expressed emotions
Post on 18-May-2015
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Expressed Emotions
Niharika Thakkar
M.A, N.E.T, MBPsS, Clinical Psychology
What are Expressed Emotions??
Qualitative measure of the 'amount' of emotion displayed- Family setting- Care takers- Relatives
How do relatives of a psychological patient express their attitude towards them while they are not present ???
Types
High Expressed Emotions
Low Expressed Emotions
Positive
Negative
High Expressed Emotions
Hostile Negative comments Blaming Control of the illness or course Choosing not to get better Attribution of negative events Not caring
High Expressed Emotions
Critical Combination of Hostility and Over-
Involvement Negative criticism Various other contributions of the illness
are viewed and accepted by the relatives
Don't care of patient’s independence or trust his judgment
Video
High Expressed Emotions
Over- Involvement Guilt : Families blame themselves for
everything Disorder is not in the control of the patient at
all Pity and Shame Overbearing; too protective Coping with their illness is difficult if too much
time is spent with the parent/spouse
Low Expressed Emotions
Reserved criticism
Limited expressed
Acceptance
Measurement of EE
Camberwell Family Interview (CFI)
View of the patient
Non verbal communication
Factors influencing EE
Education regarding the disorder
Acceptance
Socio-cultural factors
External; not internal
Gender
Cultural Influences
Indian Context Parenting Styles Family Religion Peer relations
Relapse of Illness
Coping Break down
Relapse
Illness
High EE
Relapse
Trapped Dependent Outsider because of the excessive attention
received Stress Hard to stop criticism once it has started Cycle of rehabilitation and relapse
Double Bind
Gregory Bateson in the 1950s
Dilemma in communication
Receives two or more conflicting messages
Successful response to one message results in a failed response to the other
For example, if your employer tells you to do a job, but doesn't allow enough time for you to do it, and you are in danger of losing your job if you question the situation, you are in a double bind.
THANK YOU
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