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Ethnographic analysis of expressed emotions in Pakistani families of patients with schizophrenia
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Singh, Swaran P., Sadiq, Sarosh, Jafri, Sadaf Zahra, Ikram, Aisha and Suhail, Kausar (2012) Ethnographic analysis of expressed emotions in Pakistani families of patients with schizophrenia. International Journal of Mental Health, Vol.40 (No.4). pp. 86-103. doi:10.2753/IMH0020-7411400406 ISSN 0020-7411.
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Official URL: http://dx.doi.org/10.2753/IMH0020-7411400406
Abstract
Family expressed emotions (EE) have been found to be closely linked with the course of the disorder in patients with schizophrenia. Despite substantial cross-cultural differences in rates and impact of EE, a qualitative understanding of the construct is missing in relevant literature. This work was undertaken in Pakistan to understand the indigenous expression of emotional overinvolvement, criticism, and hostility as the primary components of the construct. We transcribed and conducted content analysis on the audio-recorded Camberwell Family Interviews of sixty-four caregivers to search the statements indicating these three elements. The frequency of statements showing overinvolved behavior surpasses all other accounts indicating criticism or hostility. Although many emotionally overinvolved behaviors are culturally relevant, some behaviors of the relatives, particularly of mothers, are above and beyond the cultural expectations. Outcome studies are warranted to determine whether extreme sacrificing and devoted behavior is pathological or a part of the culture. Criticism is mostly directed to socially objectionable behavior followed by personality traits of the patients. The higher frequency of hostility may be explained by specific socio-cultural factors. This ethnographic analysis shows that expressed emotions is not a culture specific construct. However, cultural distinctive patterns of emotional overinvolvement and critical attitude may exist across cultures.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | International Journal of Mental Health | ||||
| Publisher: | M.E. Sharpe, Inc. | ||||
| ISSN: | 0020-7411 | ||||
| Official Date: | 2012 | ||||
| Dates: |
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| Volume: | Vol.40 | ||||
| Number: | No.4 | ||||
| Page Range: | pp. 86-103 | ||||
| DOI: | 10.2753/IMH0020-7411400406 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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