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Principles and Results of Family Therapy in Schizophrenia

  • Kurt Hahlweg
  • Georg Wiedemann

Abstract

Long-term neuroleptic treatment has been shown to be effective in preventing relapse, but even with continuous medication, about 40% of patients relapse during the first year of discharge from the hospital compared with about 70% of patients taking placebo (Hogarty, 1984). The high rate of relapse has stimulated research on contributing factors: apart from medication non-compliance (Kissling, 1992), social stressors, in particular life events and/or a family environment high on “Expressed Emotion” (EE, Leff and Vaughn, 1985) seem to be important. High EE (HEE) relatives emit more than six critical comments during the semistructured Camberwell Family Interview (CFI) and/or receive a rating of three or more in the “Emotional Overinvolvement” (EOI) scale. Otherwise, relatives are categorized as low on EE (LEE). The predictive validity of the EE rating has been investigated in about 27 studies worldwide resulting in a relapse rate nine months after discharge of 52% for patients living with a HEE relative in contrast to 22 % for patients living in a LEE family (Butzlaff and Hooley, 1998).

Keywords

Relapse Rate Schizophrenic Patient Family Therapy Brief Psychiatric Rate Scale Communication Skill Training 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer-Verlag Wien 2002

Authors and Affiliations

  • Kurt Hahlweg
  • Georg Wiedemann

There are no affiliations available

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