[Facial expressions of negative emotions in clinical interviews: The development, reliability and validity of a categorical system for the attribution of functions to facial expressions of negative emotions]

Z Psychosom Med Psychother. 2015;61(3):247-61. doi: 10.13109/zptm.2015.61.3.247.
[Article in German]

Abstract

Objectives: The development (Study 1) and validation (Study 2) of a categorical system for the attribution of facial expressions of negative emotions to specific functions.

Method: The facial expressions observed inOPDinterviews (OPD-Task-Force 2009) are coded according to the Facial Action Coding System (FACS; Ekman et al. 2002) and attributed to categories of basic emotional displays using EmFACS (Friesen & Ekman 1984). In Study 1 we analyze a partial sample of 20 interviews and postulate 10 categories of functions that can be arranged into three main categories (interactive, self and object). In Study 2 we rate the facial expressions (n=2320) from the OPD interviews (10 minutes each interview) of 80 female subjects (16 healthy, 64 with DSM-IV diagnosis; age: 18-57 years) according to the categorical system and correlate them with problematic relationship experiences (measured with IIP,Horowitz et al. 2000).

Results: Functions of negative facial expressions can be attributed reliably and validly with the RFE-Coding System.

Conclusions: The attribution of interactive, self-related and object-related functions allows for a deeper understanding of the emotional facial expressions of patients with mental disorders.

Keywords: Context; FACS Facial Action Coding System; Facial Expressions of Emotions; Function; OPD Operationalized Psychodynamic Diagnostics.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aggression / psychology
  • Emotions / classification*
  • Facial Expression*
  • Female
  • Humans
  • Interpersonal Relations
  • Interview, Psychological*
  • Mental Disorders / diagnosis
  • Mental Disorders / psychology
  • Middle Aged
  • Object Attachment
  • Personality Assessment*
  • Professional-Patient Relations*
  • Psychoanalytic Theory*
  • Self Concept
  • Young Adult