“…Early work in this area discovered that psychiatric illness was associated with higher rates of divorce (Briscoe, Smith, Robins, et al, 1973; Woodruff, Guze, & Clayton, 1972) and that the presence of major depression in a spouse was related to marital dysfunction (Rounsaville, Prusoff, & Weissman, 1980). More recently, significant family dysfunction has been reported across a variety of psychiatric disorders including: eating disorders (Garfinkel, Garner, Rose, et al, 1983; Shisslak, McKeon, & Crago, 1990; Steiger, Liquornik, Chapman, & Hussain, 1991); school phobia (Bernstein, Svingen, & Garfinkel, 1990); substance abuse (McKay, Murphy, Rivinus, & Maisto, 1991); and depressive disorders (Gordon, Burge, Hammen, et al, 1989; Keitner & Miller, 1990; King, Segal, Naylor, & Evans, 1993; Miller, Keitner, Whisman, et al, 1992).…”