title: Working with the families of schizophrenic patients.
abstract: As schizophrenia is a heterogeneous condition with a variety of possible causes, it is sensible to combine biological and social treatment. Neuroleptic drugs give partial protection against environmental stress, but need to be supplemented. The programme developed on the basis of research on relatives' expressed emotion begins with education about schizophrenia for patients and relatives. Family sessions in the home are run in parallel with a relatives' group, and are aimed at improving communication, teaching problem-solving skills, lowering criticism and overinvolvement, reducing social contact between patient and relatives, expanding social networks, and lowering expectations. Individual work with the patient is often undertaken alongside the family sessions, and includes social-skills training, anxiety management, and a cognitive approach to persistent psychotic symptoms. Therapists take a central role in coordinating the variety of services needed by patient and relatives.
authors.affiliation: Social and Cultural Psychiatry, University of London.
authors.forename: J
authors.initials: J
authors.lastname: Leff
mesh_terms: D014150:Antipsychotic Agents / Q000009:adverse effects / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005196:Family Therapy / Q000379:methods*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D012008:Recurrence; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012931:Social Environment
chemical_list: D014150:Antipsychotic Agents