[Role of familial therapies in the treatment of schizophrenia].
A number of factors restrict the use of family therapies when dealing with a schizophrenic patient. These therapies may be of psychoanalytic or systemic inspiration. Bateson and the team of Palo Alto were the first to formalize the rules of functioning of the familial systems, in stressing particularly the circularity and the alternance between the homeostatic and the transformation phases. The distinction between the two communication levels--digital and analogic--allowed Bateson to describe the double bond. The double bind is however a theoretical concept, which use should be carefully weighed. In a schizophrenic family, these rules are often utilized as a shield against change. This is also the case concerning the familial myth. The schizophrenic family presents various characteristics: it is usually rigid, presents chaotic transactions, has a fusional functioning with an insufficient separation between the various generations. There often is a triangulation of a child in the aim for the parents to resolve their marital conflicts. The time for consultation in a schizophrenic family is more often at a key moment of the familial vital cycle than at the time of a family crisis. The therapeutic modalities are numerous, from a simple interview with the relatives of the schizophrenic child to the structured family therapies. The aims of the therapy may also seem diversified: disappearance of symptoms, restructuration of the relationships inside the couple or the family.(ABSTRACT TRUNCATED AT 250 WORDS)
Spadone
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Psychiatre des Hôpitaux, Service Hospitalo-Universitaire de Santé Mentale et de Thérapeutique, Centre Hospitalier Sainte-Anne, Paris.
D005190:Family / Q000523:psychology*; D005196:Family Therapy; D006801:Humans; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology
Place des thérapies familiales dans le traitement des schizophrénies.