SHAME AND EXPRESSED EMOTION - A CASE-STUDY
SHAME AND EXPRESSED EMOTION - A CASE-STUDY
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DOI：
10.2307/1389428
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发表时间：
1993-06-01
影响因子：
2.4
通讯作者：
RYAN, MT
中科院分区：
文献类型：
--
作者：
RYAN, MT
本文通过对一位前病人和他妻子的对话进行分析，提出了一个情感表达理论。EE已被证明是预测复发的精神分裂症和抑郁症患者。我提出了一个模型的情绪发生在家庭成员之间和内部解释EE和复发率之间的关系。EE被假设为对应于患者的家庭互动的羞耻/愤怒动态。微观层面的分析，一个病人和配偶之间的磁带记录的会话评级为EE是用来识别在夫妇的互动情绪的线索。我的分析表明，EE的高评级对应于患者家庭中高水平的未承认的羞耻和愤怒。当羞耻感被唤起而不被承认或消除时，情感纽带受到威胁，症状可能会复发。
This article interprets excerpts from a dialogue between an ex-patient and his wife to develop a theory of ''expressed emotion'' (EE). EE has been shown to be predictive of relapse among schizophrenic and depressed psychiatric patients. I propose a model of emotions occurring both within and between family members to explain the relationship between EE and rate of relapse. EE is hypothesized to correspond with the shame/anger dynamics of a patient's family interaction. Microlevel analysis of a tape-recorded conversation between a patient and spouse rated for EE is used to identify cues for emotion in the couple's interaction. My analysis suggests that high ratings of EE correspond to high levels of unacknowledged shame and anger in patients' families. When shame is evoked and not acknowledged or dispelled, affectional bonds are threatened and symptoms are likely to recur.