The British Journal of Psychiatry 151: 314-320 (1987)
© 1987 The Royal College of Psychiatrists
Expressed emotion and relapse in first episodes of schizophrenia. A rejoinder to Macmillan et al (1986)
J Mintz, L Mintz and M Goldstein
Division of Medical Psychology, University of California, Los Angeles 90024.
Re-analyses of data presented by Macmillan et al (1986b) challenge their
conclusions that high expressed emotion is not prognostically significant
for the course of schizophrenia or unrelated to the level of behavioural
disturbance prior to admission. Several equally plausible models of causal
relationships between EE and duration of untreated illness are presented.
We conclude that our re-analyses of the Macmillan data do not warrant
premature closure regarding the significance of the EE variable.