Schizophrenia And The Family

8.03.2017 13:53:00





The presence of an individual who has been diagnosed with schizophrenia in the family brings together a number of problems for family members. However, the impact of the disease on the caregiver family is often overlooked by the public.


Schizophrenia affects people who are close to the patient as well as affecting the individual who is sick. The violent deterioration in thoughts, feelings and behaviors is felt by all members of the family.  The effect of the disease on family members is closely related to the stage in which the patient is affected: the family members of a patient who has been hospitalized for the seventh time may be suffering from frustration while a patient with the first psychotic disorder is in awe and fear. In addition, shame, guilt, fear, helplessness, future anxiety and anger are among the frequent feelings of family life. In addition, anxiety and depression can also occur. Serious economic problems can arise. Parents lose their hopes and anticipations about their sick children and keep them busy. This is the "endless mourning" period. Emotional problems may arise in other members of the family, and professional productivity may fall in the family members of the patient. Relatives of patients who do not respond to medication or who refuse to take medication may experience desperation. In addition, it is another difficulty for the patient's relatives to have a refusal to hold the community against psychotic illness. Especially negative symptoms increase the burden of the family. Families that do not receive adequate social support, have high emotional expressions and can not use effective ways to deal with the disease are more burdened.


Psychoeducation is the combination of numerous therapeutic elements in a family therapy intervention. It is also an independent therapeutic program that focuses on teaching in a framework of cognitive-behavioral approach. In psychoeducation, patients and their relatives are taught the basic understanding of therapy through preliminary information about the disease. In this way, patients and their relatives will have the authority to understand and accept diseases and to successfully deal with them. Achieving this basic level of competence is mediated by creating "voluntary exercise" programs such as individual behavior therapy, self-awareness training, problem-solving training, communication training and more advanced family therapy.


In summary, schizophrenia brings together many problems in individuals and family members. However, with psychoeducation, therapies are taught to help patients and their relatives to become more able to cope with the problems they are experiencing. Families should be supported in the creation of civil society organizations. It should not be forgotten that the greatest aim of all therapeutic interventions is to strengthen the disturbed people and their families.




Bauml, J., Froböse, T., Kraemer, S., Rentrop M. and Pitschel - Walz, G. (2006). Psychoeducation: A Basic Psychotherapeutic Intervention For Patients With Schizophreia And Their Families. Schizophreia Bulletin.Volume 32(1): 1-9.


Gülseren, L. (2002). Şizofreni ve Aile: Güçlükler, Yükler, Duygular, Gereksinimler. Türk Psikiyatri Dergisi. 13(2):143-151.

web site izmir