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Cited by 287

The DOI matches its Crossref record; 124 of the 124 references it cites were found in a registry or an index.

Family Interventions for Schizophrenia and the Psychoses: A Review

McFarlane, William R.·2016·Family Process

Abstract

Family psychoeducation as a treatment for schizophrenia was developed 40 years ago almost simultaneously and independently by investigators who at the time were not family therapists. Although the original goal was to decrease high expressed emotion as a means of preventing relapse, later variations have gone beyond to focus on social and role functioning and family well‐being. Explicitly disavowing the earlier assumptions that family pathology caused relapse and deterioration, family psychoeducation seeks to engage family members as more sophisticated partners, complementing interventions by clinicians with specialized interactions and coping skills that counter the neurologic deficits inherent to the disorder. It has proved to be one of the most consistently effective treatments available. Reports on outcome studies now number more than 100, while meta‐analyses put relapse rate reduction at 50–60% over treatment as usual. The most recent application in first episode and prodromal psychosis, combined with other evidence‐based interventions, is yielding perhaps the most promising results yet achieved—substantial return of functioning and avoidance of psychosis altogether. Reviewed here are its scientific, theoretical, and clinical sources, a description of the most commonly applied version—the multifamily group format, selected clinical trials spanning those four decades, international and ethnic adaptations, and studies on mechanisms of efficacy.

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Metadata

Authors
McFarlane, W. R.
Venue
Family Process
Publisher
Wiley
Published
2016-07-14
Volume
55
Issue
3
Pages
460-482
ISSN
  • 0014-7370 (ISSN-L)
  • 1545-5300
OpenAlex
W2460374466
Cited by
287
References
124
FWCI
26.66
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Family Interventions for Schizophrenia and the Psychoses: A Review. https://app.cochat.ai/papers/10.1111/famp.12235
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McFarlane, W. R. (2016). Family Interventions for Schizophrenia and the Psychoses: A Review. Family Process. https://doi.org/10.1111/famp.12235

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