Porcerelli John H, Huprich Steven K, Binienda Juliann, Karana Dunia
Division of Behavioral Science, Department of Family Medicine, Wayne State University School of Medicine, Detroit, Michigan 48235, USA.
J Nerv Ment Dis. 2006 Nov;194(11):838-44. doi: 10.1097/01.nmd.0000244552.14073.d3.
Object relations theories hypothesize a relationship between self/other representations and level of psychopathology. Research has lent support to this hypothesis. This study was conducted to examine the link between object representation and psychopathology, stress, physical health status, and alcohol abuse in 110 African-American women in primary care. Object representations were assessed through spontaneous descriptions of parents. Psychopathology and physical health status were assessed with the Patient Health Questionnaire and the Medical Outcomes Study Short-Form Health Survey, both of which were designed for medical settings. The results support the link between dimensions of object representations (developmental level, benevolence, punitiveness) and psychopathology and between object representations and aspects of health status. Punitive maternal and paternal representations were most robustly associated with psychopathology and health status and were the only representational variables associated with alcohol abuse. The findings provide additional support for the object representations-psychopathology link and extend the research by demonstrating associations among object representations, alcohol abuse, and health status.
客体关系理论假设自我/他人表征与精神病理学水平之间存在关联。研究已为这一假设提供了支持。本研究旨在探讨110名接受初级保健的非裔美国女性的客体表征与精神病理学、压力、身体健康状况及酒精滥用之间的联系。通过对父母的自发描述来评估客体表征。使用患者健康问卷和医疗结果研究简版健康调查来评估精神病理学和身体健康状况，这两份问卷均为医疗环境设计。结果支持客体表征维度（发展水平、仁慈、惩罚性）与精神病理学之间以及客体表征与健康状况各方面之间的联系。惩罚性的母亲和父亲表征与精神病理学和健康状况的关联最为显著，且是与酒精滥用相关的唯一表征变量。这些发现为客体表征与精神病理学之间的联系提供了更多支持，并通过证明客体表征、酒精滥用和健康状况之间的关联扩展了相关研究。
