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恶意、分裂及边缘型人格障碍患者对父母的评分

Malevolence, splitting, and parental ratings by borderlines.

作者信息

Baker L, Silk K R, Westen D, Nigg J T, Lohr N E

机构信息

Department of Psychiatry, University of Michigan, Ann Arbor 48109-0120.

出版信息

J Nerv Ment Dis. 1992 Apr;180(4):258-64. doi: 10.1097/00005053-199204000-00008.

Abstract

Malevolent object relations as well as splitting have long been considered by psychodynamic theorists as central features of borderline personality disorder. We tested the hypotheses that borderlines would a) perceive their parents more negatively than both nonborderline major depressive patients and nonpatient normal controls, and b) split their representations of their parents into opposites more than the comparison subjects. Borderlines (N = 31), who were identified by the Diagnostic Interview for Borderlines, Research Diagnostic Criteria major depressives (N = 15), and nonpatient controls (N = 14) were asked to rate each parent on the Adjective Check List (ACL; Gough and Heilbrun, 1983). Seven ACL scales were studied: Favorable, Unfavorable, Critical Parent, Nurturing Parent, Nurturance, Aggression, and Dominance. Correlations were performed between scores for mother and father on the various scales for each of the three cohorts. Analysis of variance and one-way t-tests with Bonferroni correction were used to test group differences. Borderlines rated their parents, especially their fathers, not only as more unfavorable on negative scales than depressives or normals, but as less favorable on positive scales than the comparison groups. Analysis of covariance revealed that a significant portion of the variance in father scores, but not in mother scores, was related to age of respondent and history of sexual abuse. While borderlines did not appear to split their parents into one good and one bad parent, they did show significantly less correlation between parents on the Favorable scale when compared with either depressives or normal subjects. The results imply that borderlines have a greater tendency to view the world in negative, malevolent ways than to split their object representations.

摘要

长期以来,心理动力学理论家一直认为恶意客体关系以及分裂是边缘型人格障碍的核心特征。我们检验了以下假设:边缘型人格障碍患者会a)比非边缘型重度抑郁患者和非患者正常对照组更消极地看待他们的父母;b)比对照组受试者更倾向于将对父母的表征分裂为对立的两极。通过边缘型人格障碍诊断访谈确定的边缘型人格障碍患者(N = 31)、研究诊断标准下的重度抑郁患者(N = 15)和非患者对照组(N = 14)被要求根据形容词检核表(ACL;Gough和Heilbrun,1983)对每位父母进行评分。研究了ACL的七个量表:有利、不利、批评性父母、养育性父母、养育、攻击性和支配性。对三组中每组父母在各个量表上的得分进行相关性分析。使用方差分析和经邦费罗尼校正的单样本t检验来检验组间差异。边缘型人格障碍患者对他们的父母,尤其是父亲,不仅在消极量表上比抑郁患者或正常人更负面,而且在积极量表上比对照组更不积极。协方差分析显示,父亲得分的显著部分变异(而非母亲得分)与受访者年龄和性虐待史有关。虽然边缘型人格障碍患者似乎没有将他们的父母分裂为一个好父母和一个坏父母,但与抑郁患者或正常受试者相比,他们在有利量表上父母之间的相关性显著更低。结果表明,边缘型人格障碍患者以消极、恶意方式看待世界的倾向比分裂客体表征的倾向更大。

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