Representations of the parental family in patients with schizoaffective disorder and schizophrenia

The article presents research findings on the perceptions of the parental family in patients with schizophrenia and schizoaffective disorders. The study was based on the four aspect model of the family system, developed by A.B. Kholmogorova (2011). The structural and dynamic characteristics of parental families (family representations) were studied using self-report methods. Significant differences were found in a number of parameters. For example, closed external borders and numerous coalitions (primarily between mother and child) were found in families of patients with schizophrenia both before and after the manifestation of the disorder. At the same time, strong connections between all members of the family are seen in patients with schizoaffective disorders (as opposed to coalitions), while excessive impermeability of external borders is seen only after the manifestation of the disorder. It is shown that as compared to patients with schizophrenia, the family system of those with schizoaffective disorder is closer to the system of healthy patients and is less dysfunctional both before and after the manifestation of the disorder. The authors conclude that there is a difference in the psychosocial contexts of the onset and course of different schizophrenia spectrum disorders.

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