Use this URL to cite or link to this record in EThOS: http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.660454
Title: Expressed emotion and supported accommodation for sufferers of severe mental illness : an ethnographic study of four community based houses
Author: Pavis, Stephen B.
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 1994
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Abstract:
The concept of Expressed Emotion (E.E.) is now over 30 years old and has proved remarkably effective in identifying family care environments which invoke high rates of acute relapse in schizophrenic patients. However to date there has been very little work which has attempted to relate E.E. to residential care settings. This study undertook ethnographic analyses of four community based houses which catered for sufferers of severe mental illness; two sites were within a voluntary 'not for profit' care organisation and two within a chain of Health Board rehabilitation houses. The study sought to establish the existence or otherwise of face-to-face interaction patterns similar to those found in high E.E. families and subsequently to gain an understanding of the social processes which were involved in creating and maintaining the observed patterns. Three central data collection methods were employed: four ten-week periods of participant observation; the administration of a standardised environmental measure, the Sheltered Care Environment Scale (Moos R 1988); and a review of the internal literature of the participating organisations. The study found that Critical Comments and displays of Hostility were present within all the research sites, however, the frequency of such interactions differed markedly between the houses. Virtually all of the observed high E.E. interactions were between co-residents as opposed to staff and residents. The qualitative data analyses revealed that in order to gain an adequate understanding of the stressor effects of high E.E. interactions it was necessary to locate the exchanges within their social context and to look at the implications of the interactions for the parties involved; in turn this necessitated recourse to the prevailing norms, values and commonsense knowledges within the setting.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.660454  DOI: Not available
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