Wynne L C
J Nerv Ment Dis. 1981 Feb;169(2):82-9. doi: 10.1097/00005053-198102000-00003.
This review notes that two new series of studies of the family relationships of schizophrenics are now emerging. One approach, giving special emphasis to the concept of communication deviance, examines family relationships in prospective longitudinal studies of children and adolescents who are at increased risk for later psychopathology, including schizophrenia. A second approach studies expressed emotion of key relatives as a predictor of subsequent course of illness in persons who already have been diagnosed as schizophrenic. A considerable diversity of methods for studying family relationships are now available, some with patient absent and some with the family members observed indirect interaction with one another. Implications for pathogenesis and treatment are discussed, as well as methodological and substantive problems requiring further investigation.
这篇综述指出，目前正在出现关于精神分裂症患者家庭关系的两个新的系列研究。一种方法特别强调沟通偏差的概念，在对包括精神分裂症在内的后期精神病理学风险增加的儿童和青少年的前瞻性纵向研究中考察家庭关系。第二种方法研究关键亲属的表达性情绪，将其作为已被诊断为精神分裂症患者后续病程的预测指标。现在有相当多种研究家庭关系的方法，有些是在患者不在场的情况下进行，有些则是观察家庭成员之间的间接互动。文中讨论了对发病机制和治疗的影响，以及需要进一步研究的方法学和实质性问题。
