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.

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