Verbal interactions in the families of schizophrenic and bipolar affective patients.

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Abstract
Do verbal interactions between psychiatric patients and family members,covary with the diagnosis of the patient? This study compared,relatives (usually parents) of schizophrenic ( n = 42) and bipolar ( n = 22) patients on affective style (AS) or emotional—verbalbehavior toward patients in family interaction. Patients were compared,on coping style or verbal interactional behavior toward relatives. Relatives of schizophrenic patients made more negative AS (particularlyintrusive) statements to patients than relatives of bipolar patients. Schizophrenic patients made fewer supportive statements and more self-denigratingstatements to relatives than bipolar patients. Among families of bipolar patients, negative AS in relatives was associated with oppositional, "refusing" styles in patients. Implications for psychosocial interventions with these disorders are discussed. This research was supported by National Institute of Mental Health Grants MH43931, MH42556,

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