Holte A, Wichström L
Department of Behavioural Sciences in Medicine, University of Oslo, Norway.
Acta Psychiatr Scand. 1990 May;81(5):477-82. doi: 10.1111/j.1600-0447.1990.tb05485.x.
Two studies are reported measuring feedback mechanism in 10,771 communication acts in families of schizophrenics, nonschizophrenics within the range of schizophrenia spectrum disorders, and healthy offspring, using the Confirmation-Disconfirmation Coding System (CONDIS). Couples were observed in interaction with their offspring in situations provoking disagreement using the Colour Conflict Method (CCM) (n = 21), and alone during collaboration (n = 21) using the Consensus Spouse-Rorschach Method, respectively. The main categories of confirmatory and disconfirmatory feedback showed cross-situational stability, whereas subcategories such as egocentric utterances and active disqualification of others varied across situations and gave predicted differential deficits in S-parents. In 8 of 14 analyses, parents of pathological controls came out similar to normals or between normals and schizophrenics. The results supported the construct validity of CONDIS. Feedback mechanisms in parental communication were associated with schizophrenic traits in the offspring, incomprehensible egocentric utterances and active disqualification of others with schizophrenia.
报告了两项研究，使用确认-证伪编码系统（CONDIS），对精神分裂症患者家庭、精神分裂症谱系障碍范围内的非精神分裂症患者家庭以及健康后代家庭中的10771次沟通行为的反馈机制进行了测量。分别使用颜色冲突法（CCM）（n = 21）在引发分歧的情境中观察夫妻与后代的互动，以及使用配偶罗夏共识法在合作期间单独观察夫妻（n = 21）。确认性和证伪性反馈的主要类别表现出跨情境稳定性，而以自我为中心的言语和对他人的主动否定等子类别在不同情境中有所不同，并在精神分裂症患者的父母中呈现出预测的差异缺陷。在14项分析中的8项中，病理对照组的父母表现与正常人相似，或介于正常人和精神分裂症患者之间。结果支持了CONDIS的结构效度。父母沟通中的反馈机制与后代的精神分裂症特征、难以理解的以自我为中心的言语以及精神分裂症患者对他人的主动否定有关。
