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Clinical Pediatrics
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The Electric Blanket Syndrome

A Metaphor for Family Dysfunction

Peter S. Karofsky

University of Wisconsin Medical School, 600 Highland Avenue, Madison, Wisconsin

David V. Keith

University of Wisconsin Medical School, 600 Highland Avenue, Madison, Wisconsin

One pattern of dysfunctional family interaction is described as a syndrome. Four case histories are presented in which different family members take polar positions on various continua. In one instance the continuum is oral com munication, with garrulousness on one side and silence on the other. Another continuum is family responsibility, where one member of the family takes total responsibility and another takes almost none. The symbolic continuum is an electric blanket with hot at one extreme and cold at the other. In all cases, family therapy was performed by a pediatrician. Guidelines are discussed for treatment and for appropriate consultation with mental-health professionals.

Clinical Pediatrics, Vol. 20, No. 4, 279-283 (1981)
DOI: 10.1177/000992288102000408
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P. S. Karofsky
The Initial Family Interview: Clinical Practice Suggestion
Clinical Pediatrics, October 1, 1987; 26(10): 548 - 549.
[PDF]

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 CLIN PEDIATRHome page
P. S. Karofsky, D. V. Keith, L. L. Hoornstra, and C. S. Clune
A Follow-up Study of the Impact of Family Therapy in the Pediatric Office
Clinical Pediatrics, May 1, 1983; 22(5): 351 - 355.
[Abstract] [PDF]