Fribergh H, Träskman-Bendz L, Ojehagen A, Regnéll G
Department of Psychiatry, University Hospital, Lund, Sweden.
Acta Psychiatr Scand. 1992 Dec;86(6):473-7. doi: 10.1111/j.1600-0447.1992.tb03300.x.
Sixty-nine inpatients who had attempted suicide were studied by means of the Meta-Contrast Technique (MCT), a projective test measuring personality factors, especially defensive strategies. The patients were divided into 3 subgroups, one of which was defined as stereotypy only, which denotes stereotypy (perceptual retardation) without any other coded defenses. At follow-up 7 of 8 completed suicides belonged to this subgroup and they matched various main diagnoses according to DSM-III-R. When the MCT findings of all patients were compared with 99 depressed inpatients from a previous study, the latter group more often had mature defensive strategies. In both investigations most completed suicides were found in the stereotypy only group. Our findings indicate that, regardless of psychiatric diagnosis, stereotypy without other defenses in MCT predicts suicide.
采用元对比技术（MCT）对69例曾试图自杀的住院患者进行了研究，MCT是一种测量人格因素，尤其是防御策略的投射测验。患者被分为3个亚组，其中一个亚组仅被定义为刻板性，即表示只有刻板性（感知迟缓）而无任何其他编码防御。随访时，8例完成自杀者中有7例属于该亚组，且他们符合《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）的各种主要诊断。当将所有患者的MCT结果与先前一项研究中的99例抑郁住院患者进行比较时，后一组更常采用成熟的防御策略。在两项研究中，大多数完成自杀者均见于仅刻板性组。我们的研究结果表明，无论精神科诊断如何，MCT中无其他防御的刻板性可预测自杀。
