Groupe de Recherches en Psychologie clinique et pathologique de la Sante-Laboratoire de Psychologie de l'interaction et des relations intersubjectives, University Nancy 2, Nancy cedex, Lorraine, France.
J Pers Assess. 2010 May;92(3):189-206. doi: 10.1080/00223891003670125.
We began the study with a theoretical comparison of the concepts of alexithymia and operative thought in terms of etiology as well as with a specific approach to comparing the concepts using the Rorschach Inkblot Method (Rorschach, 1921) with both Exner's (1986) Comprehensive System and the Parisian School (Chabert, 1983, 1987; Rausch de Traubenburg, 2000) methods of coding and interpretation. We then present a longitudinal clinical study of a woman suffering perinatal depression starting at 8 months gestation until 34 months postpartum. The case shows how an accumulation of stressful and traumatic life events in the early perinatal period generates a reactive, structured alexithymia. This psychic process transforms an initial acceptance of therapy into a refusal to engage in a therapeutic alliance along with persistent depressive symptoms, impaired quality of life, and maladaptive coping strategies.
我们首先从病因学的角度对述情障碍和操作性思维这两个概念进行了理论上的比较，然后使用罗夏墨迹测验（Rorschach，1921），结合 Exner 的（1986）综合系统和巴黎学派（Chabert，1983，1987；Rausch de Traubenburg，2000）的编码和解释方法，对这两个概念进行了具体的比较。然后，我们呈现了一个对一名患有围产期抑郁症的女性进行的纵向临床研究，该女性从怀孕 8 个月到产后 34 个月。该案例说明了在围产期早期，一系列压力和创伤性生活事件是如何导致反应性、结构化的述情障碍的。这一心理过程将最初对治疗的接受转变为对建立治疗联盟的拒绝，同时伴有持续的抑郁症状、生活质量受损和适应不良的应对策略。
