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Family transactions and relapse in bipolar disorder
- Authors:
- ROSENFARB Irwin S., et al
- Journal article citation:
- Family Process, 40(1), Spring 2001, pp.5-14.
- Publisher:
- Wiley
Research suggests that a family's affective attitudes are a major risk factor in the course of a psychiatric illness. This study examines whether patient symptoms and relative's affective behaviour, when expressed during directly observed family interactions, are associated with the short-term course of bipolar disorder. Results indicated that patients who showed high levels of odd and grandiose thinking during the interactions were most likely to relapse during a 9-month follow up period than patients who did not show these symptoms during the family discussions. Relapse was also associated with high rates of harshly critical and directly supportive statements by relatives.
Journeys from childhood to midlife: risk, resilience and recovery
- Authors:
- WERNER Emmy, SMITH Ruth
- Publisher:
- Cornell University Press
- Publication year:
- 2001
- Pagination:
- 236p.
- Place of publication:
- New York
Presents a longitudinal study of approximately five hundred men and women who were born in 1955 on the Hawaiian island of Kauai. A third of these individuals had been considered "at risk" because of birth complications, parental mental illness, family dysfunction, and adverse early conditions such as poverty. Werner and Smith examine the long-term impact of these influences on the individuals' later adaptation to life. Drawing on data collected by a team of psychologists, pediatricians, social workers, and public health nurses across four decades, the authors chronicle the development of these men and women from birth to midlife: infancy, early and middle childhood, late adolescence, and early and middle adulthood. The book focuses on protective factors within the individual, the extended family, and the community that allowed most of the men and women to be successful and to be satisfied with their lives by age forty. Most important, the authors document the remarkable resilience and capacity for recovery displayed by the majority of these baby boomers, who approached middle age as competent, confident, and caring adults.