Evolution of Representations Regarding Family Relations in the Development and Course of Schizophrenia



The study considers the scientific views on the role of family relationships in the development and progress of schizophrenia, which have undergone a serious transformation during the last century. Earlier on, adepts of the psychoanalytic approach considered certain patterns of early interactions with the mother and significant others as a pathogen contributing to the development of schizophrenia in children, which caused stigmatization and significant distress of the patients’ relatives. According to the modern approach, close relatives of the patients are viewed firstly as people suffering in their situation and requiring psychological support, and secondly as one of the main factors defining the patient’s rehabilitation potential. The modern views refer to the fact that adequate family relationships can positively influence the opportunities of social adaptation of the patient, reduce the disease recurrence and contribute to an increased compliance. At the same time, negative relationships produce the opposite effect. Thus, examining the peculiarities of the patient’s family relations can be considered an undoubtedly important task, together with developing and implementing specialized psychosocial family interventions.

General Information

Keywords: schizophrenia, family interventions, schizophrenogenic mother, double bind, main caregiver, family burden

Journal rubric: Research Reviews

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2019270104

For citation: Getmanenko I.A., Trusova A.V. Evolution of Representations Regarding Family Relations in the Development and Course of Schizophrenia. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2019. Vol. 27, no. 1, pp. 48–63. DOI: 10.17759/cpp.2019270104. (In Russ., аbstr. in Engl.)


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Information About the Authors

Iana A. Getmanenko, Clinical Psychologist, Department Specializing in First Episode Psychosis, St. Petersburg Psychiatric Hospital №3 named after I.I.Skvortsov-Stepanov, St.Petersburg, Russia, e-mail: Yana.getmanenko@gmail.com

Anna V. Trusova, PhD in Psychology, Associate Professor, Department of Psychology, Division of Medical Psychology and Psychophysiology, St. Petersburg State University, Researcher, Department of Addictions, V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-0921-4203, e-mail: anna.v.trusova@gmail.com



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