Saunders E A
McLean Hospital, Belmont, Massachusetts.
Bull Menninger Clin. 1991 Winter;55(1):48-71.
Recent research indicates a high incidence of childhood sexual abuse and incest among female patients with a diagnosis of borderline personality disorder (BPD). The author investigated the detection and long-term aftereffects of this abuse using a constellation of Rorschach scores that were predicted to occur more frequently in borderline patients with extended sexual victimization before age 14. Sixty-two subjects were divided into two groups (33 with and 29 without such a history) and compared on the following features: color-dominated percepts, primary-process content, confabulation, activity versus passivity, and two new scores related to dissociative symptoms. Some subjects were also administered the Dissociative Experiences Scale and the DSM-III Structured Clinical Interview for posttraumatic stress disorder. The sexually abused group had significantly higher scores both on the Rorschach features and on the clinical measures. The author contends that the identified Rorschach constellation reflects symptoms associated with these trauma-related syndromes, which are more central to the profile of BPD, both on psychological tests and clinically, than is generally recognized.
近期研究表明，在被诊断为边缘型人格障碍（BPD）的女性患者中，儿童期性虐待和乱伦的发生率很高。作者使用一组罗夏测验分数来研究这种虐待的发现情况及其长期后果，预计这些分数在14岁之前遭受长期性侵害的边缘型患者中出现得更为频繁。62名受试者被分为两组（33名有此类病史，29名没有），并在以下特征方面进行比较：以颜色为主的感知、初级过程内容、虚构、主动与被动，以及与分离症状相关的两个新分数。部分受试者还接受了分离体验量表和创伤后应激障碍的DSM-III结构化临床访谈。遭受性虐待的组在罗夏测验特征和临床测量方面的得分均显著更高。作者认为，所确定的罗夏测验组合反映了与这些创伤相关综合征相关的症状，在心理测试和临床上，这些症状对于边缘型人格障碍的特征而言比一般认为的更为核心。
