expressed emotions
TRANSCRIPT
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Expressed Emotions
Niharika Thakkar
M.A, N.E.T, MBPsS, Clinical Psychology
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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 ???
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Types
High Expressed Emotions
Low Expressed Emotions
Positive
Negative
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High Expressed Emotions
Hostile Negative comments Blaming Control of the illness or course Choosing not to get better Attribution of negative events Not caring
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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
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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
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Low Expressed Emotions
Reserved criticism
Limited expressed
Acceptance
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Measurement of EE
Camberwell Family Interview (CFI)
View of the patient
Non verbal communication
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Factors influencing EE
Education regarding the disorder
Acceptance
Socio-cultural factors
External; not internal
Gender
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Cultural Influences
Indian Context Parenting Styles Family Religion Peer relations
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Relapse of Illness
Coping Break down
Relapse
Illness
High EE
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Relapse
Trapped Dependent Outsider because of the excessive attention
received Stress Hard to stop criticism once it has started Cycle of rehabilitation and relapse
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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.
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THANK YOU