Grunebaum H, Friedman H
Division of Family Psychotherapy Training, Cambridge Hospital, Massachusetts 02139.
Hosp Community Psychiatry. 1988 Nov;39(11):1183-7. doi: 10.1176/ps.39.11.1183.
Studies of the expressed emotion construct have demonstrated that educational programs aimed at helping families deal with a mentally ill member can reduce patient relapse rates and improve family coping. The authors describe a clinical approach to family psychoeducation focused on building collaborative relationships with mental health professionals. The approach is based on the assumption that family education will benefit the patient, but any implication that the family is to blame for the patient's illness is studiously avoided. Five tasks that must be addressed in beginning work with families of the mentally ill are discussed. They are ensuring that the family has a chance to be heard, imparting information, helping the family deal with the feelings engendered by the patient's illness, identifying the family's coping patterns, and helping the family face the ethical and existential conflict between their own needs and those of the patient.
对表达性情绪结构的研究表明，旨在帮助家庭应对患有精神疾病成员的教育项目可以降低患者的复发率，并改善家庭应对能力。作者描述了一种以与心理健康专业人员建立合作关系为重点的家庭心理教育临床方法。该方法基于这样一种假设，即家庭教育将使患者受益，但会刻意避免任何暗示家庭应对患者疾病负责的说法。文中讨论了在开始与患有精神疾病患者的家庭合作时必须解决的五项任务。它们是确保家庭有机会被倾听、传授信息、帮助家庭应对患者疾病引发的情绪、识别家庭的应对模式，以及帮助家庭面对自身需求与患者需求之间的伦理和生存冲突。
