Summary
Patients' concepts of the causes of their functional psychoses were investigated by means of an open-ended question and a 30-item checklist. While patients, like professional experts, endorsed a multifactorial aetiological concept, they clearly favoured psychosocial explanations over biological ones. There was some variation according to diagnosis, with schizophrenic patients tending to attribute the development of their illness more often to esoteric influences or to their family environment and patients with affective psychoses assuming biological factors or psychosocial stress to be the cause of their illness. The aetiological concepts did not vary with the duration of illness. Our findings do not support the “psychological mindedness” hypothesis, which postulates that there is a greater inclination to adopt psychological explanations among women, younger people, the better educated or people from urban areas as compared with men, older people, the less educated or people from rural areas.
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References
Ahrens S, Elsner H (1981) Empirische Untersuchungen zum Krankheitskonzept neurotischer, psychosomatischer und somatisch kranker Patienten (Tell I). Med Psychol 7:95–109
Alivisatos G, Lyketsos G (1964) A preliminary report of a research concerning the attitude of the families of rehospitalized mental patients. Int J Soc Psychiatry 10:37:44
Anderson CM, Hogarty GE, Reiss DJ (1980) Family treatment of adult schizophrenic patients: a psycho-educational approach. Schizophr Bull 6:490–505
Angermeyer MC, Kühn L (1985) Der Psychoboom auf dem deutschen Buchmarkt. Österr Z Soziol 10:250–259
Angermeyer MC, Klusmann D, Walpuski (1988) The causes of functional psychoses as seen by patients and their relatives. II. The relatives' point of view. Eur Arch Psychiatr Neurol Sci 238:55–61
Bard M, Dyk RB (1956) The psychodynamic significance of beliefs regarding the cause of serious illness. Psychoanal Rev 43:146–162
Bender W (1988) Krankheitseinsicht und Krankheitsgefühl bei psychiatrischen Patienten. Enke, Stuttgart
Berkowitz R, Eberlein-Fries R, Kuipers L, Leff J (1984) Educating relatives about schizophrenia. Schizophr Bull 10:418–429
Dewald K (1979) Psychische Krankheit — aus der Sicht der Angehörigen. Diplomarbeit, Technische Universität Braunschweig
Fleiss JL (1981) Statistical methods for rates and proportions. Wiley, New York
Foulks EF, Persons JB, Merkel RL (1986) The effect of patients' beliefs about their illness on compliance in psychotherapy. Am J Psychiatry 143:340–344
Gross ML (1978) The Psychological Society. Random House, New York
Helman CG (1981) Disease versus illness in general practice. J R Coll Gen Pract 31:548–552
Hohl J (1983) Gesprache mit Angehörigen psychiatrischer Patienten. Psychiatric-Verlag, Rehburg-Loccum
Klusmann D, John U, Schmidt G, Gross J (1984) Die Sektorisierung der psychiatrischen Versorgung: Dokumentation, Evaluation und epidemiologische Aspekte. Bericht des Teilprojekts B24 im Sonderforschungsbereich 115, Hamburg
Linden M (1982) Die Veränderung von Krankheitsmodell und Compliance bei schizophrenen Patienten. In: Helmchen H, Linden M, Rüger U (eds) Psychotherapie in der Psychiatrie. Springer, Berlin Heidelberg New York, pp 93–99
Majcher A (1980) Krankheitskonzepte und Kausalmodelle von Angehörigen schizophren erkrankter Jugendlicher. Magisterarbeit, Universität Hannover
Manis M, Houts PS, Blake JB (1963) Beliefs about mental illness as a function of psychiatric status and psychiatric hospitalization. J Abnorm Soc Psychol 67:226–233
McGill CW, Falloon IRH, Boyd JL, Wood-Siverio C (1983) Family educational intervention in the treatment of schizophrenia. Hosp Community Psychiatry 34:934–938
Mechanic D (1978) Sex, illness, illness behavior, and the use of health services. Soc Sci Med 128:207–214
Müller C (1980) Der Psychiater und die Schizophrenic — Gedanken zu einer Umfrage unter Schweizer Psychiatern. Psychother Med Psychol 30:10–14
Pflanz M (1958) Über ätiologische Vorstellungen. Med Welt 1:52–55
Pollock K (1988) On the nature of social stress: production of a modern mythology. Soc Sci Med 26:381–392
Smith JV, Birchwood MJ (1987) Specific and non-specific effects of educational intervention with families living with a schizophrenic relative. Br J Psychiatry 150:645–652
Soskis DA, Bowers MB (1969) The schizophrenic experience: a follow-up study of attitude and posthospital adjustment. J Nerv Ment Dis 149:443–449
Vaughn CE, Leff JP (1981) Patterns of emotional response in relatives of schizophrenic patients. Schizophr Bull 7:43–44
Weinstein RM, Brill NQ (1971) Conceptions of mental illness by patients and normals. Ment Hyg 55:101–108
Wyss D (1981) Die Erzeugung von “falschem Bewußsein” durch popularisierte Psychotherapie. Med Mensch Gesellschaft 6:103–110
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Angermeyer, M.C., Klusmann, D. The Causes of functional psychoses as seen by patients and their relatives. Eur Arch Psychiatr Neurol Sci 238, 47–54 (1988). https://doi.org/10.1007/BF00381080
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DOI: https://doi.org/10.1007/BF00381080