An Interpersonal CBT Framework for Involving Relatives in Interventions for Psychosis: Evidence Base and Clinical Implications

Cognitive Therapy and Research

Volumn 40, Issue 2, 2016, Pages 198-215

  Lobban, Fiona ^a   Barrowclough, Christine ^b  

^a LANCASTER UNIVERSITY   (United Kingdom)

^b UNIVERSITY OF MANCHESTER   (United Kingdom)

Author keywords

CBT; Family intervention; Interpersonal; Psychosis; Recovery; Relatives

Indexed keywords

ARTICLE; BEHAVIOR; BEHAVIOR CHANGE; CLINICAL PRACTICE; COGNITION; COGNITIVE THERAPY; CONCEPTUAL FRAMEWORK; COPING BEHAVIOR; EMOTION; EVIDENCE BASED PRACTICE; FAMILY THERAPY; HOSTILITY; HUMAN; NONVERBAL COMMUNICATION; PSYCHOLOGICAL WELL BEING; PSYCHOSIS; SELF ESTEEM; SELF REGULATION MODEL; SOCIAL ENVIRONMENT; SOCIAL INTERACTION; SOCIAL ISOLATION; SOCIAL NETWORK; SOCIAL SUPPORT;

EID: 84961139014     PISSN: 01475916     EISSN: 15732819     Source Type: Journal    
DOI: 10.1007/s10608-015-9731-3     Document Type: Article

References (119)

1. Addington, J., McCleery, A., & Addington, D. (2005). Three-year outcome of family work in an early psychosis program. Schizophrenia Research,79(1), 107–116.
2. Allen, J., Burbach, F., & Reibstein, J. (2013). ‘A different world’ individuals’ experience of an integrated family intervention for psychosis and its contribution to recovery. Psychology and Psychotherapy,86(2), 212–228. doi:10.1111/j.2044-8341.2011.02057.x.
3. Andrew, A., Knapp, M., McCrone, P., Parsonage, M., & Trachtenberg, M. (2012). Effective interventions in schizophrenia: The economic case. Personal social services research unit. London, UK: London School of Economics and Political Science. http://eprints.lse.ac.uk/47406.
4. Barnard, P. J., & Teasdale, J. D. (1991). Interacting cognitive subsystems: A systemic approach to cognitive–affective interaction and change. Cognition and Emotion,5(1), 1–39. doi:10.1080/02699939108411021.
5. Barrowclough, C., Gooding, P., Hartley, S., Lee, G., & Lobban, F. (2014). Factors associated with distress in relatives experiencing recent onset psychosis in a family member. Journal of Nervous and Mental Disease,202(1), 40–46.
6. Barrowclough, C., & Hooley, J. M. (2003). Attributions and expressed emotion: A review. Clinical Psychology Review,23(6), 849–880.
7. Barrowclough, C., Johnston, M., & Tarrier, N. (1995). Attributions, expressed emotion, and patient relapse: An attributional model of relatives’ response to schizophrenic illness. Behavior Therapy,25(1), 67–88.
8. Barrowclough, C., Lobban, F., Hatton, C., & Quinn, J. (2001). An investigation of models of illness in carers of schizophrenia patients using the Illness Perception Questionnaire. British Journal of Clinical Psychology,40(4), 371–385. doi:10.1348/014466501163869.
9. Barrowclough, C., & Tarrier, N. (1992). Families of schizophrenic patients: Cognitive behavioural intervention. London: Chapman and Hall.
10. Barrowclough, C., Tarrier, N., Humphreys, L., Ward, J., Gregg, L., & Andrews, B. (2003). Self-esteem in schizophrenia: Relationships between self-evaluation, family attitudes, and symptomatology. Journal of Abnormal Psychology,112(1), 92.
11. Barrowclough, C., Tarrier, N., & Johnston, M. (1996). Distress, expressed emotion, and attributions in relatives of schizophrenia patients. Schizophrenia Bulletin,22(4), 691–702.
12. Barrowclough, C., Ward, J., Wearden, A., & Gregg, L. (2005). Expressed emotion and attributions in relatives of schizophrenia patients with and without substance misuse. Social Psychiatry and Psychiatric Epidemiology,40(11), 884–891.
13. Beck, A. T. (1979). Cognitive therapy and the emotional disorders. New York, USA: Penguin.
14. Bentall, R. P., Corcoran, R., Howard, R., Blackwood, N., & Kinderman, P. (2001). Persecutory delusions: A review and theoretical integration. Clinical Psychology Review,21(8), 1143–1192.
15. Bertrando, P., Beltz, J., Bressi, C., Clerici, M., Farma, T., Invernizzi, G., & Cazzullo, C. (1992). Expressed emotion and schizophrenia in Italy. A study of an urban population. The British Journal of Psychiatry,161(2), 223–229.
16. Boye, B., Bentsen, H., Ulstein, I., Notland, T. H., Lersbryggen, A., Lingjaerde, O., & Malt, U. F. (2001). Relatives’ distress and patients’ symptoms and behaviours: A prospective study of patients with schizophrenia and their relatives. Acta Psychiatrica Scandinavica,104(1), 42–50. doi:10.1034/j.1600-0447.2001.00190.x.
17. Brewin, C. R., MacCarthy, B., Duda, K., & Vaughn, C. E. (1991). Attribution and expressed emotion in the relatives of patients with schizophrenia. Journal of Abnormal Psychology,100(4), 546–554. doi:10.1037/0021-843x.100.4.546.
18. Brown, G. W., & Birley, J. (1968). Crises and life changes and the onset of schizophrenia. Journal of Health and Social Behavior,9(3), 203.
19. Brown, G. W., Birley, J. L. T., & Wing, J. K. (1972). Influences of family life on the course of schizophrenic disorders: A replication. British Journal of Psychiatry, 121, 241–248.
20. Brown, G. W., & Rutter, M. (1966). The measurement of family activities and relationships: A methodological study. Human Relations, 19(3), 241–263.
21. Burbach, F. (2012). Family interventions: Fundamental considerations when developing routine and formal family interventions services. In X. Anastassiou-Hadjicharalambous (Ed.), Psychosis: Causes, diagnosis and treatment (pp. 207–228). Hauppauge, New York: Nova Science Publishers Inc.
22. Burbach, F. (2013). Towards a systemic understanding of family emotional atmosphere and outcome after psychosis. In A. I. Gumley, A. Taylor, & M. Schwannauer (Eds.), Psychosis and emotion: The role of emotions in understanding psychosis, therapy and recovery (pp. 116–136). London: Routledge.
23. Butzlaff, R. L., & Hooley, J. M. (1998). Expressed emotion and psychiatric relapse: A meta-analysis. Archives of General Psychiatry,55(6), 547–552.
24. Cantor-Graae, E., & Selten, J.-P. (2005). Schizophrenia and migration: A meta-analysis and review. American Journal of Psychiatry,162(1), 12–24.
25. Collip, D., Oorschot, M., Thewissen, V., Van Os, J., Bentall, R., & Myin-Germeys, I. (2011). Social world interactions: How company connects to paranoia. Psychological Medicine,41(5), 911–921.
26. Cutting, L. P., Aakre, J. M., & Docherty, N. M. (2006). Schizophrenic patients’ perceptions of stress, expressed emotion, and sensitivity to criticism. Schizophrenia Bulletin,32(4), 743–750.
27. Dausch, B. M., Cohen, A. N., Glynn, S., McCutcheon, S., Perlick, D. A., Rotondi, A., et al. (2012). An intervention framework for family involvement in the care of persons with psychiatric illness: Further guidance from family forum II. American Journal of Psychiatric Rehabilitation,15(1), 5–25. doi:10.1080/15487768.2012.655223.
28. Department of Health and Human Services. (2003). New Freedom Commission on mental health: Achieving the promise: Transforming mental health care in America. Final report. Rockville, MD. http://www.mentalhealthcommission.gov/reports/interim_report.htm#p75_10348.
29. Dixon, L., Glynn, S., Cohen, A., Drapalski, A., Medoff, D., Fang, L., et al. (2014). Outcomes of a brief program, REORDER, to promote consumer recovery and family involvement in care. Psychiatric Services,65(1), 116–120.
30. Drake, R. E., Bond, G. R., & Essock, S. M. (2009). Implementing evidence-based practices for people with schizophrenia. Schizophrenia Bulletin,35(4), 704–713. doi:10.1093/schbul/sbp041.
31. Dunn, J. R., & Schweitzer, M. E. (2005). Feeling and believing: The influence of emotion on trust. Journal of Personality and Social Psychology,88(5), 736.
32. Eder, A. B., Hommel, B., & Houwer, J. D. (2007). How distinctive is affective processing? On the implications of using cognitive paradigms to study affect and emotion. Cognition and Emotion,21(6), 1137–1154.
33. Fadden, G. (2006). Training and disseminating family interventions for schizophrenia: Developing family intervention skills with multi-disciplinary groups. Journal of Family Therapy,28(1), 23–38.
34. Fadden, G., & Heelis, R. (2011). The meriden family programme: Lessons learned over 10 years. Journal of Mental Health,20(1), 79–88.
35. Farhall, J., & Thomas, N. (2013). Cognitive and behavioural therapies for psychosis. Australian and New Zealand Journal of Psychiatry,47(6), 508–511. doi:10.1177/0004867413483370.
36. Fortune, D. G., Smith, J. V., & Garvey, K. (2005). Perceptions of psychosis, coping, appraisals, and psychological distress in the relatives of patients with schizophrenia: An exploration using self-regulation theory. British Journal of Clinical Psychology,44, 319–331. doi:10.1348/014466505x29198.
37. Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology,2(3), 300.
38. Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist,56(3), 218.
39. Fredrickson, B. L. (2003). The value of positive emotions. American Scientist,91(4), 330–335.
40. Fredrickson, B. L., & Branigan, C. (2005). Positive emotions broaden the scope of attention and thought-action repertoires. Cognition and Emotion,19(3), 313–332.
41. Freeman, D., Garety, P. A., Bebbington, P., Slater, M., Kuipers, E., Fowler, D., et al. (2005). The psychology of persecutory ideation II: A virtual reality experimental study. The Journal of Nervous and Mental Disease,193(5), 309–315.
42. Freeman, D., Garety, P. A., Kuipers, E., Fowler, D., & Bebbington, P. E. (2002). A cognitive model of persecutory delusions. British Journal of Clinical Psychology,41(4), 331–347.
43. Freeman, D., Slater, M., Bebbington, P. E., Garety, P. A., Kuipers, E., Fowler, D., et al. (2003). Can virtual reality be used to investigate persecutory ideation? The Journal of Nervous and Mental Disease,191(8), 509–514.
44. Gaebel, W., Weinmann, S., Sartorius, N., Rutz, W., & McIntyre, J. S. (2005). Schizophrenia practice guidelines: International survey and comparison. The British Journal of Psychiatry,187(3), 248–255. doi:10.1192/bjp.187.3.248.
45. Garety, P. A., Fowler, D., Freeman, D., Bebbington, P., Dunn, G., & Kuipers, E. (2008). Cognitive–behavioural therapy and family intervention for relapse prevention and symptom reduction in psychosis: Randomised controlled trial. The British Journal of Psychiatry,192(6), 412–423.
46. Garety, P. A., Kuipers, E., Fowler, D., Freeman, D., & Bebbington, P. E. (2001). A cognitive model of the positive symptoms of psychosis. Psychological Medicine,31(2), 189–196.
47. Garland, E. L., Fredrickson, B., Kring, A. M., Johnson, D. P., Meyer, P. S., & Penn, D. L. (2010). Upward spirals of positive emotions counter downward spirals of negativity: Insights from the broaden-and-build theory and affective neuroscience on the treatment of emotion dysfunctions and deficits in psychopathology. Clinical Psychology Review,30(7), 849–864.
48. Glynn, S. M., Cohen, A. N., Dixon, L. B., & Niv, N. (2006). The potential impact of the recovery movement on family interventions for schizophrenia: Opportunities and obstacles. Schizophrenia Bulletin,32(3), 451–463.
49. Greenberg, J., Knudsen, K., & Aschbrenner, K. (2006). Special Section: A memorial tribute: Prosocial family processes and the quality of life of persons with schizophrenia. Psychiatric Services,57(12), 1771–1777.
50. Greenley, J. R. (1986). Social control and expressed emotion. The Journal of Nervous and Mental Disease,174(1), 24–30.
51. Grice, S., Kuipers, E., Bebbington, P., Dunn, G., Fowler, D., Freeman, D., & Garety, P. (2009). Carers’ attributions about positive events in psychosis relate to expressed emotion. Behaviour Research and Therapy,47(9), 783–789.
52. Gumley, A., White, C. A., & Power, K. (1999). An interacting cognitive subsystems model of relapse and the course of psychosis. Clinical Psychology & Psychotherapy,6(4), 261–278.
53. Haddock, G., Eisner, E., Boone, C., Davies, G., Coogan, C., & Barrowclough, C. (2014). An investigation of the implementation of NICE-recommended CBT interventions for people with schizophrenia. Journal of Mental Health,23(4), 162–165. doi:10.3109/09638237.2013.869571.
54. Hahlweg, K., & Conrad, P. (1985). The interaction coding system (Unpublished manual), Department of Psychology, University of California at Los Angeles.
55. Hahlweg, K., Goldstein, M. J., Nuechterlein, K. H., Magaña, A. B., Mintz, J., Doane, J. A., et al. (1989). Expressed emotion and patient-relative interaction in families of recent onset schizophrenics. Journal of Consulting and Clinical Psychology,57(1), 11.
56. Hodges, A., Byrne, M., Grant, E., & Johnstone, E. (1999). People at risk of schizophrenia. Sample characteristics of the first 100 cases in the Edinburgh High-Risk Study. The British Journal of Psychiatry,174(6), 547–553.
57. Holding, J. C., Tarrier, N., Gregg, L., & Barrowclough, C. (2013). Self-esteem and relapse in schizophrenia: A 5-year follow-up study. The Journal of Nervous and Mental Disease,201(8), 653–658.
58. Hooley, J. M. (1986). Expressed emotion and depression: Interactions between patients and high-versus low-expressed-emotion spouses. Journal of Abnormal Psychology,95(3), 237.
59. Hooley, J. M. (2007). Expressed emotion and relapse of psychopathology. Annual Review of Clinical Psychology,3, 329–352.
60. Hooley, J. M., & Campbell, C. (2002). Control and controllability: Beliefs and behaviour in high and low expressed emotion relatives. Psychological Medicine,32(6), 1091–1099.
61. Hooley, J. M., Richters, J., Weintraub, S., & Neale, J. (1987). Psychopathology and marital distress: The positive side of positive symptoms. Journal of Abnormal Psychology,96(1), 27–33. doi:10.1037/0021-843x.96.1.27.
62. Hutton, P. (2013). Cognitive-behavioural therapy for schizophrenia: A critical commentary on the Newton-Howes and Wood meta-analysis. Psychology and Psychotherapy: Theory, Research and Practice,86(2), 139–145.
63. Jauhar, S., McKenna, P. J., Radua, J., Fung, E., Salvador, R., & Laws, K. R. (2014). Cognitive-behavioural therapy for the symptoms of schizophrenia: Systematic review and meta-analysis with examination of potential bias. The British Journal of Psychiatry,204(1), 20–29. doi:10.1192/bjp.bp.112.116285.
64. Jones, C., Hacker, D., Cormac, I., Meaden, A., & Irving, C. B. (2012). Cognitive behavior therapy versus other psychosocial treatments for schizophrenia. Schizophrenia Bulletin,38(5), 908–910. doi:10.1093/schbul/sbs090.
65. Kahn, B. E., & Isen, A. M. (1993). The influence of positive affect on variety seeking among safe, enjoyable products. Journal of Consumer Research,20(2), 257–270.
66. Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin,13(2), 261–276.
67. Kitson, A. L., Rycroft-Malone, J., Harvey, G., McCormack, B., Seers, K., & Titchen, A. (2008). Evaluating the successful implementation of evidence into practice using the PARiHS framework: Theoretical and practical challenges. Implementation Science,3(1), 1.
68. Kring, A. M. (1999). Emotion in schizophrenia old mystery, new understanding. Current Directions in Psychological Science,8(5), 160–163.
69. Kuipers, E. (2011). Cognitive behavioural therapy and family intervention for psychosis—Evidence-based but unavailable? The next steps. Psychoanalytic Psychotherapy,25(1), 69–74. doi:10.1080/02668734.2011.542966.
70. Kuipers, E., Leff, J., & Lam, D. (2002). Family work for schizophrenia: A practical guide. London: Gaskell Press.
71. Kuipers, E., Onwumere, J., & Bebbington, P. (2010). Cognitive model of caregiving in psychosis. British Journal of Psychiatry,196(4), 259–265. doi:10.1192/bjp.bp.109.070466.
72. Kuipers, E., Watson, P., Onwumere, J., Bebbington, P., Dunn, G., Weinman, J., et al. (2007). Discrepant illness perceptions, affect and expressed emotion in people with psychosis and their carers. Social Psychiatry and Psychiatric Epidemiology,42(4), 277–283. doi:10.1007/s00127-007-0165-4.
73. Lee, G., Barrowclough, C., & Lobban, F. (2013). Positive affect in the family environment protects against relapse in first-episode psychosis. Social Psychiatry and Psychiatric Epidemiology, 49, 367–376.
74. Leff, J., & Vaughn, C. (1985). Expressed emotion in families. New York, London: The Guilford Press.
75. Leventhal, H., Nerenz, D. R., & Steele, D. F. (1984). Illness representations and coping with health threats. In A. Baum & J. Singer (Eds.), A handbook of psychology and health (pp. 219–252). Hillsdale, NJ: Erlbaum.
76. Lobban, F. (2012). Formulating with families using a CBT framework. Trondheim: Early Psychosis Conference.
77. Lobban, F., & Barrowclough, C. (2007). Workshop: Research to practice—How does recent research inform new developments in family work?. Strafford-upon-Avon: Meridan Family Conference.
78. Lobban, F., & Barrowclough, C. (2008–2009). Cognitive models in family interventions for psychosis—3 day workshop. Cumbria: Cumbria NHS Partnership Trust.
79. Lobban, F., Barrowclough, C., & Jones, S. (2003). A review of the role of illness models in severe mental illness. Clinical Psychology Review,23(2), 171–196. doi:10.1016/S0272-7358(02)00230-1.
80. Lobban, F., Barrowclough, C., & Jones, S. (2006). Does expressed emotion need to be understood within a more systemic framework? Social Psychiatry and Psychiatric Epidemiology,41(1), 50–55. doi:10.1007/s00127-005-0993-z.
81. Lobban, F., Glentworth, D., Chapman, L., Wainwright, L., Postlethwaite, A., Dunn, G., et al. (2013a). Feasibility of a supported self-management intervention for relatives of people with recent-onset psychosis: REACT study. The British Journal of Psychiatry,203(5), 366–372.
82. Lobban, F., Postlethwaite, A., Glentworth, D., Pinfold, V., Wainwright, L., Dunn, G., et al. (2013b). A systematic review of randomised controlled trials of interventions reporting outcomes for relatives of people with psychosis. Clinical Psychology Review,33(3), 372–382.
83. López, S. R., Nelson Hipke, K., Polo, A. J., Jenkins, J. H., Karno, M., Vaughn, C., & Snyder, K. S. (2004). Ethnicity, expressed emotion, attributions, and course of schizophrenia: Family warmth matters. Journal of Abnormal Psychology,113(3), 428.
84. MacMillan, J., Gold, A., & Crow, T. J. (1986). The Northwick Park Study of first episodes of schizophrenia. IV: Expressed emotion and relapse. British Journal of Psychiatry,148, 133–143.
85. Mojtabai, R., Fochtmann, L., Chang, S.-W., Kotov, R., Craig, T. J., & Bromet, E. (2009). Unmet need for mental health care in schizophrenia: An overview of literature and new data from a first-admission study. Schizophrenia Bulletin,35(4), 679–695. doi:10.1093/schbul/sbp045.
86. Morrison, A. P. (2001). The interpretation of intrusions in psychosis: An integrative cognitive approach to hallucinations and delusions. Behavioural and Cognitive Psychotherapy,29(03), 257–276.
87. Mueser, K. T., Bellack, A. S., Wade, J. H., Sayers, S. L., Tierney, A., & Haas, G. (1993). Expressed emotion, social skill, and response to negative affect in schizophrenia. Journal of Abnormal Psychology,102(3), 339–351. doi:10.1037/0021-843x.102.3.339.
88. Myin-Germeys, I., Nicolson, N., & Delespaul, P. (2001). The context of delusional experiences in the daily life of patients with schizophrenia. Psychological Medicine,31(3), 489–498.
89. NICE. (2014). Psychosis and schizophrenia in adults (CG178) clinical guidelines. London: National Institute for Health and Clinical Excellence.
90. Norman, R. M., Windell, D., Manchanda, R., Harricharan, R., & Northcott, S. (2012). Social support and functional outcomes in an early intervention program. Schizophrenia Research,140(1), 37–40.
91. O’Brien, M. P., Gordon, J. L., Bearden, C. E., Lopez, S. R., Kopelowicz, A., & Cannon, T. D. (2006). Positive family environment predicts improvement in symptoms and social functioning among adolescents at imminent risk for onset of psychosis. Schizophrenia Research,81(2), 269–275.
92. Onwumere, J. (2013). Caregiver’s reports of service user violence in psychosis. Paper presented at the European Association of Behavioural and Cognitive Therapies, Marrakech, Morroco.
93. Patterson, P., Birchwood, M., & Cochrane, R. (2005). Expressed emotion as an adaptation to loss: Prospective study in first-episode psychosis. The British Journal of Psychiatry,187(48), s59–s64. doi:10.1192/bjp.187.48.s59.
94. Pfammatter, M., Junghan, U. M., & Brenner, H. D. (2006). Efficacy of psychological therapy in schizophrenia: Conclusions from meta-analyses. Schizophrenia Bulletin,32, S64–S80. doi:10.1093/schbul/sb1030.
95. Pharoah, F., Mari, J., Rathbone, J., & Wong, W. (2010). Family intervention for schizophrenia. Cochrane Database of Systematic Review. doi:10.1002/14651858.CD000088.pub2.
96. Power, M. J., & Dalgleish, T. (1999). Two routes to emotion: Some implications of multi-level theories of emotion for therapeutic practice. Behavioural and Cognitive Psychotherapy,27(02), 129–141.
97. Priebe, S., Burns, T., & Craig, T. K. J. (2013). The future of academic psychiatry may be social. The British Journal of Psychiatry,202(5), 319–320. doi:10.1192/bjp.bp.112.116905.
98. Raghunathan, R., & Trope, Y. (2002). Walking the tightrope between feeling good and being accurate: Mood as a resource in processing persuasive messages. Journal of Personality and Social Psychology,83(3), 510.
99. Resnick, S. G., Rosenheck, R. A., Dixon, L., & Lehman, A. F. (2005). Correlates of family contact with the mental health system: Allocation of a scarce resource. Mental Health Services Research,7(2), 113–121.
100. Rowe, G., Hirsh, J. B., & Anderson, A. K. (2007). Positive affect increases the breadth of attentional selection. Proceedings of the National Academy of Sciences,104(1), 383–388.
101. Rycroft-Malone, J., Kitson, A., Harvey, G., McCormack, B., Seers, K., Titchen, A., & Estabrooks, C. (2002). Ingredients for change: Revisiting a conceptual framework. Quality and Safety in Health Care,11(2), 174–180.
102. Rylands, A. J., McKie, S., Elliott, R., Deakin, J. W., & Tarrier, N. (2011). A functional magnetic resonance imaging paradigm of expressed emotion in schizophrenia. The Journal of Nervous and Mental Disease,199(1), 25–29.
103. Schlosser, D. A., Zinberg, J. L., Loewy, R. L., Casey-Cannon, S., O’Brien, M. P., Bearden, C. E., et al. (2010). Predicting the longitudinal effects of the family environment on prodromal symptoms and functioning in patients at-risk for psychosis. Schizophrenia Research,118(1), 69–75.
104. Simoneau, T. L., Miklowitz, D. J., & Saleem, R. (1998). Expressed emotion and interactional patterns in the families of bipolar patients. Journal of Abnormal Psychology,107(3), 497.
105. Singh, S. P., Harley, K., & Suhail, K. (2013). Cultural specificity of emotional overinvolvement: A systematic review. Schizophrenia Bulletin,39(2), 449–463.
106. Steel, C., Fowler, D., & Holmes, E. A. (2005). Trauma-related intrusions and psychosis: An information processing account. Behavioural and Cognitive Psychotherapy,33(02), 139–152.
107. Tarrier, N. (2010). Broad minded affective coping (BMAC): A “positive” CBT approach to facilitating positive emotions. International Journal of Cognitive Therapy,3(1), 64–76.
108. Tarrier, N., & Turpin, G. (1992). Psychosocial factors, arousal and schizophrenic relapse. British Journal of Psychiatry,161, 3–11.
109. The Schizophrenia Commission. (2012). The abandoned illness: A report by the Schizophrenia Commission. London: Rethink Mental Illness. http://www.schizophreniacommission.org.uk/the-report/.
110. Treanor, L., Lobban, F., & Barrowclough, C. (2013). Relatives’ responses to psychosis: An exploratory investigation of low expressed emotion relatives. Psychology and Psychotherapy: Theory, Research and Practice,86(2), 197–211. doi:10.1111/j.2044-8341.2011.02055.x.
111. Van Os, J., Dreissen, G., Gunther, N., & Delespaul, P. (2000). Neighbourhood variation in incidence of schizophrenia evidence for person–environment interaction. The British Journal of Psychiatry,176(3), 243–248.
112. Vasconcelos E Sa, D. (2014). Understanding expressed emotion mechanisms: An investigation of behavioural control, attributions and distress in relatives of people with psychosis (Ph.D.), University of Manchester, Manchester.
113. Vasconcelos e Sa, D., Wearden, A., & Barrowclough, C. (2013). Expressed emotion, types of behavioural control and controllability attributions in relatives of people with recent-onset psychosis. Social Psychiatry and Psychiatric Epidemiology,48(9), 1377–1388. doi:10.1007/s00127-013-0659-1.
114. Vaughn, C., & Leff, J. (1976). The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social and Clinical Psychology,15(2), 157–165.
115. Verdoux, H., Husky, M., Tournier, M., Sorbara, F., & Swendsen, J. D. (2003). Social environments and daily life occurrence of psychotic symptoms. Social Psychiatry and Psychiatric Epidemiology,38(11), 654–661.
116. Waugh, C. E., & Fredrickson, B. L. (2006). Nice to know you: Positive emotions, self–other overlap, and complex understanding in the formation of a new relationship. The Journal of Positive Psychology,1(2), 93–106.
117. Weisman, A. G., Nuechterlein, K. H., Goldstein, M. J., & Snyder, K. (1998). Expressed emotion, attributions, and schizophrenia symptom dimensions. Journal of Abnormal Psychology,107(2), 355.
118. Wykes, T., Steel, C., Everitt, B., & Tarrier, N. (2008). Cognitive behavior therapy for schizophrenia: Effect sizes, clinical models, and methodological rigor. Schizophrenia Bulletin,34(3), 523–537. doi:10.1093/schbul/sbm114.
119. Zubin, J., & Spring, B. (1977). Vulnerability: A new view of schizophrenia. Journal of Abnormal Psychology,86(2), 103.