Greenley J R
J Nerv Ment Dis. 1986 Jan;174(1):24-30. doi: 10.1097/00005053-198601000-00004.
Research shows a higher risk of relapse among schizophrenics in high "expressed emotion" families. In this paper, the measure called "expressed emotion" is conceptualized as an indicator of family attempts to socially control the schizophrenic person's behavior in a particular way. This social control conceptualization is supported by a review of the type of information in the measure. Hypotheses following from this view are examined to assess the construct validity of the measure conceptualized as a type of social control. First, attempts at control are hypothesized to be ways anxious and fearful families try to cope. Second, the family's recognition of the schizophrenic's problem as mental illness is hypothesized to reduce the fearful and anxious family's likelihood of an intense interpersonal social control coping response. This type of social control of involuntary illness behaviors would be abandoned as unjust and unlikely to be effective. Data from the pioneering 1972 study by Brown, Birley, and Wing (Br. J. Psychiatry 121:241-258) provide support for these hypotheses and thus provide support for this social control conceptualization.
研究表明，在“情感表达过度”的家庭中，精神分裂症患者复发的风险更高。在本文中，被称为“情感表达过度”的测量指标被概念化为家庭试图以特定方式对精神分裂症患者行为进行社会控制的一个指标。对该测量指标中信息类型的回顾支持了这种社会控制的概念化。基于这一观点的假设被检验，以评估作为一种社会控制类型概念化的测量指标的结构效度。首先，控制尝试被假设为焦虑和恐惧的家庭试图应对的方式。其次，家庭将精神分裂症患者的问题识别为精神疾病，这被假设会降低恐惧和焦虑的家庭做出强烈人际社会控制应对反应的可能性。这种对非自愿疾病行为的社会控制类型将被视为不公正且不太可能有效而被摒弃。布朗、伯利和温在1972年开创性研究（《英国精神病学杂志》121:241 - 258）中的数据为这些假设提供了支持，从而为这种社会控制概念化提供了支持。
