Expressed emotion: Conceptual, clinical, and social policy issues

H. P. Lefley

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Research on schizophrenia has suggested an association between relapse of patients and high expressed emotion (EE), defined as criticism, hostility, or emotional overinvolvement of at least one family member. In international studies, however, the majority of families of persons with schizophrenia demonstrate low expressed emotion. These families are described as empathic, calm, and respectful by EE researchers, who also reject the idea of family schizophrenogenesis. The author discusses expressed emotion as a construct, its validity and stability over time, and the direction of the relationship between relatives' expressed emotion and patients' symptoms and behavior. She reviews studies indicating significant differences in levels of expressed emotion across cultures, examines the social policy implications of programming based on the construct, and suggests research on EE analogues in clinical and rehabilitative environments.

Original languageEnglish
Pages (from-to)591-598
Number of pages8
JournalHospital and Community Psychiatry
Volume43
Issue number6
StatePublished - Jan 1 1992
Externally publishedYes

Fingerprint

Expressed Emotion
Public Policy
Schizophrenia
Hostility
Research
Research Personnel
Recurrence

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Expressed emotion : Conceptual, clinical, and social policy issues. / Lefley, H. P.

In: Hospital and Community Psychiatry, Vol. 43, No. 6, 01.01.1992, p. 591-598.

Research output: Contribution to journalArticle

@article{18f08af789b34dc1ad0b37769926c9d4,
title = "Expressed emotion: Conceptual, clinical, and social policy issues",
abstract = "Research on schizophrenia has suggested an association between relapse of patients and high expressed emotion (EE), defined as criticism, hostility, or emotional overinvolvement of at least one family member. In international studies, however, the majority of families of persons with schizophrenia demonstrate low expressed emotion. These families are described as empathic, calm, and respectful by EE researchers, who also reject the idea of family schizophrenogenesis. The author discusses expressed emotion as a construct, its validity and stability over time, and the direction of the relationship between relatives' expressed emotion and patients' symptoms and behavior. She reviews studies indicating significant differences in levels of expressed emotion across cultures, examines the social policy implications of programming based on the construct, and suggests research on EE analogues in clinical and rehabilitative environments.",
author = "Lefley, {H. P.}",
year = "1992",
month = "1",
day = "1",
language = "English",
volume = "43",
pages = "591--598",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "American Psychiatric Association",
number = "6",

}

TY - JOUR

T1 - Expressed emotion

T2 - Conceptual, clinical, and social policy issues

AU - Lefley, H. P.

PY - 1992/1/1

Y1 - 1992/1/1

N2 - Research on schizophrenia has suggested an association between relapse of patients and high expressed emotion (EE), defined as criticism, hostility, or emotional overinvolvement of at least one family member. In international studies, however, the majority of families of persons with schizophrenia demonstrate low expressed emotion. These families are described as empathic, calm, and respectful by EE researchers, who also reject the idea of family schizophrenogenesis. The author discusses expressed emotion as a construct, its validity and stability over time, and the direction of the relationship between relatives' expressed emotion and patients' symptoms and behavior. She reviews studies indicating significant differences in levels of expressed emotion across cultures, examines the social policy implications of programming based on the construct, and suggests research on EE analogues in clinical and rehabilitative environments.

AB - Research on schizophrenia has suggested an association between relapse of patients and high expressed emotion (EE), defined as criticism, hostility, or emotional overinvolvement of at least one family member. In international studies, however, the majority of families of persons with schizophrenia demonstrate low expressed emotion. These families are described as empathic, calm, and respectful by EE researchers, who also reject the idea of family schizophrenogenesis. The author discusses expressed emotion as a construct, its validity and stability over time, and the direction of the relationship between relatives' expressed emotion and patients' symptoms and behavior. She reviews studies indicating significant differences in levels of expressed emotion across cultures, examines the social policy implications of programming based on the construct, and suggests research on EE analogues in clinical and rehabilitative environments.

UR - http://www.scopus.com/inward/record.url?scp=0026648056&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026648056&partnerID=8YFLogxK

M3 - Article

C2 - 1601401

AN - SCOPUS:0026648056

VL - 43

SP - 591

EP - 598

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 6

ER -