Kamphuis J H, Kugeares S L, Finn S E
Department of Clinical Psychology, University of Amsterdam, The Netherlands.
J Pers Assess. 2000 Oct;75(2):212-24. doi: 10.1207/S15327752JPA7502_3.
This study compared Rorschach records of nondissociative outpatients with histories of (a) definite sexual abuse (n = 22), (b) suspected but unconfirmed sexual abuse (n = 13), or (c) no sexual abuse (n = 43) on selected variables hypothesized to be associated with sexual abuse. As predicted, clients with definite sexual abuse scored significantly higher than clients known not to be sexually abused on Armstrong and Loewenstein's (1990) Trauma Content index (TC/R), with an effect size greater than 1 SD. Contrary to prediction, there was no significant difference in the frequency of their Aggressive Past (AgPast; Gacono & Meloy, 1994) scores. AgPast scores, however, did positively correlate with sexual abuse that was violent or sadistic. As a test of discriminant validity, we hypothesized that 2 Rorschach variables (PER and Sc) would be unrelated to sexual abuse. This was supported by our data. Although TC/R was strongly associated with the presence and severity of sexual abuse, it could not discriminate sexually abused from nonsexually abused clients with great accuracy. The TC/R score is 1 factor among many that can be used to assess the validity of clients' claims of past sexual abuse.
本研究比较了非解离性门诊患者的罗夏墨迹测验记录，这些患者有以下经历：(a) 明确的性虐待史（n = 22），(b) 疑似但未经证实的性虐待史（n = 13），或 (c) 无 性虐待史（n = 43），比较的变量是假设与性虐待相关的特定变量。正如预测的那样，在阿姆斯特朗和洛温斯坦（1990 年）的创伤内容指数（TC/R）上，有明确性虐待史的患者得分显著高于已知没有遭受性虐待的患者，效应量大于 1 个标准差。与预测相反，他们的攻击既往史（AgPast；加科诺和梅洛伊，1994 年）得分频率没有显著差异。然而，AgPast 得分确实与暴力或虐待狂性质的性虐待呈正相关。作为区分效度的一项检验，我们假设两个罗夏墨迹测验变量（PER 和 Sc）与性虐待无关。我们的数据支持了这一点。尽管 TC/R 与性虐待的存在和严重程度密切相关，但它不能非常准确地区分遭受性虐待和未遭受性虐待的患者。TC/R 分数只是可用于评估患者过去性虐待指控有效性的众多因素之一。
