Registered Practical Nurse (RPN) Practice Test

What is the primary influence on the social adjustment of individuals with schizophrenia according to expressed emotion theory?

1. Community support

2. Family communication patterns

3. Therapeutic alliances

4. Societal perceptions

The correct answer is: Family communication patterns

According to expressed emotion theory, family communication patterns serve as the primary influence on the social adjustment of individuals with schizophrenia. This theory posits that the emotional climate within a family—characterized by criticism, hostility, and emotional over-involvement—can significantly impact the mental health of an individual with schizophrenia. High levels of expressed emotion within the family can lead to increased stress for the individual, which may contribute to a higher risk of relapse and poorer social adjustment. In contrast, supportive family dynamics that encourage open communication and understanding can promote a more favorable environment for individuals living with schizophrenia, facilitating better coping mechanisms and overall social adjustment. This highlights the crucial role that family dynamics play in the recovery process and the ongoing mental health of those with this condition.