Expressed emotion and schizophrenia: the efficacy of a staff training programme

Willetts, Lucy; Leff, Julian

doi:10.1046/j.1365-2648.1997.00738.x

Cited by 36 publications

(35 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Further training in psychological models of psychosis and psychosocial interventions would help staff understand psychological assessment reports, psychological formulations and consultation regarding psychological approaches to interventions. However, any training would need to be supplemented with ongoing supervision and support if the skills acquired are to be maintained (Willetts & Leff, 1997).…”

Section: Discussionmentioning

confidence: 99%

Psychology services in psychiatric rehabilitation: Service user needs and staff perceptions

Berry¹

2007

Clin Psychology and Psychoth

View full text Add to dashboard Cite

There is limited access to specialist clinical psychology services in psychiatric rehabilitation. The paper describes a needs assessment that informed decisions about the most effective way to use available psychology resources. The psychological needs of 24 service users residing in three rehabilitation units were assessed using the Health of the Nation Outcome Scales. Managers and 12 members of staff were also interviewed to elicit their views about the psychologist's potential role. Across all services, there were high levels of unmet needs that could be addressed by psychological interventions. Psychological assessments would help identify which service users would benefit from interventions and should include neuropsychological measures. Staff also reported that they would benefit from consultation and training in psychological approaches. Although this way of working would increase access to psychological resources across the services, it would require commitment from managers towards psychological-orientated models of care.

show abstract

Section: Discussionmentioning

confidence: 99%

Psychology services in psychiatric rehabilitation: Service user needs and staff perceptions

Berry¹

2007

Clin Psychology and Psychoth

View full text Add to dashboard Cite

show abstract

“…There is evidence that critical views about patients with enduring and complex disorders can change with psychoeducational training input (Finnema 1996;Willetts 1997;Hazelton 2006). Specifically, attributions about the causes of behavioural problems are important in determining the emotional and behavioural responses of staff.…”

Section: Staff Motivations and Interestsmentioning

confidence: 99%

Personality disorder: its impact on staff and the role of supervision

Moore¹

2012

Adv. psychiatr. treat

View full text Add to dashboard Cite

SummaryOver the past decade attention to the provision of healthcare for individuals with personality disorder, particularly those who pose a risk to others, has substantially increased. Keeping pace with such developments with a suitably trained, consistent and motivated workforce, interfacing health and criminal justice systems where necessary, presents an enormous challenge. Staff must be experts in managing conflict at every level, while sustaining an optimistic and therapeutic orientation. Boundaried relationships provide the context for recovery for patients. Key principles and practices likely to promote resilience in personality disorder services, with a focus on the role of supervision, are outlined in order to support staff in keeping themselves afloat, their patients safe, and their services on target.

show abstract

“…Other studies have found one to two-thirds of their provider sample have high EE relationships (26,28). Front line providers in community care facilities often have prolonged and intense contact with consumers, to a limited extent replicating the stress of family life with mentally ill relatives.…”

Section: Ee Among Providersmentioning

confidence: 99%

Bridging the Gap: Using Microsociological Theory to Understand How Expressed Emotion Predicts Clinical Outcomes

Stanhope

Solomon

2007

Psychiatr Q

View full text Add to dashboard Cite

Research has shown that EE among families is a strong predictor of relapse for people with severe mental illness. Recent studies have also found the presence of EE in consumer-provider relationships. Despite high consistency in the findings related to EE and relapse, the concept has weak validity as little is known about how exactly it triggers relapse. Microsociological theory provides a framework with which to analyze social interaction and, more specifically, understand how interactions relate to the emotions of pride and shame. By identifying the components of interaction rituals, the theory provides insight into the key processes underlying EE and demonstrates how methodologies based on direct observation have the potential to measure EE with greater validity. This article describes how microsociological theory can be applied to the concept of expressed emotion (EE). Research has shown that EE among families is a strong predictor of relapse for people with severe mental illness. Recent studies have also found the presence of EE in consumerprovider relationships. Despite high consistency in the findings related to EE and relapse, the concept has weak validity as little is known about how exactly it triggers relapse.Microsociological theory provides a framework with which to analyze social interaction and, more specifically, understand how interactions relate to the emotions of pride and shame. By identifying the components of interaction rituals, the theory provides insight into the key processes underlying EE and demonstrates how methodologies based on direct observation have the potential to measure EE with greater validity. This article describes how microsociological theory can be applied to the concept of expressed emotion (EE).

show abstract

Expressed emotion and schizophrenia: the efficacy of a staff training programme

Cited by 36 publications

References 22 publications

Psychology services in psychiatric rehabilitation: Service user needs and staff perceptions

Psychology services in psychiatric rehabilitation: Service user needs and staff perceptions

Personality disorder: its impact on staff and the role of supervision

Bridging the Gap: Using Microsociological Theory to Understand How Expressed Emotion Predicts Clinical Outcomes

Contact Info

Product

Resources

About