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Clinical Presentation of a Laboratory-Based Family Typology

Ronald M. Costell, MD; David Reiss, MD

Arch Gen Psychiatry. 1982;39(4):433-438.

Abstract
• This report portrays the distinctive clinical features of four groups of families with psychiatrically hospitalized adolescents. The classification of families into the four groups was made by objective measures of their performance in a standard problemsolving task. Clinicians, blind to this classification, synthesized and described their clinical impressions of these families. There were clear differences among the four groups in family dynamics and in the adolescents' ward behavior. Furthermore, families who experienced themselves as an integrated group became more effectively engaged in a family-oriented inpatient treatment program. Families with noticeable alienation between members did not become effectively engaged in the familyoriented program and may be better candidates for other approaches to inpatient care.

Author Affiliations
From the Center for Family Research, Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine, Washington, DC.

Footnotes
Accepted for publication Aug 12, 1981.

Reprint requests to Center for Family Research, George Washington University School of Medicine, 2300 Eye St NW, Washington, DC 20037 (Dr Reiss).

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