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‘Psychosocial’ interventions with families and their effects on the course of schizophrenia: a review

Published online by Cambridge University Press:  09 July 2009

Christine Barrowclough  and
Nicholas Tarrier
Christine Barrowclough*
Affiliation:
District Psychology Department, Salford Health Authority, Prestwich Hospital, Manchester
Nicholas Tarrier
Affiliation:
District Psychology Department, Salford Health Authority, Prestwich Hospital, Manchester
*
1Address for correspondence: Ms Christine Barrowclough, District Psychology Department, Salford Health Authority, Prestwich Hospital, Manchester.
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Synopsis

Recent interest in the way social factors influence the course of schizophrenia has led to attempts to monitor and manipulate these factors. The work on the Expressed Emotion of the relative has been especially influential in this area. A number of studies have now been conducted in which a psychosocial intervention has been employed in an attempt to prevent relapse after discharge from hospital. These studies are reviewed with an emphasis on their methodological adequacy and on the nature of the intervention used. Recent studies have demonstrated a positive result for psychosocial interventions used in combination with neuroleptic medication. However, analysis of these studies does not allow us to conclude that we can identify the ‘active ingredients’ in these psychosocial treatment regimes. Although there is cause for optimism, further investigation is required.

Type
Research Article
Information
Psychological Medicine , Volume 14 , Issue 3 , August 1984 , pp. 629 - 642
Copyright
Copyright © Cambridge University Press 1984

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References

REFERENCES

Anderson, C. M., Hogarty, G. & Reiss, D. J. (1980). Family treatment of adult schizophrenic patients: a psychoeducational approach. Schizophrenia Bulletin 6, 490–505.CrossRefGoogle Scholar
Anderson, C. M., Hogarty, G. & Reiss, D. J. (1981). The psycho-educational family treatment of schizophrenia. In New Developments in Intervention with Families of Schizophrenics (ed. Goldstein, M. J.), pp. 79–94. Jossey-Bass: San Francisco.Google Scholar
Bandura, A. (1977). Social Learning Theory. Prentice-Hall: Engle-wood Cliffs, NJ.Google Scholar
Berkowitz, R., Kuipers, L., Eberlein-Frief, R. & Leff, J. (1981). Lowering expressed emotion in relatives of schizophrenics. In New Developments in Intervention with Families of Schizophrenics (ed. Goldstein, M. J.), pp. 27–48. Jossey-Bass: San Francisco.Google Scholar
Birley, J. L. T. & Brown, G. W. (1970). Crises and life changes preceding the onset or relapse of acute schizophrenia: clinical aspects. British Journal of Psychiatry 116, 327–333.CrossRefGoogle ScholarPubMed
Brown, G. W. & Birley, J. L. T. (1968). Crises and life changes and the onset of schizophrenia. Journal of Health and Social Behaviour 9, 203–214.CrossRefGoogle ScholarPubMed
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972). Influence of family life on the course of schizophrenic disorder. British Journal of Psychiatry 121, 241–258.CrossRefGoogle Scholar
Bruner, J. S. (1966). Toward a Theory of Instruction. W. W. Norton: New York.Google Scholar
Cheek, F. E., Laucius, J., Mahnoke, M. & Beck, R. (1971). A behaviour modification training programme for parents of convalescent schizophrenics. In Advances in Behaviour Therapy, Vol. 3 (ed. Rubin, R.), pp. 211–233. Academic Press: New York.Google Scholar
Cullen, C. (1983). Implications of functional analysis. British Journal of Clinical Psychology 22, 137–138.CrossRefGoogle ScholarPubMed
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 schizophrenic spectrum disorders in vulnerable adolescents. Archives of General Psychiatry 38, 679–685.CrossRefGoogle ScholarPubMed
Evans, J. R., Goldstein, M. J. & Rodnick, E. H. (1973). Premorbid adjustment, paranoid diagnosis and remission in acute schizophrenics treated in a community mental health centre. Archives of General Psychiatry 28, 666–672.CrossRefGoogle Scholar
Falloon, I. R. H. (1984). Family Management of Mental Illness: A Study of Clinical Social and Family Benefits. Johns Hopkins University Press: Baltimore.Google Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., Strang, J. S. & Moss, H. B. (1981 a). Family management training in the community care of schizophrenia. In New Developments in Intervention with Families of Schizophrenics (ed. Goldstein, M. J.), pp. 61–78. Jossey-Bass: San Francisco.Google Scholar
Falloon, I. R. H., Liberman, R. P., Lillie, F. & Vaughn, C. (1981 b). Family therapy of schizophrenics with high risk of relapse. Family Process 20, 211–221.CrossRefGoogle ScholarPubMed
Falloon, I. R. H., Boyd, J. L., McGill, C. W., Razani, J., Moss, H. & Cilerman, N. (1982). Family management in the prevention of exacerbations of schizophrenia. New England Journal of Medicine 306, 1437–1440.CrossRefGoogle ScholarPubMed
Goldberg, S. C., Schooler, N., Hogarty, G. & Roper, M. (1977) Prediction of relapse in schizophrenia outpatients treated by drug and sociotherapy. Archives of General Psychiatry 34, 171–184.CrossRefGoogle ScholarPubMed
Goldiamond, I. (1974). Towards a constructional approach to social problems. Ethical and constitutional issues raised by applied behaviour analysis. Behaviourism 2, 1–84.Google Scholar
Goldstein, M. J. & Kopeikin, H. S. (1981). Short and long term effects of combining drug and family therapy. In New Developments in Intervention with Families of Schizophrenics (ed. Goldstein, M. J.), pp. 5–26. Jossey-Bass: San Francisco.Google Scholar
Goldstein, M. J., Rodnick, E. H., Evans, J. R., May, P. R. A. & Steinberg, M. R. (1978). Drug and family therapy in the aftercare of acute schizophrenics. Archives of General Psychiatry 35, 1169–1177.CrossRefGoogle ScholarPubMed
Hersen, M. & Barlow, D. H. (1976). Single-case Experimental Designs: Strategies for Studying Behaviour Change. Pergamon: New York.Google Scholar
Hogarty, G. & Ulrich, R. F. (1977). Temporal effects of drug and placebo in delaying relapse in schizophrenic outpatients. Archives of General Psychiatry 34, 297–301.CrossRefGoogle ScholarPubMed
Hogarty, G., Goldberg, S. & Collaborative Study Group (1973). Drug and sociotherapy in the aftercare of schizophrenic patients. Archives of General Psychiatry 28, 54–64.CrossRefGoogle ScholarPubMed
Hogarty, G., Goldberg, S., Schooler, N. R., Ulrich, R. F. & Collaborative Study Group (1974 a). Drug and sociotherapy in the aftercare of schizophrenic patients: II. Two-year relapse rates Archives of General Psychiatry 31, 603–608.CrossRefGoogle ScholarPubMed
Hogarty, G., Goldberg, S., Schooler, N. R. & Collaborative Study Group (1974 b). Drug and sociotherapy in the aftercare of schizophrenic patients: III. Adjustment of non-relapsed patients. Archives of General Psychiatry 31, 609–618.CrossRefGoogle Scholar
Hogarty, G., Ulrich, R., Goldberg, S., & Schooler, N. R. (1976). Sociotherapy and the prevention of relapse among schizophrenic patients: an artifact of drug? In Evaluation of Psychological Therapies (ed. Spitzer, R. L. and Klein, D. F.), pp. 285–293. Johns Hopkins University Press: Baltimore.Google Scholar
Hogarty, G., Schooler, N. R., Ulrich, R., Mussare, F., Ferro, P. & Herron, E. (1979). Fluphenazine and social therapy in the aftercare of schizophrenic patients. Archives of General Psychiatry 36, 1283–1294.CrossRefGoogle ScholarPubMed
Hudson, B. L. (1975). A behaviour modification project with chronic schizophrenics in the community. Behaviour Research and Therapy 13, 339–341.CrossRefGoogle ScholarPubMed
Hudson, B. L. (1978). Behavioural social work with schizophrenic patients in the community. British Journal of Social Work 8, 159–170.Google Scholar
Jacobson, N. S. & Baucom, D. H. (1977). Design and assessment of non-specific control groups in behaviour modification research. Behaviour Therapy 8, 709–719.CrossRefGoogle Scholar
Johnson, D. A. W. (1976). The duration of maintenance therapy in chronic schizophrenia. Acta Psychiatrica Scandinavica 53, 298–301.CrossRefGoogle ScholarPubMed
Kazdin, A. E. & Wilcoxon, L. A. (1976). Systematic desensitization and non-specific treatment effects: a methodological evaluation. Psychological Bulletin 83, 729–758.CrossRefGoogle Scholar
Kazdin, A. E. & Wilson, G. T. (1978). Evaluation of Behaviour Therapy: Issues, Evidence and Research Strategies. Ballinger: Cambridge, Mass.Google Scholar
Klein, D. F. (1980). Psychosocial treatment of schizophrenia or psychosocial help for people with schizophrenia. Schizophrenia Bulletin 6, 122–130.CrossRefGoogle ScholarPubMed
Krawiecka, M. Z., Goldberg, D. & Vaughan, M. (1977). A standardized psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatrica Scandinavica 55, 299–308.CrossRefGoogle ScholarPubMed
Kuipers, L. (1979). Expressed emotion: a review. British Journal of Social and Clinical Psychology 18, 237–244.CrossRefGoogle ScholarPubMed
Lancet (1982). Editorial: Schizophrenic relapse and social environment: iii, 1080–1081.Google Scholar
Leff, J. P. (1981). Clinical and methodological problems in interaction studies. In Epidemiological Impact of Psychotropic Drugs (ed. Tognoni, G., Bellantuono, C. and Lader, M.). Elsevier: Amsterdam.Google Scholar
Leff, J. P. & Vaughn, C. (1981). The role of maintenance therapy and relatives' expressed emotion in relapse of schizophrenia: a two-year follow up. British Journal of Psychiatry 139, 102–104.CrossRefGoogle ScholarPubMed
Leff, J. P. & Wing, J. K. (1971). Trial of maintenance therapy in schizophrenia. British Medical Journal iii, 599–604.CrossRefGoogle Scholar
Leff, J. P., Kuipers, L., Berkowitz, R., Eberlein Vries, R. & Sturgeon, D. (1982). A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry 141, 121–134.CrossRefGoogle ScholarPubMed
Ley, P. (1982). Satisfaction, compliance and communication. British Journal of Clinical Psychology 21, 241–254.CrossRefGoogle ScholarPubMed
Liberman, R. P., King, L. W., Derisi, W. J. & McCann, M. (1975). Personal Effectiveness. Research Press: Champaign, III.Google Scholar
Liberman, R. P., Lillie, F., Falloon, I. R. H., Vaughn, C. E., Harpin, E., Leff, J. P., Hutchinson, W., Ryan, P. & Stoute, M. (1978). Social skills training for schizophrenic patients and their families. Unpublished manuscript cited by Wallace et al. (1980).Google Scholar
Liberman, R. P., Wallace, C. J.Falloon, I. R. H. & Vaughn, C. E. (1981). Interpersonal problem-solving therapy for schizophrenics and their families. Comprehensive Psychiatry 22, 627–630.CrossRefGoogle ScholarPubMed
Mosher, L. R. & Keith, S. J. (1980). Psychosocial treatment: individual, group, family and community support approaches. Schizophrenia Bulletin 6, 10–41.CrossRefGoogle ScholarPubMed
Neale, J. M. & Oltmanns, T. F. (1980). Schizophrenia. John Wiley & Sons: New York.Google Scholar
O'leary, K. D. & Borkovec, T. D. (1978). Conceptual methodological and ethical problems of placebo groups in psychotherapy research. American Psychologist 09, 821–830.CrossRefGoogle ScholarPubMed
Owens, R. C. & Ashcroft, J. B. (1982). Functional analysis in applied psychology. British Journal of Clinical Psychology 21, 181–189.CrossRefGoogle ScholarPubMed
Snyder, K. S. & Liberman, R. P. (1981). Family assessment and intervention with schizophrenics as risk for relapse. In New Developments in Intervention with Families of Schizophrenics (ed. Goldstein, M.J.), pp. 49–60. Jossey-Bass: San Francisco.Google Scholar
Strang, J. S., Falloon, I. R. H., Moss, H. B., Razani, J. & Boyd, J. (1981). Drug treatment and family intervention during the aftercare treatment of schizophrenia. Psychopharmacology Bulletin 17, 87–88.Google Scholar
Strodbeck, F. L. (1954). The family as a three-person group. American Sociological Review 19, 23–29.CrossRefGoogle Scholar
Sturgeon, D., Kuipers, L., Berkowitz, R., Turpin, G. & Leff, J. P. (1981). Psychophysiological responses of schizophrenic patients to high and low expressed emotion relatives. British Journal of Psychiatry 138, 40–45.CrossRefGoogle ScholarPubMed
Tarrier, N., Vaughn, C., Lader, M. H. & Leff, J. P. (1979). Bodily reactions to people and events in schizophrenia. Archives of General Psychiatry 36, 311–315.CrossRefGoogle Scholar
Vaughn, C. & Leff, J. P. (1976). The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry 129, 125–137.CrossRefGoogle ScholarPubMed
Vaughn, C., Snyder, K. S., Freeman, W., Jones, F., Falloon, I. R. H. & Liberman, R. P. (1982). Family factors in schizophrenic relapse. Schizophrenia Bulletin 8, 425–426.CrossRefGoogle ScholarPubMed
Wallace, C. J., Nelson, C. J., Liberman, R. P., Aitchison, R. A., Lukoff, D., Elder, J. P. & Ferris, C. (1980). A review and critique of social skills training with schizophrenic patients. Schizophrenia Bulletin 6, 42–63.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar