Böker H, Hell D, Budischewski K, Eppel A, Härtling F, Rinnert H, von Schmeling F, Will H, Schoeneich F, Northoff G
Psychiatric University Hospital, Postfach 68, CH-8029 Zürich, Switzerland.
J Affect Disord. 2000 Oct;60(1):53-9. doi: 10.1016/s0165-0327(99)00161-5.
This paper presents an idiographic approach to evaluate the self concept and the self-object-relationship of patients suffering from affective disorders.
Significant dimensions of the personality and the object relations of 127 depressive patients and 34 orthopaedic patients were investigated with the repertory grid-technique. The self concept and the object relations were compared by means of nomothetically used idiographic results after recovery from manifest depression.
'Low self esteem' was frequently found in patients with a long lasting course of illness and the ICD-10-diagnoses of 'bipolar affective disorder' and 'dysthymia'. The object relations of the depressive sample were characterised by the dimension 'symbiotic near'; 'ambivalent' and 'indifferent' partnership relationships were found much more frequently in the controls.
The idiographic results help to differentiate the spectrum of affective disorders. They underline the importance of the interpersonal dimension of depression and may be used as a basis of a therapeutic appraisal.
The repertory grid-technique may not be used as a diagnostic instrument. However, the combination of idiographic results with further clinical informations enables the multidimensional assessment of the self concept and psychosocial coping mechanisms.
本文提出一种独特的方法来评估情感障碍患者的自我概念和自我客体关系。
采用 repertory grid 技术对 127 名抑郁症患者和 34 名骨科患者的人格和客体关系的重要维度进行调查。在从明显的抑郁症康复后，通过使用标准化的独特结果对自我概念和客体关系进行比较。
“自卑”在病程较长且国际疾病分类第 10 版诊断为“双相情感障碍”和“恶劣心境”的患者中经常出现。抑郁样本的客体关系以“共生亲近”维度为特征；在对照组中，“矛盾”和“冷漠”的伙伴关系更为常见。
独特的结果有助于区分情感障碍的范围。它们强调了抑郁症人际维度的重要性，并可作为治疗评估的基础。
repertory grid 技术不能用作诊断工具。然而，将独特的结果与进一步的临床信息相结合，可以对自我概念和心理社会应对机制进行多维度评估。
