Kernhof Karin, Kaufhold Johannes, Grabhorn Ralph
Clinic for Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt/Main, Germany.
J Pers Assess. 2008 Jan;90(1):44-51. doi: 10.1080/00223890701693728.
In this study, we examined how retrospective reports of experiencing traumatic sexual abuse in childhood relates to both the development of self-representations and object representations and the occurrence of interpersonal problems. A total of 30 psychosomatic female patients who reported sexual abuse in childhood were compared with a corresponding number of eating-disordered patients and a nonclinical control group. The object relations technique (ORT; Phillipson, 1955), evaluated using the Social Cognition and Object Relations Scale (SCORS; Westen, 1985, 1991b), and the Inventory of Interpersonal Problems (Horowitz, Rosenberg, Baer, & Ureno, 1988) were used to measure the groups. The patients reporting sexual abuse achieved significantly lower scores in the cognitive scales of the SCORS; in the affective scales, they differed from the control group but not from the patients with an eating disorder. Concerning interpersonal problems, the patients reporting childhood sexual abuse reported interpersonal conflicts more frequently. The results of the study support the influence of traumatic sexual abuse on the formation of self-representations and object representations and on the occurrence of interpersonal conflicts.
在本研究中，我们考察了童年期遭受创伤性性虐待的回顾性报告如何与自我表征和客体表征的发展以及人际问题的发生相关。将总共30名报告童年期遭受性虐待的身心失调女性患者与相应数量的饮食失调患者及一个非临床对照组进行比较。使用社会认知与客体关系量表（SCORS；韦斯顿，1985年、1991年b）评估的客体关系技术（ORT；菲利普森，1955年）以及人际问题量表（霍洛维茨、罗森伯格、贝尔和乌雷诺，1988年）用于对这些组进行测量。报告遭受性虐待的患者在SCORS的认知量表上得分显著更低；在情感量表上，他们与对照组不同，但与饮食失调患者没有差异。关于人际问题，报告童年期性虐待的患者更频繁地报告人际冲突。该研究结果支持创伤性性虐待对自我表征和客体表征的形成以及人际冲突的发生所产生的影响。
