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EXPRESSED EMOTION - SOCIAL PSYCH EXPLANATION OF SZ - Coggle Diagram
EXPRESSED EMOTION - SOCIAL PSYCH EXPLANATION OF SZ
EE
Expressed emotion refers to the way caregivers and loved ones express their attitudes towards a person with a mental health disorder
High EE
indicates feelings are demonstrated in negative ways
Low EE
suggests a more balanced compassionate approach
There are 5 components of EE:
Critical comments:
negative statements about the person living with schizoprenia
Hostility:
anger, aggression, or irritation toward that person
Emotional over-involvment:
praticing excessive self-sacrificing behaviours
Warmth:
showing empathy, kindness and compassion
Positive regard:
making supportive statements and show appreciation for the person living with schizophrenia
HIGH EE
Physical aggression
Insulting language
Lack of understanding
Blaming/shaming/guilting
Resentment
Frustration/annoyance
LOW EE
Acceptance
Understanding
Unconditional love
Respect for boundaries and privacy
Willingness to help/being available
Encouraging autonomy
EVALUATION
SUPPORTING RESEARCH
Brown (1959)
investigated relapse rates of 156 men with schizophrenia and found that 58% of recovered schizophrenics who were discharged from hospital to homes with high expressed emotion relapsed and only 10% returning to low expressed
emotion homes did the same
Interviews conducted later with the wives and parents of individuals with schizophrenia suggested a link between the amount of expressed emotion and the likelihood of relapse
Vaughn and Leff (1976)
found that 53% of individuals with schizophrenia who had a high EE relative relapsed within 9 months, whereas only 12% of those with low EE relatives relapsed
McCreadie and Philips (1998)
failed to find higher subsequent 6 and 12 month relapse rates among individuals with schizophrenia living in high EE homes
REFUTING
SHARED GENES
Schizophrenia may be due to communication difficulties within shared family environments, it could be the product of the family's shared genes
Using a diathesis stress model it could be that family relationships may act as a psychological trigger that causes genetically vulnerable individuals to develop schizophrenia