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Expressed Emotion and the Double-Bind: Communication of Specific Emotions in Schizophrenia
Unformatted Document Text:  Page 1 Expressed Emotion and the Double-Bind: Experience, Expression, and Communication of Specific Emotions in Schizophrenia and Comparison Samples Abstract The experience, expression, and communication of happiness, sadness, fear, anger, surprise, disgust, and pleasantness-unpleasantness were studied in Schizophrenia and Comparison samples using the slide-viewing technique. Results indicated the magnitude of differences between Schizophrenia and Comparison participants were reflected in the following mean effect sizes: self-reported emotional experience .18; other-reported emotional expression .26; emotion communication accuracy .42. Corresponding mean effect sizes for males only were .16, .19, and .34. Relative to Comparison participants, emotional experience and expression were slightly or moderately less appropriate in Schizophrenia participants, but communication accuracy was strongly different and uniformly lower. These findings suggest that the greater part of “inappropriate affect” in schizophrenia involves spontaneous emotional communication. This is discussed in relation to research on Expressed Emotion (EE) and the classic Double-Bind hypothesis (DBH), suggesting that specific sorts of manipulations of the environment of emotional communication in schizophrenia patients may have therapeutically beneficial effects.

Authors: Buck, Ross., Sheehan, Megan., Cartwright-Mills, Jacquie., Ray, Ipshita. and Ross, Elliott.
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Page 1
Expressed Emotion and the Double-Bind:
Experience, Expression, and Communication of Specific Emotions
in Schizophrenia and Comparison Samples
Abstract

The experience, expression, and communication of happiness, sadness, fear, anger,
surprise, disgust, and pleasantness-unpleasantness were studied in Schizophrenia and
Comparison samples using the slide-viewing technique. Results indicated the magnitude
of differences between Schizophrenia and Comparison participants were reflected in the
following mean effect sizes: self-reported emotional experience .18; other-reported
emotional expression .26; emotion communication accuracy .42. Corresponding mean
effect sizes for males only were .16, .19, and .34. Relative to Comparison participants,
emotional experience and expression were slightly or moderately less appropriate in
Schizophrenia participants, but communication accuracy was strongly different and
uniformly lower. These findings suggest that the greater part of “inappropriate affect” in
schizophrenia involves spontaneous emotional communication. This is discussed in
relation to research on Expressed Emotion (EE) and the classic Double-Bind hypothesis
(DBH), suggesting that specific sorts of manipulations of the environment of emotional
communication in schizophrenia patients may have therapeutically beneficial effects.


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