Abstract
Double Bind Theory has long been discredited as a viable theoretical framework to understand the relationship between schizophrenia and family interaction. Since research continues to indicate that the family environment plays a crucial role in the development and/or maintenance of the disorder, a reconsideration of the status of Double Bind is both necessary and timely. This paper utilizes a Nonlinear Dynamical Systems framework to bring the theory up to date with current dynamical thinking, and renames the resulting model N-Bind theory. The premises of N-Bind theory are discussed, and the symptoms of schizophrenia are described in light of the theory. The compatibility of N-Bind theory with the Vulnerability-Stress model is discussed, and a procedure is proposed to test the two hypotheses which postulate on different levels of analysis that Binds are more likely to occur in families with than without a schizophrenic member. Some of the implications for treatment and prevention are considered, should the theory be supported by empirical evidence.
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REFERENCES
Abeles, G. (1975) The double bind: Paradox in relationships. Doctoral Dissertation, Boston University.
Abeles, G. (1976) Researching the unresearchable: Experimentation on the double bind. In C. E. Sluzki & D. C. Ransom (Eds.) Double bind: The foundation of the communicational approach to the family. New York: Grune & Stratton. (pp. 113–149).
Ackerman, B. L. (1979) Relational paradox: Toward a language of interactional sequences. Journal of Marital and Family Therapy, 5, 29–38.
Ackerman, N. W. (1958) The psychodynamics of family life: Diagnosis and treatment of family relationships. New York: Basic.
Baron, R. M., Amazeen, P. G. & Beek, P. J. (1994) Local and global dynamics of social relationships. In R. R. Vallacher & A. Novak (Eds.) Dynamical systems in social psychology. (pp. 111–138). San Diego: Academic Press.
Barwise, J. & Moss, L. (1991) Hypersets. The Mathematical Intelligencer, 13, 31–41.
Bateson, G., Jackson, D. D., Haley, J. & Weakland, J. (1972/1956) Toward a theory of schizophrenia. In G. Bateson Steps to an ecology of the mind. New York: Ballantine. pp. 201–227. (Reprinted from Behavioral Science, 1, 251-264.)
Bateson, G. (1972/1935) Culture contact and schismogenesis. In G. Bateson Steps to an ecology of the mind. New York: Ballantine. pp. 201–227. (Reprinted from Man, XXXV, Article # 199).
Beakel, N.G. & Mehrabian, A. (1969) Inconsistent communication in psychopathology. Journal of Abnormal Psychology, 74, 126–130.
Bebbington, P. & Kuiper, L. (1988) Social influences on schizophrenia. In P. Bebbington & P. McGuffin (Eds.) Schizophrenia: The major issues. Oxford: Heinemann Medical Books.
Blotchky, A. D., Tittler, B. I. & Friedman, S. (1982) The double-bind situation in families of disturbed families. Journal of Genetic Psychology, 141, 129–142.
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972) Influence of family life on the course of schizophrenic disorders: A replication. British Journal of Psychiatry, 121, 241–258.
Bugenthal, D. E., Love, L. R., Kaswan, J. W. & April, C. (1971) Verbal-nonverbal conflict in parental messages to normal and disturbed children. Journal of Abnormal Psychology, 77, 6–10.
Bötz, M. R., Chamberlain, L. L. & McCowan, W. G. (1996) Strange attractors: Chaos, complexity, and the art of family therapy. New York: Wiley.
Carlsson, A. (1988) The current status of the dopamine hypothesis of schizophrenia. Neuropsychopharmacology, 1, 179–203.
Carver, C. S. & Scheier, M. F. (1996) Perspectives on personality (4rd Ed.) Boston: Allyn & Bacon.
Davis, K. L., Kahn, R. S., Ko, G. & Davidson, M. (1991) Dopamine in schizophrenia: A review and reconceptualization. American Journal of Psychiatry, 148, 1474–1486.
Dush, D. M. & Brodsky, M. (1981) Effects and implications of the experimental double bind. Psychological Reports, 48, 895–900.
Fowles, D. C. (1980) The Three-arousal model: Implications of Gray's two-factor learning theory for heart rate, electrodermal activity, and psychopathy. Psychophysiology, 17, 87–104.
Fowles, D. C. (1992) Schizophrenia: Diathesis-stress model revisited. Annual Review of Psychology, 43, 303–336.
Gottesman, I. I. (1991). Schizophrenia genesis: The origins of madness. New York: Freeman.
Gottesman, I. I., McGuffin, P. & Farmer, A. E. (1987) Clinical genetics as clues to the “Real” genetics of schizophrenia (A decade of modest gains while playing for time). Schizophrenia Bulletin, 13, 23–47.
Gottman, J. M. (1993) The roles of conflict engagement, escalation, and avoidance in marital interaction:Alongitudinal view of five types of couples. Journal of Consulting and Clinical Psychology, 61, 6–15.
Gray, J.A. (1972) The psychophysiological basis of introversion-extraversion:Amodification of Eysenck's theory. In V.D. Nebylitsyn & J.A. Gray (Eds.) The biological bases of individual behaviour. San Diego, CA: Academic Press. (pp. 182–205).
Gray, J.A. (1981) Acritique of Eysenck's theory of personality. In H. J. Eysenck (Ed.) A model for personality. Berlin: Springer.
Gray, J. A. (1987) Perspectives on anxiety and impulsivity: A commentary. Journal of Research in Personality, 21, 491–509.
Gray, J. A. (1991) The neuropsychology of temperament. In J. Strelau & A. Angleitner (Eds.) Explorations in temperament: International perspectives on theory and measurement. New York, Plenum. (pp. 105–128).
Gray, J. A. (1998) Integrating schizophrenia. Schizophrenia Bulletin, 24, 249–266.
Gray, J. A., Feldon, J., Rawlins, J. N. P., Helmsley, D. R. & Smith, A. D. (1991) The neuropsychology of schizophrenia [with peer commentary]. Behavioral and Brain Sciences, 14, 1–84.
Guastello, S. J., Hyde, T. & Odak, M. (1998) Symbolic dynamic patterns of verbal exchange in a creative problem solving group. Nonlinear Dynamics, Psychology, and Life Sciences, 2, 35–58.
Guindon, J. E. (1971), Paradox, schizophrenia and the double bind hypothesis: An exploratory study. Doctoral Dissertation, University of Washington.
Gundersen, J. H. (1988) The theory of logical types: A cul-de-sac in communication theory. Nordisk Psykiatrisk Tidsskrift, 42, 63–66.
Haller, K. A. (1989) The double bind: Paradox in Human Behavior. Doctoral Dissertation, Teachers College/Columbia University, Univ. Microfilms 90-02502.
Helmsley, D. R. (1987) An experimental psychological model for schizophrenia. In H. Häfner, W. F. Gattaz & W. Janzarik (Eds.) Search for the causes of schizophrenia. (Vol. 1, pp. 179–188). Berlin: Springer.
Hinde, R.A. (1995) Asuggested structure for a science of relationships. Personal Relationships, 2, 1–15.
Hoffman, L. (1971) Deviation-amplifying processes in natural groups. In J. Haley (Ed.) Changing families. (Chap. 22). New York: Grune & Stratton.
Hoffman, L. (1981) Foundations of family therapy: A conceptual framework for systems change. New York: Basic Books.
Kavanagh, D. J. (1992) Recent developments in expressed emotion and schizophrenia. British Journal of Psychiatry, 160, 601–620.
Kendler, K. S. (1983) Overview: A current perspective on twin studies of schizophrenia. American Journal of Psychiatry, 140, 1413–1425.
Kendler, K. S. (1993) Twin studies of psychiatric illness: Current status and future directions. Archives of General Psychiatry, 50, 905–915.
Kety, S. S. (1988) Schizophrenic illness in the families of schizophrenic adoptees: Findings from the Danish National Sample. Schizophrenia Bulletin, 14, 217–222.
Kety, S. S. & Ingraham, L. J. (1992) Genetic transmission and improved diagnosis of schizophrenia from pedigrees and adoptees. Journal of Psychiatric Research, 26, 247–255.
King, S. & Dixon, M. J. (1995) Expressed emotion, family dynamics, and symptom severity in a predictive model of social adjustment for schizophrenic young adults. Schizophrenia Research, 14, 121–132.
Kingsley, V. C. (1969) The effects of the double bind conflict and sex of the experimenter on the conceptual functioning and visual discrimination of male good and poor premorbid schizophrenics. Doctoral Dissertation, New York Univ., Univ. Microfilms 70-16,078.
Koopmans, M. (1997a) Schizophrenia and the family: Double bind theory revisited. Dynamical Psychology. [On-line] Available: http://www.goertzel.org/dynapsyc/1997/Koopmans.html.
Koopmans, M. (1997b, May) Violations of equal environments assumption affect covariance structure estimates in twin comparisons. Poster session presented at the meeting of the American Psychological Society, Washington, DC.
Koopmans, M. (1998a) Chaos theory and the problem of change in families. Nonlinear Dynamics, Psychology & Life Sciences, 2, 133–148.
Koopmans, M. (1998b) Schizophrenia and the family II: Paradox and absurdity in human communication reconsidered. [On-line]Available: http://www.goertzel.org/dynapsyc/1998/Paradox.html.
Kringlen, E. (1991) Adoption studies in functional psychosis. European Archives of Psychiatry and Clinical Neuroscience, 240, 307–313.
Laing, R. D. & Esterson, A. (1964) Sanity, madness and the family. Harmondsworth: Pelican Books.
Lemmon, E. J. (1978) Beginning logic. Indianapolis: Hackett.
Levi-Strauss, C. (1963) Structural anthropology (Vol. 1). New York: Basic Books.
Levi-Strauss, C. (1969) The elementary structures of kinship. Boston: Beacon Press.
Lidz, T. & Fleck, S. (1985) Schizophrenia and the family. (2nd Ed.). New York: International Universities.
Loeff, R. G. (1965) Differential discrimination of conflicting emotional messages by normal, delinquent, and schizophrenic adolescents. Doctoral Dissertation, Indiana University, University Microfilms No. 66-1470.
Marks-Tarlow, T. (1999) The self as a dynamical system. Nonlinear Dynamics, Psychology, and Life Sciences, 3, 311–345.
McGue, M. & Gottesman, I. I. (1989) Genetic linkage in schizophrenia: Perspectives from genetic epidemiology, Schizophrenia Bulletin, 15, 453–464.
Mehrabian, A. & Wiener, M. (1967) Decoding of inconsistent communications. Journal of Personality and Social Psychology, 6, 109–114.
Miklowitz, D. J. (1995) The evolution of family based psychopathology. In R. H. Mikesell, D. D. Lusterman, & S. H. McDaniel (Eds.) Integrating family therapy: Handbook of family psychology and systems theory. Washington, DC: American Psychological Association (pp. 183–197).
Minuchin, S. & Fishman, H. C. (1981) Family therapy techniques. Cambridge, MA: Harvard.
Newman, E. H. (1977) Resolution of inconsistent attitude communications in normal and schizophrenic subjects. Journal of Abnormal Psychology, 86, 41–46.
Nicolis, G. & Prigogine, I. (1989) Exploring complexity: An introduction. New York: Freeman.
Norman, R. M. & Malla, A. K. (1993) Stressful life events and schizophrenia: I. A review of the research. British Journal of Psychiatry, 162, 161–166.
Olson, D. H. (1972) Empirically unbinding the double bind:Areview of research and conceptual formulations. Family Process, 11, 69–94.
Pincus, D. (2001) The Five-Rs model of family systems: A framework and methodology for the study of nonlinear self-organizing family dynamics. Nonlinear Dynamics, Psychology, and Life Sciences, 5, 139–173.
Prigogine, I. & Stengers, I. (1984) Order out of chaos: Man's new dialogue with nature. New York: Bantam.
Proskauer, S. (1996, June) Feedback, chaos, and family regulation. Paper presented at the annual meeting of the Society for Chaos Theory in Psychology and Life Sciences. Berkeley, CA.
Rierdan, J. & Brooks, R. (1977) Verbal conditioning of middle and lower socioeconomic class schizophrenics. Journal of Abnormal Psychology, 86, 369–378.
Rosenthal, D. (1970) Genetic theory and abnormal behavior. New York: McGraw-Hill.
Rotzien, M. K. (1989) Acritique of the double bind system: Theory, methodology, and research. Doctoral Dissertation FullerTheological Seminary, School of Psychology, Univ. Microfilms 89-24359.
Roy, L. & Roy, S. (1987) Does the theory of logical types inform a theory of communication? Journal of Genetic Psychology, 148, 519–526.
Salzinger, K. (1991) What should a theory of schizophrenia be able to do? Peer commentary on Gray et al.'s Neuropsychology of schizophrenia. Behavioral and Brain Sciences, 14, 44–45.
Salzinger, K, Portnoy, S., Pisoni, D. & Feldman, R. S. (1970) The immediacy hypothesis and response-produced stimuli in schizophrenic speech. Journal of Abnormal and Social Psychology, 76, 258–264.
Schreber,D. P. (1988/1955) Memoirs ofmynervous illness. Cambridge,MA: Harvard University Press.
Schuham, A. I. (1967) The double bind hypothesis a decade later. Psychological Bulletin, 68, 409–416.
Sluzki, C. E., Beavin, J., Tarnopolsky, A. & Verón, E. (1967) Transactional disqualification research on the double bind. Archives of General Psychiatry, 16, 494–504.
Smith, E. K. (1973) The effect of double bind communication upon the state anxiety of normals. Doctoral Dissertation, University of New Mexico.
Smith, E. K. (1976) Effect of double-bind communication on the anxiety level of normals. Journal of Abnormal Psychology, 85, 356–363.
Tienari, P. & Wynne, L. C. (1994) Adoption studies of schizophrenia. Annals of Medicine, 26, 233–237.
Tienari, P., Wynne, L., Moring, J., Lahti, I., Naarala, M., Sorri, A., Wahlberg, K. E., Saarento, O., Seitaama, M. Kaleva, M. & Läksy, K. (1994) The Finnish adoptive family study of schizophrenia: Implications for family research. British Journal of Psychiatry, 164 (suppl. 23), 20–26.
Varela, F. J. (1979) Principles of biological autonomy. New York: North Holland.
Vaughn, C. E. & Leff, J. P. (1976) The influences of family and social factors on the course of psychiatric illness:A comparison of schizophrenic and depressed neurotic patients. British Journal of Psychiatry, 129, 125–137.
Walker, E. F. & Diforio, D. (1997) Schizophrenia:Aneural diathesis-stress model. Psychological Review, 104, 667–685.
Ward, M. & Koopmans, M. (1997,August) Dynamic pattern formation in families: II. Nonlinear and chaotic processes in Older-Child adoption. Paper presented at the annual meeting of the Society for Chaos Theory in Psychology and Life Sciences, Milwaukee, WI.
Watzlawick, P. A. (1963) A review of the double bind theory. Family Process, 2, 132–153.
Watzlawick, P. A., Beavin, J. H. & Jackson, D. D. (1967) Pragmatics of human communication. New York: Norton.
Whitehead, A. N. & Russell, B. (1962) Principia mathematica (abridged version). Cambridge: Cambridge University Press.
Whitchurch, G. & Constantine, L. (1993) Systems theory. In P. G. Boss, W. J. Doherty, R. LaRossa, W. R. Schumm, & S. K. Steinmetz (Eds.) Sourcebook of family theories and methods: A contextual approach. New York: Plenum Press. pp. 325–352.
Wynne, L. C., Ryckoff, I. M. & Day, J. (1958) Pseudo-mutuality in the family relations of schizophrenics. Psychiatry, 21, 205–220.
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Koopmans, M. From Double Bind to N-Bind: Toward a New Theory of Schizophrenia and Family Interaction. Nonlinear Dynamics Psychol Life Sci 5, 289–323 (2001). https://doi.org/10.1023/A:1009518729645
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DOI: https://doi.org/10.1023/A:1009518729645