Skip to main content

Psychophysiological Evaluation of Verbal Interaction during Conversations between Psychotic Patients and their Relatives

  • Chapter
New Family Interventions and Associated Research in Psychiatric Disorders

Abstract

In the context of a vulnerability stress model of schizophrenic episodes (e.g., Zubin and Spring, 1977), behavioral events in communication such as negative attitudes in high Expressed Emotion (EE, Leff and Vaughn, 1985), negative Affective Style (AS, Doane et al., 1981) and high Communication Deviance (CD, Doane et al., 1982; Interactional Measure of CD, Velligan et al., 1990) are conceived of as specific stressors which interfere with the patients’ ability to adapt to life outside the confines of the hospital. Numerous studies e.g. from the “Family Research Group” at University of California in Los Angeles (UCLA) have demonstrated this important relation between specific events during family communication and increased risk of relapse (see reviews by Goldstein, 1987; 1988; 1991).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Altorfer, A, Hirsbrunner, H.P., and Käsermann, M.L. (1990): Messung psychophysiologischer Variablen während Gesprächen: Die Quantifizierung des Pulsvolumengeschehens. Zeitschrift für Psychologie 198: 293–308

    PubMed  CAS  Google Scholar 

  • Altorfer, A, Käsennann, M.L., and Hirsbrunner, H.P. (1998): Arousal and communication I. Relationship between nonverbal behavioral and physiological indices of the stress response. Journal of Psychophysiology 12: 40–59

    Google Scholar 

  • Altorfer, A, Käsermann, M.L., and Hirsbrunner, H.P. (1991): Erhebung und Analyse des Fingerpulsvolumens auf der Basis einer quasi-kontinuierlichen Messung von Periode und Amplitude. Zeitschrift für Differentielle und Diagnostische Psychologie 12: 33–41

    Google Scholar 

  • American Psychiatric Association (1987): DSM-III-R: Diagnostic and statistical manual of mental disorders, 3rd revised ed. Washington, DC: American Psychiatric Association

    Google Scholar 

  • Bakeman, R. (1991): Analyzing categorical data. In: Studying interpersonal interaction (Montgomery, B.M. and Duck, S., eds.), pp. 255–274. New York: Guilford Press

    Google Scholar 

  • Doane, J.A., Jones, J.E., Fisher, L., Ritzler, B., Singer, M.T., and Wynne, L.C. (1982): Parental communication deviance as a predictor of competence in children at risk for adult psychiatric disorder. Family Process 21: 211–223

    Article  PubMed  CAS  Google Scholar 

  • Doane, J.A., West, K.L., Goldstein, M.J., Rodnick, E.H., and Jones, J.E. (1981): Parental communication deviance and affective style: Predictors of subsequent schizophrenia spectrum disorders in vulnerable adolescents. Archives of General Psychiatry 38: 679–685

    Article  PubMed  CAS  Google Scholar 

  • Goldstein, M.J. (1991): Psychosocial nonpharmacological treatments for schizophrenia. In: American Psychiatric Press Review of Psychiatry. (Tasman, A., and Goldfinger, M., eds.). Vol. 10, pp. 116–135. Washington, DC: American Psychiatric Press

    Google Scholar 

  • Goldstein, M.J. (1988): The family and psychopathology. Annual Review of Psychology 39: 283–299

    Article  PubMed  CAS  Google Scholar 

  • Goldstein, M.J. (1987): The UCLA high-risk project. Schizophrenia Bulletin 13: 505–514

    PubMed  CAS  Google Scholar 

  • Grice, H.P. (1975): Logic and conversation. In: Syntax and semantics (Cole, P., and Morgan, J.L., eds.). Vol. 3: Speech acts, pp. 41–58. New York: Academic Press

    Google Scholar 

  • Jennings, J.R, and Wood, C.C. (1976): The e-adjustment procedure for repeated-measures analyses of variance. Psychophysiology 13: 277–278

    Article  PubMed  CAS  Google Scholar 

  • Jossen, S., Käsermann, M.L., Altorfer, A., Foppa, K, and Zimmermann, H. (2000). Pheripheral blood flow as an indicatior of activation. Behavior Research Methods, Instruments, and Computers 32: 47–55

    Article  PubMed  CAS  Google Scholar 

  • Käsermann, M.L. (1987): The analysis of dialogues with a schizophrenic patient. In: Neurotic and psychotic language behavior (van de Craen, P., and Wodak, R., eds.). pp. 277–303. Clevedon: Multilingual Matters

    Google Scholar 

  • Käsermann, M.L. (1986): Das Phänomen der sprachlichen Inkohärenz in Dialogen mit einem Schizophrenen. Sprache und Kognition 3: 111–126

    Google Scholar 

  • Käsermann, M.L. (1983): Form und Funktion schizophrener Sprachstörungen. Sprache und Kognition 3: 132–147

    Google Scholar 

  • Käsermann, M.L., Altorfer, A., Foppa, K., Jossen, S., and Zimmermann, H. (2000). Measuring emotionalization in everyday face-to-face communicative interaction. Behavior Research Methods, Instruments, and Computers 32: 33–46

    Article  PubMed  Google Scholar 

  • Käsermann, M.L., and Altorfer, A. (1994): Communicative stress and coping in schizophrenic and healthy persons. In: Past, present and future of Psychiatry, IX World Congress of Psychiatry (Beigel, A., Lopez Ibor, J.J., and Costa e Silva, J.A., eds.). pp. 451–455. Singapore: World Scientific Publishing

    Google Scholar 

  • Käsermann, M.L., and Altorfer, A. (1991): Was uns in Gesprächen aufregt. Störendes kommunikatives Verhalten und seine Wirkung auf den Gesprächspartner. In: Über die richtige Art, Psychologie zu betreiben (Grawe, K. Hänni, R. Semmer, N., and Tschan, F., eds.). pp. 343–356. Göttingen: Hogrefe

    Google Scholar 

  • Käsermann, M.L., and Altorfer, A. (1989): Family discourse: Situations differing in degree of stress and their physiological correlates. British Journal of Psychiatry 155(Suppl. 5): 136–143

    Google Scholar 

  • Lazarus, R.S., and Folkman, S. (1984): Stress, appraisal, and coping. New York: Springer

    Google Scholar 

  • Leff, J., and Vaughn, C.E. (1985): Expressed emotion in families. New York: Guilford Press

    Google Scholar 

  • Nuechterlein, K.H., and Dawson, M.E. (1984): A heuristic vulnerability/stress model of Schizophrenic episodes. Schizophrenia Bulletin 10: 300–312

    PubMed  CAS  Google Scholar 

  • Sacks, H., Schegloff, E.A., and Jefferson, G.A. (1974): A simplest systematics for the organization of turn-talking for conversation. Language 50: 696–735

    Article  Google Scholar 

  • Sturgeon, D., Turpin, G., Kuipers, L. Berkowitz, R., and Leff, J. (1984): Psychophysiological responses of schizophrenic patients to high and low expressed emotion relatives: A follow-up study. British Journal of Psychiatry 145: 62–69

    Article  PubMed  CAS  Google Scholar 

  • Tarrier, N., and Turpin, G. (1992): Psychosocial factors, arousal and schizophrenic relapse, the psychophysiological data. British Journal of Psychiatry 161: 3–11

    Article  PubMed  CAS  Google Scholar 

  • Velligan, D.I., Goldstein, M.J., Nuechterlein, K.H., Miklowitz, D.J., and Ranlett, G. (1990): Can communication deviance be measured in a family problem-solving interaction? Family Process 29: 213–226

    Article  PubMed  CAS  Google Scholar 

  • Wing, J.K., Cooper, J.E., and Sartorius, N. (1974): The measurement and classification of psychiatric symptoms: An instruction manual for the PSE and CATEGO program. Cambridge: Cambridge University Press

    Google Scholar 

  • Zubin, J., and Spring, B. (1977): Vulnerability: A new view of schizophrenia. Journal of Abnormal Psychology 86: 103–126

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2002 Springer-Verlag Wien

About this chapter

Cite this chapter

Altorfer, A., Käsermann, ML. (2002). Psychophysiological Evaluation of Verbal Interaction during Conversations between Psychotic Patients and their Relatives. In: Schaub, A. (eds) New Family Interventions and Associated Research in Psychiatric Disorders. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6148-7_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-6148-7_6

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-83700-9

  • Online ISBN: 978-3-7091-6148-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics