this idea, that the family constellation and its dynamics is the major cause has cently been mofied. a broader approach to the roles has been developed. imptant question that'she roles come out of more modern thinking in terms of psychopathology and psychology is whether possibly that an impairnt in a child can cause a family to react in a disturbed fashion, that it's possible that it's not all a one-way street ere the patient is a passive recipient of the family disorder, t that the family is reacting to the disorder already evident in subtle forms in the child. dr. ann silver of chestnut lodge plifies the notion of these complex mily interactions. what's more alive than blaming the other is looking at the effect that the schizophreniindividual t preschizophrenic individual has othe family. denise ford, who's on the medical staff here, did her ph.d. thesis on the subject, d it was realla inating piece of work, with early and developg who's schizophrenia alters the communication and mood pattern so there's a terble resonating in tthat takes place as tngs kind ofall apart, so there's