the changes of communication skill and the
variance of EE in the experimental group. The qualitative data showed that
individuals changing from high EE to low EE had markable improvement on
Expressing Negative Feeling. Individuals maintaining low EE had improvement
on Making Positive Requests .
The dynamic factors that influenced the education of the communication-
training program were discussed.
一、 中文部分
田基武(1986)。精神分裂病患家屬對疾病調適之研究--以彰化基督教醫院精神科門診個
案為例。東海大學社會工作研究所碩士論文,東海大學。
吳就君 (1997)。高表露情緒臨床家庭之家庭功能研究。87年國科會研究報告,未發表。
吳就君(1993)。嚴重慢性精神疾病影響家庭的相關因素研究之跨國文化比較。衛生教育
論文集刊,6,120-157。
吳就君、宋維村、黃梅羹(1995)。中國人五分鐘演說樣本評估方法在中國人之適用性。
衛生教育論文集刊,8,75-109。
吳就君、陳皇蓉、賴秀宜、饒玉孜(1994)。青少年家庭親子關係中之情緒表露行為研究
。衛生教育論文集刊,7,27-58。
吳就君、黃梅羹、胡海國、陳珍信(1999)。精神分裂症家屬表露情緒之變化:兩年追蹤
研究。台灣精神醫學,13(1),54-64。
吳就君、楊延光、黃梅羹(1996)。簡式工具評估精神病患家屬表露情緒行為與家庭負荷
、拒絕病患之關係。衛生教育論文集刊,9,37-62。
吳就君、鄭玉英(1993)。家庭與婚姻諮商。台北:國立空中大學。
李姿瑩(2000)。花蓮地區精神分裂病患主要照顧者需求及其相關因素探討。慈濟醫學院
護理學研究所碩士論文,慈濟醫學院。
沈志仁、張素凰(1991)。精神病患者家屬的壓力源、應對策略與健康狀況-時間序列的
探討。中華心理學刊,(5)2,90-103。
沈志仁、張素凰(1993)。精神分裂症患者主要照顧者的需要及其相關因素。中華心理衛生
學刊,6(1),49-66。
周建聖編著(1994)。心理諮詢與心理治療(上)。台北:合記圖書出版社。
柯永河(1993)。心理治療與衛生—我在晤談椅上四十年(上)。台北:張老師出版社。
胡海國(1996)。精神分裂症患者家屬對精神分裂症之態度。當代醫學,23(6),513-518
。
徐西森(2001)。團體動力與團體輔導。台北:心理出版社股份有限公司。
馬家惠(1998)。從交流中分享與學習:參加家屬團體領導才能訓練工作坊有感。心理衛
生通訊。
張依虹(1999)。家屬面對精神病患暴力行為因應之研究。東吳大學社會工作學系碩士論
文,東吳大學。
許維素 等(2001)。焦點解決短期心理諮商。台北:張老師文化事業股份有限公司。
陳金鈴(1987)。精神病患家庭常面臨的問題。台北市立療養院七十五年年報,153-160。
陳珠璋、李明濱(1991) 。台灣北部地區精神分裂病住院患者家屬外顯情緒之研究。國科會
研究成果報告。
曾文星、徐靜(1990)。家庭的心理衛生。台北:水牛圖書出版有限公司。
曾文星、徐靜(1994)。現代精神醫學。台北:水牛圖書出版有限公司。
曾端真、曾玲珉(1996)。人際關係與溝通。台北:揚智文化事業股份有限公司。
黃芸芳 (2000)。高雄地區精神醫療日間留院病友家屬對服務需求之探討。東海大學社會
工作研究所碩士論文,東海大學。
黃珮玲、李引玉、毛家舲(1991)。探討出院精神分裂病患者家屬在居家照顧期間之負荷
經驗及其影響因素。護理雜誌,38(4),77-87。
黃梅羹(1988)。精神科住院病患及其家屬的心理暨社會問題探索研究。中華民國醫務社
會服務協會,56-69。
黃惠惠(1996)。自我與人際溝通。台北:張老師文化事業股份有限公司。
楊素端(1986)。社會團體工作對精神病患家屬精神疾病認知及情緒疏導的研究。中華民
國醫務社會服務協會,68-78。
楊連謙、郭葉珍 編譯(1992)。家屬與精神病患。台北:合記圖書出版社。
趙梅如(1999)。主要情境測驗的編制及其在父母效能課程中對親子溝通效果之探討。國
立高雄師範大學教育系博士論文,國立高雄師範大學。
趙碧真、朱美珍譯(2000)。研究方法:社會工作暨人文科學領域的運用。台北:學富文
化。
劉淑慧 譯(1996)。諮商研究法。台北:五南圖書出版有限公司。
鄭佩芬(2000)。人際關係與溝通技巧。台北:揚智文化事業股份有限公司。
盧純華、毛家舲(1992)。某綜合醫院精神分裂症住院病患家屬支持性團體之分析研究。
護理雜誌,39(4),105-115。
蕭淑貞、楊秋月、葉櫻媛、黃瑞媛、陳美雲、吳麗萊(1999)。精神病患的家庭結構、疾
病症狀與壓力調適之探討。高雄醫學科學期刊,15,359-371。
二、英文部分
Anderson, C. M., Reiss, D. J., & Hogarty, G. E.(1986). Schizophrenia and the
family:A practitioner’s guide to psychoeducation and management. New York:
The Guilford Press.
Anderson, C., Hogarty, G., Bayer, T., et al. (1984). Expressed Emotion and
social networks of schizophrenic patients. British Journal of Psychiatry, 144,
247-255.
Anderson, C. M., Hogarty, G.E., & Reiss, D.J. (1980). Family treatment of
adult schizophrenic patients: A psychoeducational approach. Schizophrenia
Bulletin, 6, 490-505.
Anderson, C.M., Hogarty, G.E., & Reiss, D.J., (1981). The psychoeducational
therapy treatment of schizophrenia. in M. Goldstein(Ed.) New Direction for
Mental Health Services: New Developments in Interventions with Families of
Schizophrenics. San Francisco: Jossey-Bass.
Anderson, C.M., & Stewart, S. (1983). Mastering resistance:A practical guide
to family therapy. New York: Gulilford Press.
Angermeyer, M. (1982). The association between family atmosphere and hospital
career of schizophrenic patients. British Journal of Psychiatry, 141,1-11.
Armstrong, B. (1978). Society vs. The mentally ill: exploring the roots of
prejudice. Hospital and Community Psychiatry, 29, 602-607.
Atkinson, J.M. (1986). Schizophrenia at Home. London: Groom Helm.
Atkinson, J. M., & Coia, D. A.(1995). Families coping with schizophrenia: A
practitioner’s guide to family groups. Baltimore: John Wiley & Sons, Inc.
Barrowclough, C. & Tarrier, N. (1987). A behavioral intervention with a
schizophrenic patient. Behavioural Psychotherapy, 15, 252-271.
Berkowitz, R., Kuipers, L., Eberlein-Fries, R., & Leff, J. P.(1981). Lowering
expressed emotion in relatives of schizophrenics, in M. Goldstein (Ed.) New
Direction for Mental Health Services: New Developments in Interventions with
Families of Schizophrenics. San Francisco: Jossey-Bass.
Berkowitz, R., Eberlein-Fries, R., Kuipers, L., & Leff, J. (1984). Educating
relatives about schizophrenia. Schizophrenia Bulletin, 10, 418-429.
Blakar, R. M. (1980). Statistical significance versus theoretical clarification
: a comment on the Doane-Jacob and Grounds dispute. Family Process, 19(3), 291-
4.
Bloch, S., Hafner, J., Harari, E. & Szmukler, G.I.. (1994). The Family in
Clinical Psychiatry. New York: Oxford University Press .
Bloom, B. L. (1984). Community Mental Health. California: Brooks/Cole
Publishing Company.
Bott, E. (1977) . Hospital and Society, British Journal of Medical. Psychology,
49, 97-140.
Boye, B., Bentsen, H., Notland, T. H., Munkvold, O. G., Lersbryggen, A. B.,
skarsson, K. H., Uren, G., Ulstein, I., Bjorge, H., Lingjaerde, O., & Malt, U.
F. (1999). Social Psychiatry & Psychiatric Epidemiology. 34(1), 35-43.
Brichwood, M., Smith, J. & Cochrane, R. (1992). Specific and non-specific
effects of educational intervention for families living with schizophrenia: a
comparison of three methods. British Journal of Psychiatry, 160, 806-14.
Brichwood, M., & Smith, J. (1987). Schizophrenia. In Coping with Disorders in
the Family (ed. J. Orford). London: Croom Helm.
Brooker, C. (1990). Expressed emotion and psychosocial intervention: a review.
International Journal of Nursing Studies, 27(3), 267-276.
Brown, G. W. (1959). Experiences of discharged chronic schizophrenic mental
hospital patients in various types of living group. Millbank Memorial Fund
Quarterly, 37, 105-131.
Brown, G.W., Monck, E. M., Carstairs, G. M. & Wing, J. K. (1962). Influence
of family life on the course of schizophrenic illness. British Journal of
Preventive and Social Medicine, 16, 55-68.
Brown, G.W., Birley, J. L.T., & Wing, J. K. (1972). Influence of family life
on the course of schizophrenia disorders: a replication. British Journal of
Psychiatry, 121, 241-258.
Creer, C. & Wing, J. K. (1974). Schizophrenia at Home. National schizophrenia
Fellowship: Surbition.
Cook, J. A., & Jonikas, J. A. (1996). Outcomes of psychiatric rehabilitation
service delivery. New Directions for Mental Health Services, 71, 33-47.
Cox, E. O., & Parsons, R. J. (1994). Empowerment-Oriented Social Work Practice
with the Elderly. California: Wadsworth.
Cozolino, L. J., Goldstein, M. J., Nuechterlein, K. H., West, K. L. & Snyder,
K. S. (1988). The impact of education about schizophrenia on relatives varying
in expressed emotion. Schizophrenia Bulletin, 14(4), 675-687.
Doane, J. A., West, K. L., Goldstein, M. J., Rodnick, E. H., & Jones, J. E. (
1981). Parental communication deviance and affective style: Predictors of
subsequent schizophrenia spectrum disorders in vulnerable adolescents. Arch
Gen Psychiatry, 38, 679-685.
Doane, J. A., Goldstein, M. J., Miklowitz, D. J., & Fallon, I. R. H. (1986).
The impact of individual and family treatment on the affective climate of
illness and social functioning. Archives of General Psychiatry. 42, 34-42.
Dulz, R., & Hand, I., (1986). Short-term relapse in young schizophrenics : Can
it be predicted and affected by family (CFI), patient and treatment variables?
An experimental study. In M. Goldstein, I. Hand, & K. Hahlweg (Eds.),
Treatment of schizophrenia: Family assessment and intervention (pp.59-75).
Berlin: Springer-Verlag.
El-Islam, M. F. (1982). Rehabilitation of schizophrenia by the extented
family. Acta Psychiatry Scandinavica, 65, 112-119.
Fallon, I. R. H., Boyd, J. L., & McGill, C. W. (1984). Family care of
schizophrenia: A problem-soving approach to the treatment of mental illness.
New York: The Guilford Press.
Fallon, I. R. H., Boyd, J. L., McGill, C. W., Williamson, M., Ranzani, J.,
Moss, H. B., & Gilderman, A. M. (1982). Family management in the prevention of
exacerbation of schizophrenia: A controlled study. New England Journal of
Medicine, 306, 1437-1440.
Fallon, I. R. H., Boyd, J. L., McGill, C. W., Williamson, M., Razani, J., &
Moss, H. B. et al (1985). Family management in the prevention of morbidity of
schizophrenia: clinical outcome of a two-year longitudinal study. Archives of
General Psychiatry, 42, 887-896.
Fallon., I. R. H. (1984). Family Management of Mental Illness: A Study of
Clinical Social and Family Benefits. Baltimore: Johns Hopkins University Press.
Fallon. I. R. H., & Pederson. J. (1985). Family management in the prevention
of morbidity of schizophrenia: the adjustment of family unit. British Journal
of Psychiatry, 147, 156-163.
Ferto, J.V. (1992). Personal Social Skills. California: Stata Cruz.
Fromm, F. F. (1950). Principles of intensive psychotherapy. Chicago:
University of Chicago Press.
Forsyth, D. R. (1990). Group dynamics. Pacific Grove. CA: Brooks/Cole.
Gife, T., Cole, R., & Wynne, L. (1985). A hospital measure for use in family
contexts. Psychiatry Research, 15, 205-210.
Golding, S. L., Becker, G., Sherman, A., & Rappaport, J. (1975). The behavior
expectations scale: assessment of interaction with the mentally ill. Journal
of Consulting and Clinical Psychology, 43, 109-120.
Golstein, M., & Strachan, A. (1986). The impact of family intervention
programs on family communication and the short-term course of schizophrenia.
In M.J. Goldstein, I. Hand, & K. Hahlweg (eds.), Treatment of schizophrenia:
Family Assessment and Intervention( pp. 185-192). Berlin: Springer.
Goldstein, M. J. (1987). Family interaction patterns that antedate the onset
of schizophrenia and related disorders: A further analysis of data from a
longitudinal prospective study. In Hawhlweg, K., Goldstein, M. J., (eds.),
Understanding Major Mental Disorder: The Contribution of Family Interaction
Research. New York: Family Process Press.
Goldstein, M. J., & Kopeikin, H. S.(1981). Short and long-term effects of
combining drug and family therapy. In M. J. Goldstein, (Fd.), New developments
in interventions with families of schizophrenics (pp.5-26). San Francisco:
Jossey-Bass.
Gottschalk, L. A., Falloon, I. R. H., Marder, S. R. (1988). The prediction of
relapse of schizophrenic patients using emotional data obtained from their
relatives. Psychiatry Research, 25, 261-276.
Grunebaum, H., & Friedman, H. (1988). Building collaborative relationships
with families of the mentally ill. Hospital and Community Psychiatry, 39, 1183-
1187.
Guerney, B.G. (1977). Relationship Enhancement: Skills-Training Programs for
Therapy, Problem Prevention and Enrichment. San Francisco: Jossey-Bass.
Hahlweg, K., Neuchterlein, K., Goldstein M., Magana, A., Doane, J., & Snyder
K. (1987). Parental Expressed Emotion, attitudes and intrafamilial
communication behavior. In Hahlweg, K., Goldstein, M. (eds.), Understanding
major mental disorder: The contribution of family interaction research(pp. 8-
21). New York: Family Process Press.
Hardley, G., & Guerney, B. G. (1989). A psychoeducational approach. Figley,
Charles. R. (Ed). Treating stress in families. Brunner/Mazel psychosocial
stress series, 13, 158-181.
Hatfield, A.B. (1978). Psychological cost of schizophrenia to the family.
Social Work, 23, 355-359.
Hatfield, A.B. (1990). Family Education in Mental Illness. New York: The
Guilford Press.
Hibbs, E. D., Hamburger, S. D., Kruesi, M. J. P., & Lenane, M. (1993). Factors
affecting expressed emotion in patients of ill and normal children. American
Journal of Orthopsychiatry, 63(1), 103-112.
Hogarty, G. E. & Anderson, C. M. (1986). Medication, family psycho-education,
and social skills training: first-year relapse of a controlled study.
Psychopharmacology Bulletin, 22, 860-861.
Hogarty, G. E., Anderson, C. M., Reiss, D. J., Kornblith, S. J., Greebwarld,
D. P. Javana, C. D., & Madonia, M. J. (1986). Family psycho-education, social
skill training and medication in schizophrenia: the long and short of it.
Psychopharmacology Bulletin, 23, 12-13.
Honig, A., Hofman, A., Rozendaal, N., & Dingemans, P. (1997). Psycho-education
in bipolar: effect on expressed emotion. Psychiatry Research, 72, 17-22.
Hubschmid, T., & Zemp, M. (1989). Interactionsin high and low-expressed
emotion families. Social Psychiatry and Psychiatric Epidemiology, 24, 113-119.
John, S., John, D. (1994). Schizophrenia and expressed emotion. Perspective in
Psychiatric Care, 30(2), 20-25.
Kavanagh, D. j. (1992). Recent developments in expressed emotion and
schizophrenia. British Journal of Psychiatry, 160, 601-20.
Kint, M.G.(1977) Problems for families vs problem families. Schizophrenia
Bulletin, 3, 355-356.
Kuipers, L., & Bebbington, P. (1988). Expressed emotion research in
schizophrenia: theoretical and clinical implications. Psychological Medicine,
18, 893-909.
Kuipers, L., & Berkowitz, R. (1983). “Intervention in families of
schizophrenics and its effect on relapse rate ”, In W. R. McFarlanen (ed.),
Family Therapy in Schizophrenia. New York: The Guilford Press.
Leeb, B., Hahlweg, K., & Goldstein, M. (1991). Cross-national reliability,
concurrent validity, and stability of a brief method for assessing expressed
emotion. Psychiatry Research, 39, 25-31.
Leff, J. P. (1975). Schizophrenia and sensitivity to the family environment”
Schizophrenia Bulletin, 2, 566-574.
Leff, J., Berkowitz, R., Shavit, N., Strachan, A., Glass, I., & Vaughn, C. (
1989). A trial of family therapy vs. a relatives group for schizophrenia.
British Journal of Psychiatry, 154, 58-66.
Leff, J. P., Kuipers, L., Berkowitz, R., & Sturgeon, D. (1985). A controlled
trial of social intervention in the families of schizophrenia patients:two
–year follow-up. British Journal of psychiatry, 146, 594-600.
Leff, J., & Vaughn, C. (1985). Expression Emotion in Families. New York: The
Guildford Press.
Leff, J., Kuipers, L., Berkowitz, R., Eberlein-Vries, R., & Sturgeon, D. (
1982). A controlled of social intervention in the families of schizophrenic
patients, British Journal of Psychiatry, 141, 121-134.
Lefley, H. P. (1996). Family caregiving in mental illness. California: Sage
Publication, Inc.
Levant, R. F. (1986). Psychoeducational approaches to family therapy and
counseling. New York: Springer Publishing Company, Inc.
Liberman, R. P., Lillie, F., Fallon, I. R. H., Vaughn, C. E., Harpin, E.,
Leff, J.P., Hutchinson, W., Ryan, P. & Stoute, M. (1978). Social skill
training for schizophrenic patients and their families. (unpublished
manuscript cited by Barrowclough & Tarrier, 1984).
Liem, J. H. (1980). Family studies of schizophrenia: An update commentary.
Schizophrenia Bull, 429-455.
Luber, R. F., & Anderson, C. M. (1983). Family intervention with psychiatric
patients. New York: Human Sciences Press, Inc.
MacMillan, J. F., Gold, A. & Crow, T. J. (1986). The northwick park study of
first episode of schizophrenia. British Journal of Psychiatry, 148, 133-143.
Magana, A., Goldstein, M., & Karno, M. (1986). A brief method for assessing
emotion in relatives of psychiatric patients. Psychiatric Research, 17, 203-
212.
Mari, J. D. J., & Streiner, D. L. (1994). An overview of family interventions
and relapse on schizophrenia: meta-analysis of research findings. Psychological
Medicine, 24, 567-578.
Marsh, D. T. (1992). Families and mental illness: new directions in
professional practice. New York: Praeger.
Miklowitz, D. J., Goldstein, M. J., Doane, J., A., Nuechterlein, K. H.,
Strachan, A. M., Snyder, K. S., & MaganaAmato, A. B. (1989). Is expressed
emotion an index of a transactional process?I. Parents’ affective style.
Family process, 28, 153-167.
Miklowitz, D. J., Goldstein, M. J., Falloon, I. R. H., & Doane, J. A. (1984).
Interactional correlates of expressed emotion in the families of schizophrenics
. British Journal of Psychiatry, 144, 482-487.
Miklowitz, D. J., Strachan, A. M., Goldstein, M. J., Doane, J. A., Snyder, K.
S., Hogarty, G. E., & Falloon, I. R. H.(1986). Express emotion and
communication deviance in the families of schizophrenics. Journal of Abnormal
Psychology, 95(1), 60-66.
Miklowitz, D.J., Goldstein, M.J., & Nuechterlein, K.H. (1988). Family factors
and the course of bipolar affective disorder. Archives of General Psychiatry,
45(3), 225-31.
Mueser, K. T., & Glynn, S. M. (1995). Behavioral family therapy for psychiatric
disorders. Massachusetts: Allyn & Bacon.
Mueser, K. T., Bellack, A. S., Wade, J. H., Sayers, S. L., Tierney, A., &
Haas, G. (1993). Expressed emotion, social skill, and response to negative
affect in schizophrenia. Journal of Abnormal Psychology, 102(3), 339-351.
Napier, R. W., & Gershenfeld M. K. (1981). Groups theory and Expercience.
Boston: Hounghton Mifflin Company
Nugter, A., Dingemans, P. Willem, J. Van der Des., Linszen, D., & Gersons, B. (
1997). Family treatment, expressed emotion and relapse in recent onset
schizophrenia. Psychiatry, 72, 23-31.
Otsuka, T., Nakane, Y., & Ohta, Y. (1994). Symptoms and social adjustment of
schizophrenic patients as evaluated by family members. Acta Psychiatrica
Scandinavica, 89(2), 111-116.
Parker, G., Johnson, P., & Hayward, L. (1988). Parental `expressed emotion' as
a predictor of schizophrenia relapse. Archives of General Psychiatry, 45, 806-
813.
Perlmutter, R. A. (1996). A family approach to psychiatric disorders.
Washington, DC: American Psychiatric Press, Inc.
Rund, Br., Oie, M., Borchgrevink, Ts., & Fjell, A. (1995). Expressed emotion,
communication deviance and schizophrenia. An exploratory study of relationship
between two family variables and the course and outcome of a psychoeducational
treatment programme. Psychopathology, 28(4), 22-27.
Singer, M. T., & Wynne, L. C. (1965). Thought disorder and family relations of
schizophrenics: Methodology projective techniques. Archives of General
Psychiatry, 12, 187-200.
Singer, M., & Wynne, L. (1965). Thought disorder and family relations of
schizophrenics. IV. Results and implications. Archives of General Psychiatry,
12, 201-212.
Smith, J. V., Birchwood, M., Cochrane, R., & George, S. (1993). The needs of
high and low expressed emotion families: a normative approach. Social
Psychiatry & Psychiatric Epidemiology, 28(1), 11-6.
Squyres, W. D. (1985). Patient education and health promotion in medical care.
California: Mayfield Publishing Company.
Strachan, A. M., Leff, J. P., Goldstein, M. J., Doane J. A. , & Burtt C. (
1986). Emotional attitudes and direct communication in the families of
schizophrenics: A cross-national replication. British Journal of Psychiatry,
149, 279-287.
Tarrier, N., Barrowclough, C., Vaughin, C., Bamrah, J. S., Porceddu, K.,
Watts, S., & Freeman, H. L. (1988). The community management of schizophrenia:
a controlled trial of a behavioral intervention with families to reduce
relapse. British, Journal of Psychiatry, 153, 532-542.
Thompson, L, Lobb C., Elling, R., Herman, S., Jurkiewicz, T., & Hulleza, C. (
1997). Pathways to family empowerment: effects of family-centered delivery of
early intervention services. Exceptional Children, 64(1), 99-113.
Vaughn, C. E., & Leff, J. (1976a). The influence of family and social factors
on the course of psychiatric illness. British Journal of Psychiatry, 129, 125-
137.
Vaughn, C. E., & Leff, J. (1976b). The measurement of expressed emotion in the
families of psychiatric patients. British Journal of Social and Clinical
Psychology, 15, 157-165.
Vaughn, C. E., Snyder, K. S., Freeman W., Jones S. Falloon, I. R., & Liberman,
R. P.(1982) .Family factors in schizophrenic relapse: a replication.
Schizophrenia Bulletin, 8(2), 425-426.
Vaughn, C. E., Snyder, K. S. Jones, S., Freeman, W. B. & Falloon, I. R. H. (
1984). Family factors in schizophrenic relapse: replication in California of
British research in Expressed Emotion . Archives of General Psychiatry
Research, 41, 1169-1177.
Vaughn, C. E., (1989). Annotation: Expressed emotion in family relationships.
Journal of Child Psychology and psychiatry, 30, 13-22.
Walsh, M. (1982). Family in pain. New York.
Wen, Jung-Kwang (1989). A piolt study of expressed emotion of relatives of
patients with schizophrenia in Taiwan. Chinese Psychiatry, 3(1), 124-137.
Wig, N. N., Menon, D.K., & Bedi, H et al . (1987). The distribution of
expressed emotion components among relatives of schizophrenic patient in
Aarhus and Chandigarh. British Journal of Psychiatry, 157, 160-165.
Wynne, L., & Singer, M. (1963). Thought disorder in a family relations of
schizophrenics. I: A research strategy. Archives of General psychiatry, 9, 191-
198.
Wynne, L. C. (1981). Current concepts about schizophrenia and family
relationship. Journal of Nervous and Mental Disease, 169, 82-89.