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1
Parker, Darnell E. II. "Expressed Emotions Architecture." Thesis, Virginia Tech, 2011. http://hdl.handle.net/10919/33443.
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Two primary ideas contribute to the design of this Community Art Center in the city of Milwaukee, Wisconsin, particularly, in the neighborhoods of Avenue west and Midtown. The quality of light expressed through the movement of shadows in time is casted in the interior by openings in the roof and on the exterior walls by columns surrounding the building. These exterior and interior walls of the building are the result of rigorous experimentation to maximize space for interaction. The walls and quality of light is expressed both in the interior and exterior of the building. The second main idea is center around creating a place for interaction to generate communication and collaboration within the community. The primary design is of the delicate undulating walls as it continues to define interaction space in the Community Art Center. It is the form of the walls and quality of light that express movement.
As a secondary concern, these neighborhoods are on the edge of Milwaukeeâ s near west side that includes the Milwaukee High School of the Arts (MHSA). The community expresses art in the form of dance, music and creative writing. The building express art in the form of a decision. Each decision that is made expresses a quality about design. Each space is transformed into a place by the nature of its design. The building achieves a sense of community through the primary ideas expressed through the notion of emotions.<br>Master of Architecture
2
Edwards, Joseph Walter. "The relationship between expressed emotion and adolescent psychopathology." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1141052389.
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Wasserman, Stephanie. "Nonreligious Coping, Religious Coping, and Self-conscious Emotions as Predictors of Expressed Emotion in Relatives of Patients with Schizophrenia." Scholarly Repository, 2010. http://scholarlyrepository.miami.edu/oa_dissertations/407.
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Expressed emotion (EE) is a measure of the family environment reflecting the amount of criticism and emotional over-involvement expressed by a key relative towards a family member with a disorder or impairment (Hooley, 2007). Patients with high EE relatives have a poorer illness prognosis than do patients with low EE relatives. Despite EE's well-established predictive validity, however, questions remain regarding why some family members express high EE attitudes while others do not. Based on indirect evidence from previous research, the current study tested whether religious and nonreligious coping and shame and guilt about having a relative with schizophrenia serve as predictors of EE. A sample of 72 family members of patients with schizophrenia completed an EE interview, along with questionnaires assessing situational nonreligious coping, religious coping, and self-conscious emotions. In line with hypotheses, results indicated that nonreligious coping predicted EE. Specifically, less use of adaptive emotion-focused coping predicted high EE. Also consistent with predictions, religious coping predicted high EE above and beyond nonreligious coping. Finally, higher levels of both shame and guilt about having a relative with schizophrenia predicted high EE. Results of the current study elucidate the EE construct and have implications for working with families of patients with schizophrenia.
4
Iyadurai, Lalitha. "Understanding expressed emotions : Illness perceptions in people with bipolar disorder and their relatives." Thesis, University of Manchester, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.505515.
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McNicholas, Jane Louise. "An exploration of gender differences in the coping skills, attributions, expressed emotions, and mental health of caregivers of people with alcohol problems." Thesis, University of Edinburgh, 2009. http://hdl.handle.net/1842/24970.
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The current study aimed to examine the differences between male and female caregivers of people with alcohol problems in terms of their coping skills, attributions, expressed emotion, and mental wellbeing. Methods: The study recruited 35 female caregivers and 20 male caregivers of people with alcohol problems. Participants completed the Coping Questionnaire, the Family Attitude Scale (FAS), the Causal Dimensions Scale, and the General Health Quesionnaire-12. Results: The study found that female caregivers had significantly higher scores than males on the GHQ-12. Both males and females engaged predominantly in coping strategies that were related to poor mental health. Specific attributions made by male caregivers were associated with poor mental health and high expressed emotion. For females, tolerant-inactive coping was also associated with high expressed emotion. Conclusions: The results suggest that female caregivers of people with alcohol problems have poorer mental wellbeing than male caregivers. Both male and female caregivers report frequently using coping styles which are associated with poorer mental wellbeing and higher levels of expressed emotion. Even when the person with the alcohol problem is engaged with treatment services, caregivers warrant treatment and support in their own right to help them cope in a manner which is more beneficial to their own mental wellbeing. Interventions offered to caregivers should consider the impact of factors such as expressed emotion and attributions on the coping and mental health of the caregiver.
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Ola, Bolanle Adeyemi. "The influence of burden of care and perceived stigma on expressed emotions of relatives of stable persons with schizophrenia in Nigerian semi-urban/urban settings." Master's thesis, Faculdade de Ciências Médicas. UNL, 2013. http://hdl.handle.net/10362/9673.
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RESUMO: Schizophrenia’s burden defines experience of family members and is associated with high level of distress. Courtesy stigma, a distress concept, worsens caregivers’ burden of care and impacts on schizophrenia. Expressed emotion (EE), another family variable,
impacts on schizophrenia. However, relationship between EE, burden of care and stigma has been little explored in western literature but not in sub-Saharan Africa particularly Nigeria. This study explored the impact of burden of care and courtesy stigma on EE among caregivers of persons with schizophrenia in urban and semi-urban settings in Nigeria.
Fifty caregivers each from semi-urban and urban areas completed a socio-demographic
schedule, family questionnaire, burden interview schedule and perceived devaluation and discrimination scale.
The caregivers had a mean age of 42 (± 15.6) years. Majority were females (57%),
married (49%), from Yoruba ethnic group (68%), monogamous family (73%) and
Christians (82%). A higher proportion of the whole sample (53%) had tertiary education.
Three out of ten were sole caregivers. Seventy three (73%) lived with the person they cared for. The average number of hours spent per week by a caregiver with a person with schizophrenia was 35 hours.
The urban sample had significantly higher proportion of carers with high global
expressed emotion (72.7%) than the semi-urban sample (27.3%). The odds of a caregiver in an urban setting exhibiting high expressed emotion are 4.202 times higher than the odds of caregiver in a semi-urban setting. Additionally, there was significance difference between the urban and semi-urban caregivers in discrimination dimension. High levels of
subjective and objective burden were associated with high levels of critical comments.
In conclusion, this study is the first demonstration of urban-semi-urban difference in expressed emotion in an African country and its findings provide further support to
hypothesized relationship between components of EE and burden of care.
7
Butler, Lucy Marie. "Paternal depression, expressed emotion and child emotional and behavioural problems." Thesis, University of Exeter, 2012. http://hdl.handle.net/10036/3698.
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Few studies currently exist which examine expressed emotion in depressed fathers, despite considerable evidence linking expressed emotion and depression in mothers. These findings are important as they indicate that mothers’ depressed mood is associated with an increase in child-directed critical comments and a decrease in positive comments, which have been linked to poorer child emotional and behavioural outcomes. There are limited findings exploring how depressed mood may impact fathers’ expressed emotion, and how this is in turn may impact upon the child. This paper reports findings from part of a longitudinal study examining fathers with depression in the postnatal period. The aim of this study was to determine whether child emotional and behavioural problems at age 2 years were associated with increased critical comments and decreased positive comments made by fathers (N = 143). It was predicted that fathers who were depressed when their child was 3 months or 12 months old would make more critical comments and fewer positive comments about their children at age 24 months, and that fathers’ critical comments would predict child emotional and behavioural problems at 24 months. Fathers’ depression at 12 months was found to be significantly related to child emotional and behavioural problems at 24 months. The children of fathers who made more positive comments had fewer reported emotional and behavioural difficulties at 24 months. Fathers’ positive comments were found to remain stable from 12 months to 24 months. There were no significant relationships found between fathers’ depression and the frequency of positive or critical comments. This study has implications for increasing fathers’ child-directed positive comments in order to prevent the development of child emotional and behavioural difficulties.
8
Jandl, Mitja. "Expressed Emotion." Diss., lmu, 2009. http://nbn-resolving.de/urn:nbn:de:bvb:19-100310.
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Mucenecki, Thiago Ferreira. "AVALIAÇÃO DA CAPACIDADE DE IDENTIFICAR EMOÇÕES EXPRESSAS PELA FACE EM ADULTOS COM LESÃO NO HEMISFÉRIO CEREBRAL DIREITO." Universidade Federal de Santa Maria, 2016. http://repositorio.ufsm.br/handle/1/10361.
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Several studies have focused on the contribution of the right hemisphere brain to the
emotional aspects of communication, raising evidence that it is specialized in the emotional
processing of faces. Right hemisphere brain damage (RHBD) may cause disturbances in the
function mentioned, affecting social interactions since they depend on facial emotion
recognition. This research aimed to contribute to the study of the possible impairment in the
ability to identify facial expressions in 4 RHBD patients in order to elucidate whether those
interfere with the performance of two emotion recognition instruments expressed by faces
images. From a comparison between the RHBD group, 4 patients with left hemisphere brain
damage (LHBD) and 8 subjects in the control group, we found 22 statistically significant or
borderline statistical associations results (p≅0,05) only to the stimuli of the instrument Facial
Expression Brazilian Task (FERBT), including the analysis of the emotional valences
between LHBD and RHBD groups. Of these, 13 showed superiority of the control group in
relation to clinical groups, and 9 showed superiority the LHBD group compared to the RHBD
group. From this study, we can infer that FERBT is more congruent in relation to Emotion
Recognition Index (ERI) concerning the hypothesis of brain asymmetry in facial expression
recognition. The results of FERBT partially agrees with the hypothesis of emotional valence,
since significant differences between clinical groups were found, favoring the LHBD group to
the sum of emotion scores of negative valence at 500 milliseconds (ms), 1 second (s) and
overall score of FERBT, adding up all the emotions in different times. However, it should be
noted that borderline statistical associations differences favoring the LHBD group were found
only for the emotion of fear (200ms and the total time) and anger (total time) with no
significant differences for emotions of positive valence. This study helped to assess
neuropsychological deficits after right hemisphere brain damage, since there is a significant
gap in this diagnostic area. Through research, we can improve our knowledge about
impairments caused by right hemisphere lesion by increasingly developing accurate
assessment techniques and rehabilitation methods.<br>Vários estudos têm enfocado a contribuição do hemisfério cerebral direito para os aspectos
emocionais da comunicação, levantando evidências de que o mesmo é especializado no
processamento emocional de faces. Lesões de hemisfério direito (LHD) podem acarretar
perturbações na função descrita anteriormente, prejudicando as interações sociais, uma vez
que estas dependem do reconhecimento de emoções na modalidade facial. A presente
pesquisa teve como finalidade contribuir para o estudo dos possíveis comprometimentos na
capacidade de identificar expressões faciais em 4 pacientes LHD, buscando elucidar se
àqueles acabam interferindo no desempenho de 2 instrumentos de reconhecimento de
emoções expressas por imagens de faces. A partir de um comparativo entre o grupo LHD, 4
indivíduos com lesão de hemisfério esquerdo (LHE) e 8 sujeitos controle, foram encontrados
22 resultados com significância estatística ou associações estatísticas limítrofes (p≅0,05)
somente para os estímulos do instrumento Facial Expression Brazilian Task (FERBT),
incluindo análise da valência emocional entre grupos LHE e LHD. Destes, 13 mostraram
superioridade do grupo controle em relação aos grupos clínicos e 9 mostraram superioridade
de grupo LHE em relação ao grupo LHD. Infere-se a partir do presente estudo que o FERBT
apresenta maior congruência, em relação ao Emotion Recognition Index (ERI), com a
hipótese da assimetria cerebral no reconhecimento de expressões faciais. Os resultados do
FERBT concordam parcialmente com a hipótese da valência emocional, uma vez que foram
encontradas diferenças relevantes entre grupos clínicos, favorecendo o grupo LHE, para o
somatório das pontuações de emoções de valência negativa nos tempos de 500 milissegundos
(ms), 1 segundo (s) e pontuação geral do FERBT somando-se todas as emoções dos diferentes
tempos. Contudo, deve-se ressaltar que associações estatísticas limítrofes, favorecendo o
grupo LHE, foram encontradas apenas para a emoção de medo (200ms e total dos tempos) e
raiva (total dos tempos), não havendo diferenças significativas para emoções de valência
positiva. O presente estudo contribuiu para a avaliação de déficits neuropsicológicos após
lesão direita, visto que há importante lacuna nessa área de diagnóstico neuropsicológico.
Através da pesquisa, poderemos aprimorar nosso conhecimento sobre as disfunções
ocasionadas pela lesão de hemisfério direito, desenvolvendo técnicas cada vez mais precisas
de avaliação e métodos de reabilitação.
10
Haq, Sana-ul. "Audio-visual expressed emotion classification." Thesis, University of Surrey, 2011. http://epubs.surrey.ac.uk/843118/.
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Recent advancement in human-computer interaction technologies goes beyond the successful transfer of data between human and machine by seeking to improve the naturalness and friendliness of user interactions. The user's expressed emotion plays an important role by allowing people to express themselves beyond the verbal domain. In the field of emotion recognition, most of the research is based on unimodal approaches and less progress has been made in terms of multimodal approaches. This thesis aims to achieve better emotion classification by adopting an audio-visual approach. For this purpose, the Surrey Audio-Visual Expressed Emotion database (SAVEE) has been recorded from four English male speakers. The database consists of 480 British English utterances in seven emotions (Ekman's six basic emotions plus neutral). The sentences were chosen from the TIMIT corpus and were phonetically-balanced for each emotion. The data were processed and labelled. The quality of recordings was evaluated in terms of expressed emotions by 20 subjects (10 male, 10 female). Average subjective classification accuracy of 67% was achieved with audio, 88% with visual, and 92% with audio-visual data for the seven emotions. Results indicated good agreement with the actor's intended emotions over the database. As a first step, speaker-dependent emotion classification was performed to develop a baseline method for audio-visual emotion classification, and to investigate different ways of audio-visual fusion. The method consisted of feature extraction (audio and visual), feature selection by Plus l-Take Away r algorithm, feature reduction by Principal Component Analysis (PCA) or Linear Discriminant Analysis (LDA), and classification by Gaussian classifier. Audio-visual fusion at decision level performed better than fusion at feature level and after feature selection. Audio features incorporated pitch, duration, energy and mel frequency cepstral coefficients (MFCCs), and visual features were based on the 2D marker coordinates. Features were selected using three different criteria: Bhattacharyya distance, Mahalanobis distance, and KL-divergence. The Mahalanobis distance performed better than the other two criteria. In general, LDA performed better than PCA, and an average classification accuracy of 61 % was achieved with audio, 99% with visual, and 99% with audio-visual (decision-level fusion) for seven emotions using the SAVEE database. These results were achieved with the features selected by Mahalanobis distance. Speaker-independent experiments were performed on two databases: Berlin and SAVEE. The Berlin database has audio recordings in seven emotions, and has been widely used for audio emotion analysis. Additional audio features were extracted related to intensity, loudness, probability of voicing, line spectral frequencies and zero-crossing rate, and visual features including marker angle and PCA features. The extracted features were speaker-normalised, and classification was performed with two methods: Gaussian classifier and SVM. For the Berlin database, the best performance achieved with the Gaussian classifier was 86 % and with the SVM classifier was 87 % for seven emotions. For the SAVEE database, the SVM classifier performed much better than the Gaussian classifier, and the polynomial kernel performed better than the RBF kernel. The performance of features selected by Mahalanobis distance was better than those selected by Bhattacharyya distance. For seven emotions, average classification accuracy achieved with the SVM classifier was 67 % for audio, 68 % for visual, and 87 % for audio-visual (feature-level fusion). The subjective, speaker-dependent and speaker-independent experiments indicate that the SAVEE database contains good quality recordings of expressed emotions. The results indicate that both audio and visual modalities play an important role to convey emotions, and better emotion classification is achieved with the bimodal approach. Key words: multimodal emotion analysis, data recording, facial expressions, feature selection, audio-visual fusion, SVM.
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Arruda, Beatriz Bettencourt. "Emoções e perturbação emocional: reconhecimento de expressões faciais." Master's thesis, [s.n.], 2015. http://hdl.handle.net/10284/4741.
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Dissertação apresentada à Universidade Fernando Pessoa como parte dos requisitos para a obtenção do grau de Mestre em Psicologia, ramo de Psicologia Clínica e da Saúde<br>É demais reconhecido o interesse e a pertinência do estudo das emoções, atendendo ao papel
que assumem na vida do ser humano, enquanto ser biológico e social. As emoções
desempenham uma função social e comunicativa, interferindo na definição de relações
interpessoais e redes sociais, assim como uma função intrapessoal, psicológica e biológica
que garante a sobrevivência da espécie. O rosto humano, por sua vez, desempenha um papel
fundamental na comunicação de emoções, afigurando-se o reconhecimento de expressões
faciais como um meio imediato de obter informação relativa às emoções do outro.
O presente estudo tem como objetivo estudar diferenças no reconhecimento de emoções
básicas em expressões faciais consoante a presença ou ausência de perturbação emocional,
assim como consoante o sexo e a idade. Neste participaram 85 indivíduos, residentes no
Arquipélago dos Açores, com idades compreendidas entre os 18 e os 57 anos. Os dados foram
recolhidos através de um breve Questionário de Caracterização Sociodemográfica, da versão
papel da Plataforma Informática i-Emotions (i-E) e da versão portuguesa do Inventário de
Sintomas Psicopatológicos (BSI).
Os resultados evidenciaram a não existência de diferenças significativas ao nível do
reconhecimento geral das expressões faciais das emoções básicas. No entanto, foram
encontradas diferenças significativas relativas ao reconhecimento de expressões faciais de
emoções básicas específicas, tendo sido evidenciado um melhor desempenho no
reconhecimento da expressão facial da emoção aversão/nojo por parte dos participantes sem
perturbação emocional, comparativamente com os com perturbação emocional, no da emoção
medo por parte dos indivíduos do sexo feminino, comparativamente com os do sexo
masculino, e no das emoções medo e tristeza, por parte do grupo com idades superiores a 30
anos em comparação com o grupo com idades entre os 18 e os 30 anos.<br>It's well known the interest and relevance of the study of emotions, given the role they assume
in human life, while a biological and social being. Emotions play a social and communicative
role, affecting the definition of interpersonal relationships and social networks, as well as an
intrapersonal, psychological and biological function that ensures the species’ survival. The
human face, in turn, plays a key role in the communication of emotions, knowing that the
recognition of facial expressions is a way to get immediate information about the other’s
emotions.
This paper aims to study differences in the recognition of basic emotions through facial
expressions depending on the presence or absence of emotional distress, as well as on sex and
on age. A total of 85 individuals living in the Azores, aged 18 to 57 years, were inquired. Data
were collected through a brief socio-demographic questionnaire, the paper version of Platform
Computing i-Emotions (iE) and the portuguese version of Brief Symptom Inventory (BSI).
The results showed that there were no significant differences in the general recognition of
facial expressions of the basic emotions. However, differences were found in the recognition
of facial expressions of specific basic emotions. Actually, a better performance has been
shown in the recognition of the following facial expressions: on the disgust emotion by the
participants without emotional distress, compared with those that have emotional disturbance;
on the fear emotion by females compared to males; and on the fear and sadness emotions by
people aged over 30 compared with those aged 18 to 30 years.
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Griffin, Andrea Eugenie Charlotte. "Display rules for expressed emotion within organizations and gender: implications for emotional labor and social place marking." Diss., Texas A&M University, 2003. http://hdl.handle.net/1969.1/162.
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Emotions are recognized as central to organizational life. The dialogue on the role of emotion in organizational life is furthered here by addressing the role that gendered display rules and associated expectations play in shaping individuals' expressed (rather than felt) responses to emotional exchanges within the organization. The role of gender in shaping intraorganizational emotional display rules is examined as it interplays at social, organizational and individual normative levels. In this context, emotions and emotional displays at work are seen as affecting individual's subjective social place in organizations. It is argued that gendering influences within the organization make social place marking more difficult and may result in increased forms of emotional labor, particularly surface acting/emotional dissonance, which may lead to emotional exhaustion in employees.
A laboratory experiment was conducted using videotaped vignettes to represent more and less levels of gendering in emotional interactions. Findings indicate that there were no main effects for level of gendering as operationalized by this study on emotional dissonance, emotional exhaustion and subjective social place. Exploratory data analyses conducted further examine these relationships and point out the importance of the sex of the employee involved in the emotional exchange. This study points towards theoretical and empirical implications for how emotions are interpreted not only by members of different sex categories, but also for other dimensions of diversity in the organization and associated consequences.
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Hare, Julie. "Child self-concept and maternal expressed emotion." Thesis, University of East Anglia, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.439902.
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Cameron, David. "The level of expressed emotion in staff client relationships of the severe and chronic mentally ill." Thesis, University of Ulster, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.246898.
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Yelland, Irina. "Expressed Emotion in children : Associations with sibling relationships." Thesis, Bangor University, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.516926.
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Nelis, Sharon Marie. "Perceived expressed emotion, attachment and adjustment in adolescents." Thesis, University of Ulster, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.415072.
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Brisco, Gemma. "Parental expressed emotion in adolescent depression and anxiety." Thesis, University of Surrey, 2017. http://epubs.surrey.ac.uk/842139/.
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Background: There is an established association between parental Expressed Emotion (EE) and mental health disorders in children and adults. Most research has focussed on parental EE regarding under 12s or adult offspring, with very little attention devoted in the literature to the impact of parental EE regarding adolescent offspring. Furthermore, most studies have used methods of coding EE that were designed for use in relation to adult offspring, raising questions about the validity of their findings. The aim of this study was to compare level of parental EE regarding adolescent offspring (12-18 years) referred for treatment for depression and/or anxiety with parental EE regarding adolescent offspring recruited from the community. Design: A cross-sectional, between-subjects’ design was used. A clinical group of adolescents and one of their parents were recruited from a Child and Adolescent Mental Health (CAMH) service. A community group of adolescents and a parent were recruited as a comparison group. EE was assessed using the Five Minute Speech Sample (FMSS) with a coding scheme adapted for use with adolescent offspring. Parents completed the FMSS and a measure of psychopathology. Adolescents completed a questionnaire measure of their own anxiety and depression. Results: Level of parental EE, Criticism and Emotional Over-Involvement was non-significant between the two groups. Level of Warmth and number of positive comments was significantly lower in the clinical group. Parental EE was significantly associated with higher adolescent self-reported symptoms of depression. Parental psychopathology was not associated with parental EE. Conclusions: EE may be more normative in relation to adolescents compared to other studies. Lack of positive elements of EE may be more of a risk factor for adolescents. However, the cross-sectional design of this study means that causality cannot be inferred. Key words: Expressed Emotion, Parents, Adolescents, Internalising disorders.
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Pasymowski, Stefan G. "Expressed Emotion in Families with Mild Cognitive Impairment." Diss., Virginia Tech, 2015. http://hdl.handle.net/10919/73872.
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Mild cognitive impairment (MCI) is a medical diagnosis that is conceptualized as existing on a continuum between normal cognitive aging and dementia. While a growing body of research has established the impact of this condition on family members' emotional well-being, as well as the quality of family relationships, the reciprocal impact of family dynamics and the family environment on illness course has received much less attention. Expressed emotion (EE) is a measure of the family emotional climate that has been established as being highly predictive of relapse and symptom exacerbation for a variety of mental health disorders. The recent integration of attribution theory with EE has offered new insights into the underlying attitudes and beliefs that give rise to it. This mixed methods study applied the attribution model of EE to test the validity of EE in predicting the illness course of MCI, and to identify family members' attributions regarding MCI-related behaviors and symptoms that underlie their EE status. The study sample included 57 family dyads consisting of a person with MCI and a family member providing primary care or assistance. The results of the ANCOVA did not support the hypothesis that EE status would predict changes in the non-cognitive features of MCI over time. However, methods of thematic analysis revealed four major themes, or care partner attributional stances: (a) non-blaming, (b) blaming, (c) variable, and (d) no identified. The analysis also revealed three subthemes, or attributional styles, within the variable stance: (a) ambivalent, (b) mixed, and (c) complex. These attributional stances and styles intersected with family EE status in notable ways and form the basis for future research in this area, as well as clinical interventions with these families that promote adaptation to the illness.<br>Ph. D.
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Bastug, Gulbahar. "The Roles Of Perceived Expressed Emotion Of The Schizophrenic Patients And The Expressed Emotion Of Their Caregivers On Symptom Severity And Quality Of Life." Phd thesis, METU, 2008. http://etd.lib.metu.edu.tr/upload/12609277/index.pdf.
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This study aimed to examine relative effect of perceived expressed emotion of schizophrenic patients and their caregivers&rsquo<br>expressed emotion on the symptom severity and quality of life at the framework of Vulnerability-Stress Model. Before the main study, for evaluating the psychometric properties of the Perceived Expressed Emotion Scale (PEES) a pilot study was conducted with the seventy five patients. Results of the pilot study provided support for the reliability and validity of PEES that had two factors, namely, criticism/hostility and emotional over-involvement. The main study was conducted at two stages. At time one assessment, one hundred and sixteen patients were administered PEES, Positive and Negative Symptom Scale for schizophrenia (PANSS), WHO&rsquo<br>s Quality of Life Scale (WHOQOL-BREF), and open ended questions to explore the views about their illness. Their caregivers were administered Expressed Emotion Scale (EES). After six month follow up, time two assessment was conducted 103 patients remained on the study using PANSS and WHOQOL-BREF. In order to test the main hypothesis of the study a series of repeated ANOVA analyses were conducted. The results revealed that patients&rsquo<br>perceived expressed emotion was a more robust component on quality of life and symptom severity than caregivers&rsquo<br>expressed emotion. It was found that patients&rsquo<br>perceived criticism/hostility was a toxic element on positive and negative symptoms, and total scores of PANSS, whereas patients&rsquo<br>perceived emotional over-involvement had a protector effect on social and environmental domain of standardized culture of WHOQOL-BREF. It was seen that symptom severity evaluated using PANSS improved from time one assessment to time two assessment. After discussing the findings in the framework of the literature, the limitations and the clinical implications of the results and directions for future studies were suggested.
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Carvalho, Joaquim Manuel Silva. "A psicoeducação como estratégia de suporte aos cuidadores informais das pessoas com esquizofrenia." Master's thesis, Universidade de Évora, 2012. http://hdl.handle.net/10174/12303.
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Objetivos: Descrever e analisar reflexivamente os resultados da intervenção com Cuidadores Informais de Esquizofrénicos; efetuar análise reflexiva das competências mobilizadas e adquiridas com essa intervenção.
Metodologia: Descrição da implementação de um Programa de Psicoeducação para Cuidadores Informais de Pessoas com Esquizofrenia, que inclui um questionário de avaliação de conhecimentos da doença do familiar e a aplicação da Escala de Sobrecarga do Cuidador, como forma de complementar a avaliação diagnóstica.
Resultados: Pela pesquisa teórica que fundamentou a nossa intervenção e elaboração deste relatório adquiriram-se um conjunto de conhecimentos científicos avançados que permitiram um maior rigor no consolidar do planeamento e da intervenção onde se desenvolveu um conjunto de atitudes e habilidades comunicacionais e relacionais que deram corpo a uma intervenção clínica eficaz.
Conclusão: Aponta-se a Psicoeducação como forma de ir ao encontro do atual paradigma da reforma psiquiátrica complementando o tratamento psico-farmacológico e permitindo uma melhor gestão da doença mental grave; ### ABSTRACT:
Objectives: To describe and analyze reflexively the results of intervention with informal caregivers of schizophrenic patients; make reflective analysis skills mobilized and gained from this intervention.
Methodology: Description of the implementation of a Psychoeducation Program for Informal Caregivers of People with Schizophrenia, which includes a questionnaire to assess knowledge of disease and implementation of family caregiver burden scale, as a complement to the diagnostic evaluation.
Results: For the theoretical research that justified our intervention, and this report have acquired a set of advanced scientific knowledge which have enabled greater accuracy in consolidating the planning and intervention where they developed a set of attitudes and communication and relational skills that gave substance an effective clinical intervention.
Conclusion: Points to Psychoeducation as a way to meet the current paradigm of psychiatric reform complementing the psycho-pharmacological treatment and allowing better management of serious mental illness.
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Fonseca, Paula Isabella Marujo Nunes da. "O autoconhecimento e sua multidimensionalidade aplicada à equipes de transplantes." Universidade Federal Fluminense, 2017. https://app.uff.br/riuff/handle/1/4008.
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Previous issue date: 2017<br>Doutorado Acadêmico em Ciências do Cuidado em Saúde<br>Estudo buscou compreender o autoconhecimento como estratégia de manutenção da saúde mental das equipes de transplantes que realizam a entrevista familiar para doação de órgãos. Para isso investigou-se a experiência emocional vivenciada na entrevista familiar em âmbito nacional (Porto Alegre, Brasil) e internacional (Porto, Portugal). Objetivo geral: propor um modelo de desenvolvimento de perspectiva de autoconhecimento baseada nos referenciais teóricos e nos desvelares promovidos pela produção de dados. Objetivos específicos: 1) promover experimentações estéticas com os coordenadores avançados em transplantes para acessar os conteúdos inconscientes presentes no processo de doação de órgãos; 2) desvelar ações de promoção em saúde mental baseadas no autoconhecimento dos coordenadores avançados em transplantes observadas nos cenários nacionais e internacionais; 3) revelar por meio da produção de dados expressivos evidenciados através da Sociopoética, novas estratégias de enfrentamento das situações difíceis; 4) analisar a repercussão das estratégias de enfrentamento delineadas para as situações de comunicação difícil no cotidiano laboral dos coordenadores avançados em transplantes. Método: Pesquisa de abordagem Sociopoética, com parte de registro em diário de participante. A maior parte dos dados foram produzidos por meio de encontros com o grupo-pesquisador em abril de 2016, e outra parte foi coleta por meio das impressões observadas e registradas de diário de campo de outubro de 2016 à janeiro de 2017. Os participantes foram os coordenadores avançados em transplantes integrantes das equipes que atuam no processo de doação de órgãos em ambos os países investigados. A análise dos dados sociopoéticos foi do tipo, classificatória, transversal e filosófica, enquanto os dados internacionais foram submetidos a análise de conteúdo. Todos os dados produzidos têm como fonte principal de interpretação a perspectiva teórica de Juan Casassus e Jean Watson. Estudo aprovado no CEP respeitando os princípios éticos de pesquisas com seres humanos. Resultados e Discussão: De acordo com os dados foi possível observar a formação de três eixos principais que foram: Autoconhecimento, relacionado ao Coordenador e relacionado às Associações Inconscientes; Estratégias de enfrentamento das situações difíceis, sobre Si Mesmo (Lidar consigo mesmo); e , Ações de Promoção à Saúde Mental. Sendo assim, foi possível estabelecer trocas de saberes, não somente sobre o processo duro, quase aristocrático da doação, mas de saberes outros, socialmente construídos (FREIRE, 2002), muito relacionados ao seio familiar como os que envolvem valores, sentimentos, sensações, medos, inseguranças, que são trivialmente recalcados à turbulência existencial humana. Considerações Finais: Os coordenadores avançados em transplantes iniciaram o movimento de autoconhecimento ao fazerem associações de situações vivenciadas no processo de doação de órgãos com elementos do inconsciente tornando-os acessíveis ao nível consciente, em sequência, ao identificarem o desvelar de suas emoções e as representarem em situações ocorridas frequentemente, conseguiram observar que é preciso se posicionarem mais em relação a si mesmos, e se questionarem como estão enfrentando seus conflitos, aplicando tais conhecimentos na prática, de modo a se reorganizarem e a lidarem melhor com as situações difíceis concernentes a entrevista familiar para doação de órgãos<br>This study aimed to understand self-knowledge as a strategy for the maintenance of mental health of the transplant teams that perform in family interview for donation of organs. For that, the emotional experience experienced in the family interview at Porto Alegre, Brazil and at Porto, Portugal interviews was investigated. General objective: to propose a model of development of a perspective of self-knowledge based on the theoretical references and on the disclosures promoted by the production of data. Specific objectives: 1) to promote aesthetic experiments with the advanced coordinators in transplants to access the unconscious contents present in the process of organ donation; 2) unveil mental health promotion actions based on the self-knowledge of advanced transplant coordinators observed in national and international settings; 3) to reveal, through the production of expressive data evidenced through Sociopoetics, new strategies for coping with difficult situations; 4) to analyze the repercussion of coping strategies outlined for communication of difficult situations in the daily work of the advanced transplant coordinators.Method: Sociopoetic approach research, with onde part registered in field journal. Most of the data were produced through meetings with the researcher group in April 2016, and another part was collected through observed impressions and wsa registered in a field journal from October 2016 to January 2017. Participants were the Advanced coordinators in transplantation of the teams that work in the process of donating organs in both countries investigated. The analysis of sociopoetical data was of the type, classificatory, transversal and philosophical, while international data were submitted to content analysis. All the data produced have as main source of interpretation the theoretical perspective of Juan Casassus and Jean Watson. Study approved in the CEP respecting the ethical principles of researches with human beings. Results and Discussion: According to the data it was possible to observe the formation of three main axes that were: Self-knowledge, related to the Coordinator and related to the Unconscious Associations; Strategies to cope with difficult situations, about Self (Dealing with oneself); And, Actions to Promote Mental Health. Thus, it was possible to establish exchanges of knowledge, not only about the hard, almost aristocratic process of donation, but also about other socially constructed knowledges (FREIRE, 2002), which are closely related to the family as those involving values, feelings, Fears, insecurities, which are trivially repressed by human existential turbulence. Final Considerations: Advanced transplant coordinators initiated the self-knowledge movement by making associations of situations experienced in the process of organ donation with elements of the unconscious making them accessible to the conscious level in sequence by identifying the unveiling of their emotions and representing them in situations that have occurred frequently, have been able to observe that they need to position themselves more in relation to themselves, and question how they are facing their conflicts, applying such knowledge in practice, in order to reorganize themselves and to deal better with the difficult situations concerning the interview for organ donation
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Carlson, Radha G. "Communication Deviance, Expressed Emotion, and Family Cohesion in Schizophrenia." Scholarly Repository, 2011. http://scholarlyrepository.miami.edu/oa_dissertations/615.
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Although schizophrenia is a biologically-based disorder, environmental stress (including stress within familial relationships) plays a major role in the onset and maintenance of symptoms. This study examined family variables that have implications for psychotherapeutic treatment of schizophrenia. Previous research has found Communication Deviance (CD), Expressed Emotion (EE), and family cohesion (FC) to be related to symptom severity. However, the exact nature of the relationship between these constructs is unclear. The current study tested a model whereby the tone and content of family member’s communication (EE) and the sense of family unity (FC) are hypothesized to mediate the relationship between CD and psychiatric symptoms. This model stems from the theory that high CD is likely to be experienced as frustrating because it hinders relatives’ communication goals. Thus, relatives may resort to more critical and hostile methods of expressing their thoughts (High EE). Simultaneously, inability to share experiences in a clear manner may lead patients and family members to feel more disconnected (low FC). High EE and low FC in turn were hypothesized to lead to increased symptoms. This study did not find support for the above model. Communication Deviance was not related to severity of psychiatric symptoms, and Expressed Emotion and family cohesion were also unrelated to communication deviance and psychiatric symptoms in the larger model. Higher family cohesion was related to fewer psychiatric symptoms when looking at individual correlations, but this relationship disappeared once other variables were included in analyses. The largely null study findings may be due to limited variance in many of our primary study variables (e.g., CD, family cohesion). Other explanations are also entertained.
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Hashemi, Amtul Habib. "Schizophrenia, expressed emotion and ethnicity : a British Asian study." Thesis, University of Birmingham, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.497552.
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Three studies are reported which investigate the relevance of the expressed emotion (EE) construct for families/patients from non-western backgrounds (Pakistani Muslims and Sikhs). The first study was concerned with the relationship between ethnicity and EE in patients with a diagnosis of schizophrenia, and also tested four hypotheses which looked at the association of ethnicity and EE with each of the following: the relative's experience of burden; the relative's perception of the amount of social support they received; the use of coping strategies by relatives; and patient's and relative's perceptions of one another. The results indicated a significant difference between ethnic groups in the number of relatives exhibiting high levels of EE: 55% of whites, 80% of Muslims and 30% of Sikhs were rated as high EE. High EE relatives were also more likely to report lower levels of social support, and were more likely to hold negative perceptions about the patient and believe that the patient also holds negative perceptions about them. The second study looked at the effect of EE on the course of schizophrenia. Course of the illness was not significantly different across the three ethnic groups. Using conventional criteria, low EE in whites was predictive of fewer relapses, but was not so for Asians. When the cut-off for emotional over-involvement was changed from 3 to 4 in the case of the Muslims, high EE then did predict relapse. The third study looked at the prevalence of high EE in non-clinical white and Muslim populations: Muslims were significantly more likely than whites to be rated high EE. The results suggest that Muslims are more likely to be classified as being high EE as judged by western cultural norms. Hence, in order to obtain better predictive validity of EE for relapse in schizophrenia in Pakistani culture, the cut-off point for high EE should be adapted to take this into account. Needless to say, further research must be conducted to establish the normative levels for the overt expression of emotion in Pakistani culture.
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Schmidt, Ricarda, Anne Tetzlaff, and Anja Hilbert. "Perceived expressed emotion in adolescents with binge-eating disorder." Journal of abnormal child psychology (2015) 43, 7, S. 1369–1377, 2015. https://ul.qucosa.de/id/qucosa%3A14806.
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A sizeable body of research has documented Expressed Emotion (EE) to predict clinical outcomes in various psychiatric disorders, including eating disorders. Patients’ perceptions of relative’s EE, however, were found to play an important role in the processing of EE. This study aimed to examine the level of perceived EE in adolescent binge-eating disorder (BED) and its impact on eating disorder psychopathology.
Adolescents (12 – 20 years) seeking treatment for BED (n = 40) were compared to adolescents without current or lifetime eating disorder (CG; n = 40). Both groups were stratified according to age, sex, body mass index (BMI, kg/m2), and socio-economic status. The Five Minute Speech Sample (FMSS) and the Brief Dyadic Scale of EE were administered to assess patients’ perceived maternal EE. Additionally, adolescents and mothers completed questionnaires on eating disorder and general psychopathology.
On the FMSS, 37.5% of patients with BED perceived their mothers as high EE (vs. 12.5% in the CG). On the Brief Dyadic Scale of EE, patients with BED reported significantly higher levels of perceived maternal criticism, emotional overinvolvement, and lower levels of perceived warmth than controls. After controlling for the diagnosis of BED, perceived criticism and warmth, as assessed by questionnaire, significantly explained adolescents’ global eating disorder psychopathology.
Negative perceptions of maternal behavior and emotional atmosphere towards the child are characteristic of adolescent BED. As documented for other eating disorders, family factors are likely to have substantial implications for the maintenance and treatment of adolescent BED.
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De, Wet Debbie. "Childhood depression, expressed emotion and psychotherapy : associations and interactions." Master's thesis, University of Cape Town, 2003. http://hdl.handle.net/11427/10401.
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Bibliography: leaves 46-53.<br>This study is concerned with the pursuit of ascertaining the efficacy of psychodynamic psychotherapy in the treatment of childhood depression. Additionally, it is concerned with exploring possible associations between childhood depression and expressed emotion and whether expressed emotion, changes in relation to changes in levels of childhood depression following a therapeutic intervention.
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Poz, Rebecca. "Paediatric surgical outcome in relation to parental expressed emotion." Thesis, University of East Anglia, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.246941.
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Schmidt, Ricarda, Anne Tetzlaff, and Anja Hilbert. "Perceived expressed emotion in adolescents with binge-eating disorder." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-206020.
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A sizeable body of research has documented Expressed Emotion (EE) to predict clinical outcomes in various psychiatric disorders, including eating disorders. Patients’ perceptions of relative’s EE, however, were found to play an important role in the processing of EE. This study aimed to examine the level of perceived EE in adolescent binge-eating disorder (BED) and its impact on eating disorder psychopathology.
Adolescents (12 – 20 years) seeking treatment for BED (n = 40) were compared to adolescents without current or lifetime eating disorder (CG; n = 40). Both groups were stratified according to age, sex, body mass index (BMI, kg/m2), and socio-economic status. The Five Minute Speech Sample (FMSS) and the Brief Dyadic Scale of EE were administered to assess patients’ perceived maternal EE. Additionally, adolescents and mothers completed questionnaires on eating disorder and general psychopathology.
On the FMSS, 37.5% of patients with BED perceived their mothers as high EE (vs. 12.5% in the CG). On the Brief Dyadic Scale of EE, patients with BED reported significantly higher levels of perceived maternal criticism, emotional overinvolvement, and lower levels of perceived warmth than controls. After controlling for the diagnosis of BED, perceived criticism and warmth, as assessed by questionnaire, significantly explained adolescents’ global eating disorder psychopathology.
Negative perceptions of maternal behavior and emotional atmosphere towards the child are characteristic of adolescent BED. As documented for other eating disorders, family factors are likely to have substantial implications for the maintenance and treatment of adolescent BED.
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Ferreira, Ludmilla Dell'Isola Pelegrini de Melo. "Expressões emocionais de desprazer no primeiro ano de vida: manifestações e processos de transformação." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/59/59137/tde-14102013-122934/.
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A emoção é tema presente em diversas áreas do conhecimento, dentre elas, a Psicologia do Desenvolvimento, na qual Henri Wallon se destaca. Em sua teoria, a expressão emocional é elemento central nos primeiros meses de vida, e propiciaria a constituição do vínculo entre o bebê e os parceiros de interação. A revisão de literatura mostrou diferentes perspectivas teóricas e metodológicas que têm explorado o tema das emoções, cujos resultados, de forma geral, têm apontado a alta capacidade comunicativa e interativa dos bebês a partir das expressões emocionais. No entanto, esses estudos focalizam as expressões faciais, particularmente as positivas, como o sorriso; sendo a maioria realizada em laboratórios, com delineamento transversal e análise quantitativa. Assim, este trabalho tem como objetivo acompanhar as manifestações e o processo de transformação das expressões emocionais de desprazer de um bebê durante o seu primeiro ano de vida, contemplando as diversas formas de manifestação das emoções - faciais, vocais e corporais. As vídeo-gravações utilizadas estão arquivadas no Banco de Imagens do CINDEDI, e são de um bebê que foi filmado em sua residência desde a primeira semana de vida até os doze meses. As gravações foram feitas semanalmente no primeiro semestre e quinzenalmente no segundo, com duração aproximada de uma hora cada. Para a construção do corpus de análise, realizou-se um mapeamento das expressões emocionais de desprazer do bebê e das ações dos parceiros de interação. As categorias para observação e registro dividiram-se em expressões faciais, corporais, vocais e olhar. Para os parceiros de interação, além destas, adicionaram-se as ações direcionadas ao bebê. Para a análise desse material dividiu-se o primeiro ano de vida em quatro trimestres, e selecionou-se um episódio de interação para cada período. A análise possibilitou observar que desde a primeira semana de vida o bebê manifesta articuladamente as expressões faciais, vocais e corporais, para comunicar ao outro o seu incômodo. Nos primeiros dois meses de vida, todas as expressões apresentaram valores aproximados de manifestação, mas a partir do terceiro mês, observa-se que a expressão facial apresenta frequências consideravelmente mais baixas do que as vocais e corporais, as quais permanecem em evidência durante todo o primeiro ano. Além disso, a articulação entre as expressões não é aleatória, mas apresenta uma sequência específica, intensificando a manifestação de incômodo ou irritação do bebê: inicia com o movimento corporal, adiciona-se a expressão vocal e, por fim, a facial, sendo que o choro (vocal e facial) é o último recurso utilizado para exprimir o descontentamento. Os parceiros de interação buscam atender e acalmar o bebê através de diversas ações, que também vão se modificando ao longo do tempo, mas a fala constitui o principal recurso. Assim, as expressões do bebê e as ações dos parceiros estão articuladas de tal maneira que as transformações das manifestações emocionais tornam-se cirscunscritas ao contexto e às relações construídas, evidenciando os processos de regulação e atribuição de significado para as expressões de desprazer. Discute-se, portanto, a emoção constituída por um processo biologicamente cultural, e as práticas educativas compondo a matriz social da qual emergem as manifestações emocionais, circunscrevendo as possibilidades de expressão do bebê.<br>Emotion is a theme that is present in various fields of knowledge, including developmental psychology, from which Henri Wallon acknowledged. In his theory, emotional expression is as a central theme, understood as constituting of the bond between the baby and her interactional partners in the early months of life. A literature review showed various theoretical and methodological perspectives that have been exploring emotions as a theme. The results of these studies have generally shown the great communicational and interactive capacity of babies through their emotional expressions. However, these studies focus facial expressions, particularly positive ones like the smile. Most researches are carried in laboratories, with a transversal design and quantitative analysis. Thus, the present study aims at following the manifestations and the process of transformation of emotional expressions of displeasure in a baby during her first year of life, contemplating various forms of emotional manifestation - facial, vocal and bodily expressions. The video recordings that were used are part of CINDEDIs Image bank and the baby was recorded at home from her first week of life until her twelfth month. The recordings were made weekly during her first six months of life, and bi-weekly in the next semester, with an approximate duration of one hour each. For the construction of the corpus of analysis, a mapping of both the babys emotional expressions of displeasure and her interactional partners action was carried out. The categories for observation and registry were defined as facial, bodily, vocal and looking expressions. For the interactional partners, another category was added to these, namely, the actions directed towards the baby. For the analysis of this material, the first year was divided into four trimesters and an episode of interaction for each period was selected. The analysis enabled the observation that since her first weeks of life, the baby articulately manifests her facial, vocal and bodily expressions to communicate her unease. In her first two months of life, all of her expressions presented similar count of manifestation, but from the third month on, it is noted that the facial expressions are shown with a considerably lower frequency than the vocal and bodily ones, which are evident throughout the whole first year. Moreover, the articulation among the expressions is not random, but it presents a specific sequence that deepens the manifestation of the babys unease or irritancy: it starts with body movements, to which the vocal expression is added and, finally, the facial expressions. Crying (which is a vocal and facial expression) is the last resource applied in order to express displeasure. The interactional partners seek to respond to the baby and to calm her down through various actions that also change with time, though talking is always their main resource. Thus, the babys expressions and her interactional partners actions are articulated in such a manner that the transformations of emotional manifestations become circumscribed both to the context and to the relationships, which highlights processes of regulation and meaning attribution to expressions of displeasure. It is thus discussed the constitution of emotion by a biologically cultural process, and the educational practices that constitute the social matrix from which these emotional manifestations arise, circumscribing the babys possibilities of expression.
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Sturt, Catherine Ellen. "Expressed emotion in parents of behaviourally disturbed learning disabled children." Thesis, University of Plymouth, 1993. http://hdl.handle.net/10026.1/2251.
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Expressed emotion (EE) represents a measure of the emotional quality of the relationship between a key caregiver and relative, where the latter is experiencing a psychiatric or medical condition, and with implications for the course of this condition. To the author's knowledge, despite the salience of behavioural disturbance for families with learning disabled children, no published study has specifically investigated the relationship between parental EE and child behavioural disturbance. The current study focused on a comparison of high and low EE households with regards to child behavioural disturbance, parental stress and coping, and service and respite care usage. Forty parents were interviewed with a modified Camberwell Family Interview. The results showed no significant difference between high and low EE groups with regards to child behavioural disturbance, parental coping as related to factors such as social support and familial resources, and service and respite care usage. High EE parents reported significantly higher levels of stress and significantly less use of support and advice outside the family system than low EE parents. The findings conflict with conclusions from EE research e.g . with learning disabled adolescents, dementia and non-learning disabled children, which have demonstrated a relationship between EE and behavioural disturbance, but concur with studies, mainly with regards to schizophrenia, which have found that level of EE is independent of behavioural disturbance. Thus level of EE in the current study appears principally to reflect parental characteristics as opposed to child-related characteristics. The results suggest that a focus on parental psychological needs in relation to both the emotional quality of the parent-child relationship, and the care of the child more generally, might be more appropriate for both parents and children, as opposed to a traditional child-centric service delivery . Further research is required to elucidate the relationship between EE and behaviour, and there is value in exploring the relationship between EE and behaviour over time, within a longitudinal design. Indeed, the scope for further study of EE in the area of learning disability is tremendous, and the inherent modifiability of the EE construct renders it an appealing guide in terms of service development and outcome evaluation.
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Oron-Marom, Sofi. "Longitudinal study of expressed emotion (EE) and psychosis in Israel." Thesis, University of Nottingham, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.312214.
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Barrowclough, Christine. "Attributions and expressed emotion in the relatives of schizophrenic patients." Thesis, University College London (University of London), 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.389909.
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Beck, Alexandra. "Maternal expressed emotion towards children with and without learning disabilities." Thesis, University of Southampton, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273879.
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Whittick, Janice Elizabeth. "Carers of the dementing elderly coping techniques and expressed emotion /." Thesis, Connect to e-thesis, 1993. http://theses.gla.ac.uk/696/.
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Thesis (Ph.D.) - University of Glasgow, 1993.<br>Thesis submitted to the Faculty of Medicine, Department of Division of Developmental Medicine, University of Glasgow, 1993. Includes bibliographical references. Print version also available.
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Hull, N. A. M. "Causal attributions and expressed emotion towards cluster B personality disorder." Thesis, University of East Anglia, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.426884.
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Mallandain, Ian. "Predictors of high paternal Expressed Emotion towards children with autism." Thesis, University of East Anglia, 2009. https://ueaeprints.uea.ac.uk/10598/.
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Introduction: There have been several studies in the intellectual disability/autism literature that have found a relationship between high parental Expressed Emotion and child maladaptive behaviour. Most of these studies have been carried out using mothers. The present study aimed to examine some of the reported associations. Using a logistic regression analysis, factors examined in the present study with Critical Comments were: Paternal psychological morbidity, paternal causal attributions, and child externalising and internalising behaviour. In addition, the differences between critical and non critical fathers in respect of child maladaptive behaviour were examined. Methodology: A cross sectional survey design was carried out, interviewing sixty-eight fathers of children with autistic spectrum disorder, who also completed questionnaires. Interviews were transcribed and coded for Critical Comments and attributions. Questionnaires addressed child maladaptive behaviour and paternal psychological morbidity. Results: Critical fathers differed from non critical fathers in having children with more externalising behaviour, although no difference was found for internalising problems. Externalising behaviour was the only statistically significant predictor of Critical Comments, using logistic regression. An additional finding related to a significant correlation between paternal psychological morbidity and child externalising behaviour. Correlations were also found between Critical Comments, and three independent variables: Child internalising and externalising behaviour, and the control attribution. Discussion: The present study supported previous study findings regarding the relationship between Critical Comments and child externalising behaviour, and partial support for an attribution theory of EE. Clinical and theoretical implications of study findings were discussed, as well as suggestions for future research. Findings suggest that paternal mental health needs to be considered, as an adjunct to parenting programmes, as well as the importance of including fathers, when designing interventions to reduce high EE in families.
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Timmers, Monique. "Sex differences in emotion expression." [S.l. : Amsterdam : s.n.] ; Universiteit van Amsterdam [Host], 2000. http://dare.uva.nl/document/57122.
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Klaus, Nicole. "A psychometric evaluation of two measures of expressed emotion in caregivers of children with mood disorders." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1145913694.
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Hodder, Lindsay Michelle. "An exploration of family communication style and its impact upon post traumatic stress disorder." Thesis, University of Southampton, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.288409.
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Sisson, Dorothy Phillips. "Expressed emotion in parents of children with early-onset mood disorders." Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1117557480.
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Thesis (Ph. D.)--Ohio State University, 2005.<br>Title from first page of PDF file. Document formatted into pages; contains x, 118 p. Includes bibliographical references (p. 83-89). Available online via OhioLINK's ETD Center
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Savvidou, Soultana. "Validation of the FEELTRACE tool for recording impressions of expressed emotion." Thesis, Queen's University Belfast, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.558178.
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The present thesis was part of a research effort aimed to promote interaction between the psychology of emotion and new developments in computing. The research was conducted within the context of a European project (PHYSTA: Principled Hybrid Systems, Theory and Applications). The main aim of the project was to create an emotion decoding system. Part of the project was to assemble a database with spontaneously occurring emotional episodes. To describe the perceived emotional content of these episodes, the project team developed a system called FEEL TRACE. This system was created in order to allow observers to track their perceptions of the emotional content of the audiovisual material in real time, leading to a 'trace' that shows variation over time. This tool is based on the dimensional approach to emotion, which has a long history in psychology and is represented by a two-dimensional space: the dimension of activation and the dimension of evaluation. A strong research tradition argues that emotion terms can be understood as referring to points in a space defined by those two axes. There are also strong suggestions that this space is circular. The circumference is defined by states that are at the limit of emotional intensity. These are equidistant from an emotionally neutral point, i.e. they define a circle, with alert neutrality at centre. This fundamental idea was gradually developed into a recording tool to present activation-evaluation space as a circle on a computer screen, and to have observers record their impression of emotional state by moving a cursor to the appropriate position in the space using a mouse. The development task was to ensure that users do so in a way that is consistent and whose meaning is reasonably clear. Pilot studies led to additions in the form of landmark words and colour coding.
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Selberg, Malin. "Självskadebeteende och Expressed Emotion. En uppföljning av IKB-Intensiv Kontextuell Behandling." Thesis, Linköpings universitet, Institutionen för klinisk och experimentell medicin, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-135350.
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Att avsiktligt skära, bränna eller på annat sätt skada sig själv illa är förenat med ett stort lidande och väcker ofta starka reaktioner hos de anhöriga. Problematiken är omfattande och självskadebeteende förefaller vara en stark prediktor för självmordsförsök och fullbordade självmord. Globalt är självmord den näst vanligaste dödsorsaken bland ungdomar. Efterfrågan på effektiva behandlingsmodeller för denna målgrupp är stor. I Sverige, närmare bestämt i Uppsala har behandlingsmodellen IKB – Intensiv Kontextuell Behandling utvecklats för ungdomar med självskadebeteende och/eller suicidala beteenden och deras familjer. Modellen är en integrerad individ- och familjeterapeutisk behandlingsmodell. Föreliggande studie syftade till att undersöka behandlingsmodellen IKB:s effektivitet i förhållande till minskat självskadebeteende hos ungdomarna och minskade nivåer av Expressed emotion hos föräldrarna. Sammanlagt har 34 familjer deltagit i studien och de har samtliga genomgått behandling inom ramen för IKB-modellen. Resultatet visade på en effektivitet i behandlingsmodellen IKB avseende att minska självskadebeteende hos ungdomarna samt att minska nivåerna av Expressed emotion hos föräldrarna. Utfallet av studien diskuteras utifrån tidigare forskning och metodologiska frågor.<br>To intentionally cut, burn or hurt oneself severely is associated with great suffering and often arouse strong reactions within the family context. The problem is extensive and self-harm appears to be a strong predictor of suicide attempts and completed suicides. Globally, suicide is the second leading cause of death among young people. Effective treatment models for this group is urgent. In Sweden, (Uppsala) the model IKB - Intensive Contextual Treatment was developed for adolescents with self-harm and / or suicidal behavior, and their families in order to provide support. IKB is an integrated individual and family therapeutic model. The aim of the study were to evaluate the effectiveness of IKB in relation to frequency of self-harm and levels of Expressed emotion. A total of 34 families participated in the study and they all received treatment in the context of the IKB-model. The families completed the self-assessment forms for data collection before treatment, after treatment and follow-up. Results showed efficiency to reduce self-harm among adolescents and to decrease levels of Expressed emotion. The outcome of the study are discussed based on previous research and methodological issues.<br><p>27</p>
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Yuksel, Muazzez Merve. "The Effects Of Brief Psychoeducation Program On The Perceived Expressed Emotion Levels Of The Outpatient Schizophrenic Patients And Expressed Emotion Levels And Burn Out Levels Of Their Key Relatives." Master's thesis, METU, 2008. http://etd.lib.metu.edu.tr/upload/12609835/index.pdf.
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The main aim of this study is to investigate the effects of a brief psycho-educational intervention for the key relatives of schizophrenic patients, on perceived expressed emotion of patients, and the expressed emotion and burn out of their key relatives. Seventy five schizophrenic patients and their key relatives were included in the study. They were assigned into three groups randomly. The key relatives in the first experimental group were given a one-day psychoeducational workshop and written material package about schizophrenia were provided for them. In the second experimental group, key relatives were only given the written material package about schizophrenia which was the same as that of the Experimental Group I. The third group was the control group received no intervention or any material.
All of the participants including patients and key relatives were given the instruments of the study as pre-test. Two weeks after pre-test, the relatives in Experimental Group I and Experimental Group II were invited to the hospital without their patients. The first group participated in the psychoeducational workshop and they were given written material package and the second group was only given the written material package. Pre test was given to Control Group without any intervention. Two months later, the post&ndash<br>tests were applied to all of the key relatives and their patients.
Overall the results indicated that a one day intensive psycho-educational workshop enriched with audiovisual components, written material package about schizophrenia and an interactive discussion part has a positive impact on the key relatives&rsquo<br>burnout levels, expressed emotion levels and knowledge about schizophrenia. Furthermore, although no direct intervention was conducted with the patients, the results showed that patients&rsquo<br>perceived expressed emotion levels were reduced as well. The results also showed that simply providing written material about schizophrenia does not have an effect on burnout levels, expressed emotion levels and knowledge of relatives and the perceived expressed emotion of their patients.
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Savile, Amy Louise. "The influence of maternal reflective functioning and expressed emotion on children's attachment among children with, or at risk of, behavioural problems." Thesis, University of Exeter, 2014. http://hdl.handle.net/10871/14607.
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Background: This study examined whether levels of parental reflective function (RF), parental expressed emotion (EE) and children’s attachment styles are significantly related in a sample of children with high levels of conduct disorder (CD) symptoms. Method: The sample (n = 143) consisted of children aged 5-7 years at risk of behaviour problems. Participants were recruited from a borough of London and a unitary authority in the south west of England. Data for the three main variables and confounders were collected using semi-structured interview, direct observation and questionnaires from both parents and children. The Parent Development Interview (PDI) was used to assess RF; the Five-Minute Speech Sample to assess EE and the Manchester Child Attachment Story Task (MCAST) to assess child attachment. Results: Global levels of maternal RF did not significantly differ between the securely and insecurely attached groups of children. Mothers of securely attached children, however, had higher RF ratings on the negative interactions and anger subscales of the PDI compared to mothers of insecurely attached children. No significant difference was found in parental EE between secure and insecurely attached children. High EE-warmth was associated with high global RF, but there was no significant relationship between EE-criticism and RF. Multiple logistic regression found no significant relationships between parental RF, parental EE and child attachment. Conclusions: These findings may suggest that attachment classification influences the levels of maternal RF in specific negative situations. Conversely it is possible that high maternal RF in such situations enables mothers to respond more sensitively to their child, leading to more secure attachment. The finding that maternal RF and EE were not associated with child attachment may suggest these variables are not strongly related, the sample is too small to detect any effect or that the specific sample lacks variability in scores. To the author’s knowledge this is the first study to test for these relationships with confounders included in the model, which may explain the null findings.
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Tressoldi, Larissa de Souza. "Emoção expressa e sobrecarga de familiares de pacientes no primeiro episódio psicótico e fatores relacionados." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-24012017-152859/.
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O primeiro episódio psicótico (PEP) é um período marcado por uma série de mudanças na dinâmica familiar. A família tem um papel importante no processo de tratamento desses pacientes. As atitudes dos membros familiares acerca do paciente são avaliadas por meio dos níveis de Emoção Expressa (EE) e de sobrecarga familiar. Apesar da importância do papel dos cuidadores, estudos conduzidos para avaliar as relações intrafamiliares de pacientes no PEP são escassos. Este estudo observacional teve como objetivo determinar os fatores relacionados aos níveis de EE e sobrecarga de familiares de pacientes no PEP. Participaram do estudo 100 familiares e 100 pacientes em acompanhamento em um ambulatório de um hospital universitário do interior do Estado de São Paulo, no período de janeiro de 2015 a janeiro de 2016. Para a coleta de dados foram utilizados quatro instrumentos: um formulário contendo dados sociodemográficos e clínicos, o Family Questionnaire - Versão Português do Brasil (FQ-VPB) para avaliar os níveis de EE e de seus domínios Comentários Críticos (CC) e Superenvolvimento Emocional (SEE), o Inventário de Sobrecarga do Cuidador (ISC) para medir os níveis de sobrecarga dos familiares e a Medida de Adesão aos Tratamentos (MAT) para avaliar a adesão ao tratamento. Os dados foram obtidos por meio de entrevista dirigida. Para análise utilizou-se estatística descritiva e regressão logística múltipla. O nível de significância adotado foi de 0,05. Quanto aos resultados, a maioria dos familiares (62%) foi classificada com elevado nível de EE, 63% com baixo nível de CC, 59% com elevado nível de SEE e 43% apresentaram nível moderado de sobrecarga familiar. Em relação à adesão ao tratamento, 84% dos pacientes foram considerados aderentes. Houve associação significante entre os níveis de EE, SEE e o sexo e escolaridade dos familiares, entre o vínculo com o paciente e os níveis de EE, SEE e CC, entre os níveis de sobrecarga e o diagnóstico médico e entre a idade do paciente e os níveis de CC. Além disso, houve associação significante entre os níveis de EE, SEE e CC e os níveis de sobrecarga. A análise do modelo multivariado mostrou que os anos de estudo do familiar foram considerados fatores de proteção para o desenvolvimento de níveis elevados de EE e SEE, enquanto os anos de estudo do paciente foram considerados fatores de proteção para sobrecarga moderada. Outro fator de proteção identificado foi o tipo de vínculo com o paciente, ou seja, ser pai, avós, sobrinhos, primos, tios ou colegas, representa fator de proteção para nível elevado de EE, CC e sobrecarga moderada, moderada a severa e severa. Por outro lado, familiares do sexo feminino apresentaram 4,81 vezes mais chance de apresentar nível elevado de SEE do que familiares do sexo masculino. Além disso, familiares de pacientes com diagnóstico de esquizofrenia tem 4,19 vezes mais chance de apresentar nível elevado de CC do que familiares de pacientes sem diagnóstico. Espera-se que esses resultados possam fornecer informações para elaboração de estratégias de prevenção e promoção em saúde mental que envolvam os pacientes no PEP e seus familiares<br>The first-episode psychosis (FEP) is a period marked by a series of changes in family dynamics. Family plays an important role in the treatment of these patients. The attitudes of family members about the patient are evaluated by the levels of Expressed Emotion (EE) and family burden. Despite the importance of the role of caregivers, conducted studies to assess the intra-family relationships of patients in the FEP are scarce. This observational study aimed to determine the factors related to EE levels and relatives to FEP patients overwhelmed. The study included 100 families and 100 patients followed up in a clinic of a university hospital in the state of São Paulo, from January 2015 to January 2016. For data collection were used four instruments: a form containing sociodemographic and clinical data; the Family Questionnaire - Brazil\'s Portuguese version (FQ-BPV) to measure the EE levels and its domains of Criticism and emotional overinvolvement (EOI); the Zarit Burden Interview (ZBI) to measure the overload levels of family members and the Measurement of Treatment Adherence (MTA) to evaluate adherence to treatment. The data were obtained by guided interview. For analysis, it was used descriptive statistics and multiple logistic regression. The significance level was 0.05. As the results, most families (62%) were classified with high level of EE, 63% with low criticism, 59% with high level of EOI and 43% had moderate level of family burden. In relation to adherence to treatment, 84% of patients were considered adherent. There was a significant association between EE levels, EOI and the gender and education of family members, between the relationship with the patient and EE levels, EOI and criticism, between the burden levels and the medical diagnosis and between the age of the patient and criticism levels. In addition, there was a significant association between EE levels, EOI and criticism and burden levels. The analysis of the multivariate model showed that the years family study were considered protective factors for the development of high levels of EE and EOI, while the years of patient study were considered protective factors to moderate overwhelm. Another protection factor identified was the type of relationship with the patient. Having another relation with the patient, ie, being a father, grandparents, nephews, cousins, uncles or colleagues, is a protective factor for high level of EE, criticism and moderate overload, moderate to severe and severe. By contrast, female members of the family had 4.81 times more likely to have high level of EOI that those family members who were male. In addition, relatives of patients with schizophrenia has 4.19 times more likely to have high levels of criticism than relatives of patients who do not have diagnosis. It is expected that these results can provide information for developing prevention strategies and promotion on mental health involving patients in the FEP and their families
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Kessler, Henrik [Verfasser]. "Entwicklung und Reliabilitätsstudie des FEEL-Tests (Facially Expressed Emotion Labeling) / Henrik Kessler." Ulm : Universität Ulm. Medizinische Fakultät, 2003. http://d-nb.info/1015948723/34.
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Barve, Chinmayee. "Individual factors as buffers against parental expressed emotion : a path-analytical model." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0006/MQ44124.pdf.
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Ashcroft, James Barrie. "Recognition of facially expressed emotion : with particular reference to mentally abnormal offenders." Thesis, University of Liverpool, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.329459.
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Barton, Joanne. "The effect of modifying maternal expressed emotion on outcome of preschool hyperactivity." Thesis, University of Glasgow, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.274757.
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Treanor, Lucy Phillipa. "Relatives' Responses to Psychosis : An Exploratory Investigation of Low Expressed Emotion Relatives." Thesis, University of Manchester, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.503751.
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Peace, Natalie R. "Expressed emotion and adjustment in families with children with autism spectrum conditions." Thesis, University of Southampton, 2012. https://eprints.soton.ac.uk/341763/.
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Children with Autism Spectrum Conditions (ASC) present with social and communication deficits, and patterns of restricted and repetitive behaviours (APA, 2000). These difficulties have significant impacts for families, including increased levels of stress and mental health problems when compared to parents raising children with other developmental or intellectual conditions (e.g. Singer, 2006). Research has sought to understand this impact and to identify the factors that place parents at risk for poor adjustment outcomes so that interventions can be effectively tailored to facilitate improved outcomes for families. This thesis reviews the adjustment literature and considers how it fits within a widely used model of adjustment, the Double ABCX model (McCubbin & Patterson, 1983). It then goes on to consider the importance of the parent-child relationship for adjustment via the construct of Expressed Emotion (EE), and explores how this literature adds to our understanding of the adjustment process in families of children with ASC. Next, the role of EE in the adjustment process of families of children with ASC is investigated. A mediation model is proposed that incorporates a measure of EE within the Double ABCX model. The validity of this model is tested in a sample of primary caregivers who have children with ASC. Whilst the results of the study indicate that EE does not have a mediating role in the adjustment of these families, the study has a number of limitations and suggestions for future research that are discussed in detail.