How does expressed emotion influence incipient psychosis?

Expressed emotion (EE) is a concept developed by George Brown that describes how family emotional dynamics can influence the course of psychotic disorders. It focuses on patterns of criticism, hostility, and overprotection, which can increase the risk of relapse. Family interventions that reduce these levels of expressed emotion can improve clinical outcomes and family well-being.

Families with high emotional expression tend to experience more emotional conflict, which can exacerbate psychotic symptoms. However, with appropriate intervention, it is possible to reduce expressed emotion and create a more positive environment for recovery. It is important to understand that high expressed emotion does not imply guilt or neglect on the part of the family. Rather, it is an indicator of stress and overload.