Parental Patterns of Affective Style and the Development of Schizophrenia Spectrum Disorders

Measures of parental affective style of communication, based on direct family discussions, were obtained for a sample of 52 families of disturbed but nonpsychotic adolescents. When the variations of both parents on the measure for two different measurement contexts were combined, an accurate prediction of subsequent psychiatric status at follow-up occurred. Adolescents with at least one parent who consistently displayed a pathological affective style of communication in both a dyadic and triadic discussion developed schizophrenia-spectrum disorders as young adults. Conversely, adolescents with at least one parent who was consistently benign in affective style had healthier outcomes. Finally, more serious young adult psychopathology was noted where both parents were inconsistent in their affective style from dyadic to triadic interaction. Methodological implications for family interaction research are discussed.     

Parental Communication Deviance as a Predictor of Competence in Children at Risk for Adult Psychiatric Disorder

Measures of communication deviance derived from three different Rorschach situations were obtained from parents of 62 children vulnerable to future psychiatric disturbance. The families were maritally intact, with one parent having a history of previous psychiatric hospitalization and a male index child, 7 or 10 years of age. Amount of parental communication deviance in one situation was not significantly related to amount of communication deviance observed in another setting. However, mothers who exhibited high levels of communication deviance in both the Individual and Family Consensus situations tended to have offspring who were judged as low functioning in multiple settings, based on teacher ratings, peer ratings, and parental report. Conversely, children judged as high functioning in multiple settings had mothers who were free of high levels of communication deviance in both Rorschach situations.     

Questions of Strategy: Rejoinder to Jacob and Grounds

Perhaps the best way to respond to Jacob and Grounds' critique is to focus on the more important issues they raise and to clarify some of the apparent confusion. It seems there are several general classes of criticism that Jacob and Grounds have offered: arbitrariness in selection of studies, inconsistency in reporting findings, inaccuracies in the data reported, and an overly favorable conclusion with respect to the communication deviance literature. Each of these issues will be dealt with here, using as many specific illustrations and examples as space permits.     

Is Expressed Emotion an Index of a Transactional Process? I. Parents' Affective Style

The degree to which expressed emotion (EE) attitudes in key relatives reflect ongoing transactional processes in families is a topic of controversy. The associations between EE attitudes, as measured during an acute hospitalization (using the Camberwell Family Interview) and during the aftercare period (using 5-minute speech samples), and interactional behavior in parents of recent-onset schizophrenics (this article) and in patients themselves (second article), were investigated. In the first study, EE attitudes manifested by parents during the aftercare period were stronger correlates of their interactional behaviors during the aftercare period than were EE attitudes measured during the inpatient period, despite the frequent correspondence between the two EE measures. The pattern of attitudes shown between the inpatient and outpatient periods also predicted transactional styles in parents during the outpatient period, findings not accounted for by clinical attributes of patients. When high-EE attitudes persist during the aftercare period and are reflected in transactional behaviors, the risk for subsequent patient relapse may be enhanced.