Family Dysfunction and Schizophrenia Development
This page explores the psychological explanations for schizophrenia, focusing on family dysfunction and its potential role in the development of the disorder. The concept of expressed emotion is introduced as a key factor in family dynamics that may influence schizophrenia.
The theory of the schizophrenogenic mother is presented, describing a maternal figure who is cold, rejecting, and controlling, creating a family environment characterized by tension and secrecy. This theory suggests that such an environment can lead to distrust that may later develop into schizophrenia.
Another important concept discussed is the double-bind theory, which emphasizes the importance of communication styles within the family. This theory proposes that confusing and contradictory messages can lead to a distorted understanding of the world, potentially contributing to symptoms such as disorganized thinking and paranoid delusions.
Definition: Expressed emotion refers to the level of emotion expressed towards a patient by their carers, including verbal criticism, hostility, and emotional overinvolvement.
Highlight: High levels of expressed emotion can cause serious stress for patients with schizophrenia and may trigger relapse or onset in vulnerable individuals.
The page also provides an evaluation of these psychological explanations:
- Research support: Some evidence suggests that family dysfunction may increase vulnerability to schizophrenia.
- Lack of specific support: While childhood family-based stress is associated with schizophrenia, there is limited evidence for specific theories like the schizophrenogenic mother or double-bind theory.
- Social sensitivity: Research linking family dysfunction to schizophrenia is highly sensitive due to the potential for parent-blaming.
Example: The concept of expressed emotion includes verbal criticism, hostility towards the patient (including anger and rejection), and emotional overinvolvement in the patient's life.