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Interaction in Families With a Schizophrenic Child
HENRY L. LENNARD, PhD;
MAURICE R. BEAULIEU, MD;
NOLEN G. EMBREY, BA
Arch Gen Psychiatry. 1965;12(2):166-183.
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Table of Contents
Section I Part A—Objectives - 1. To develop a quantitative methodology
- 2. To compare family interaction patterns
- 3. To explore tentative hypotheses about the meaning of differences
Part B—Procedure - 1. The "schizophrenic" families
- 2. The "control" families
- 3. Instruction
- 4. Data processing
Section II Methodological limitations of this approach Methodological problems - 1. The issue of stability and change in family interaction patterns
- 2. What is a sample of family process?
- 3. Can one sample "schizophrenic" families?
- 4. Specificity of patterns
- 5. Diagnosis of schizophrenia
- 6. Effect of study context on "natural" family interaction
- 7. Can "significant" variables be measured? Section III Part A—The family as a communication system Part B—The family as a regulation and control system Part C—The family as a socialization system Part D—Questions and control
References Appendix
Section I
Part A. Objectives.—This paper is a report on one of a series
. . . [Full Text PDF of this Article]
Author Affiliations
NEW YORK
From the Bureau of Applied Social Research, Columbia University. Program Director, Currently (1964-65) Visiting Associate Professor of Psychiatry, University of California Medical School (Dr. Lennard); Candidate, Doctor of Medical Science Program, Downstate Medical Center, State University of New York, and Lieutenant, United States Naval Hospital, Oakland (Dr. Beaulieu); and Research Assistant (Mr. Embrey).
Footnotes
Submitted for publication May 11, 1963.
Read before the St. Louis meeting of the American Psychiatric Association, May, 1963.
Reprint requests to Department of Psychiatry, University of California, 401 Parnassus, San Francisco, Calif 94122.
Problems involved in diagnostic classification of schizophrenia as well as in the selection of so-called control families are discussed in section II of this paper, entitled "Methodological Limitations of This Approach."
The study of adult schizophrenic patients has a twofold purpose: (a) to compare types, and sequences of communication, for three role relationships in which the schizophrenic patient is involved and (b) to provide a basis for comparing overtime system characteristics of the therapeutic systems involving a schizophrenic member with those involving a neurotic member. Information about characteristics of the latter in the first 50 sessions of the therapist-patient interaction is presented in the senior author's (HLL) book.22  It is our impression, which will be elaborated in section II of this paper, that more than one control group is required in studies of the kind reported here. One of these should be a control group of families with a "severely ill" child. Data were, therefore, collected on family interaction process in a group of ten families with a child diagnosed as being "intractably asthmatic." Analysis of the data has not yet proceeded to a point where it can be included in this paper.
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