Family free-play interaction: the role of the patient in the family interaction.

We have discussed the salient features of the family interaction in the free-play situation: the high rate of interaction with the child and general predominance of parental initiations in the parent-child interaction, the high correlation among all dyads on warmth. This led to the selection of three variables for study: rate of patient-child interaction, proportion of parental initiations to the child, and family warmth. There are major age changes: rate and proportion both decline with age. The patient's rate of interaction with the child and his proportion of interaction is lower than the spouse's rate. This holds for the 4- and 10-year-olds separately. We have tried to account for its reversal in the 7-year-old sample. Nonpsychotic patients have a higher rate of interaction, higher proportion of interactions, and higher family warmth than psychotics. Affectivity shows no relationship to these variables. Patients with a low global assessment score have lower rates, lower proportion, and less warmth than patients with a higher score. Patients who have been recently hospitalized have a lower rate of interactions with their sons than those who have been hospitalized longer.