Blomquist K, Sakki M L
Dermatological Clinic, Helsinki University Central Hospital, Finland.
Acta Derm Venereol Suppl (Stockh). 1991;156:28-36.
Our study hypotheses are based on extensive, clinical experience of patients with psoriasis and atopic eczema and on observations of emotions these patients tend to provoke in nursing personnel. We wanted to see whether there were statistically significant differences between these patient categories. We also wanted to compare dermato not equal to logical patients with patients seeking help for psychological problems (alexithymia-hypothesis). Since psoriasis starts and atopic eczema often gets worse in puberty or young adulthood, we chose to study teenagers. On this occasion, we will discuss the Rorschach test results of our female subjects (n: 99) and their mothers (n: 68) scored by Holt's "Method for Assessing Primary Process Manifestations and Their Control in Rorschach Responses" and the girls' scores on Edwards Personal Preference Schedule--questionnaire. The results seem to confirm the alexithymia-hypothesis and our control group of young psychiatric outpatients (mainly neurotics) produce more varied Rorschach protocols consisting of more primary process material and more creative solutions. In contrast, protocols of psoriatics are strict and formally good with occasional outbursts of slightly shocking primary process material. Girls suffering from atopic eczema produce long and varied, but rather defensive, Polly Anna-like protocols. The statistical differences between mothers and daughters within each diagnostic group suggest that the psychiatric patients differ most from their mothers in the following areas: they give more libidinal answers which often are of more primitive kind than the answers of their mothers, and, they seem to have better means of coping with their impulses than the mothers.(ABSTRACT TRUNCATED AT 250 WORDS)
我们的研究假设基于对银屑病和特应性湿疹患者的广泛临床经验,以及对这些患者往往会在护理人员中引发的情绪的观察。我们想看看这些患者类别之间是否存在统计学上的显著差异。我们还想将皮肤病患者与寻求心理问题帮助的患者(述情障碍假设)进行比较。由于银屑病在青春期或青年期开始发病,特应性湿疹往往会在这个时期加重,所以我们选择研究青少年。在此,我们将讨论通过霍尔特的“罗夏测验反应中初级过程表现及其控制的评估方法”对我们的女性受试者(n = 99)及其母亲(n = 68)进行评分的结果,以及女孩们在爱德华个人偏好量表问卷上的得分。结果似乎证实了述情障碍假设,并且我们的年轻精神科门诊患者(主要是神经症患者)对照组产生了更多样化的罗夏测验记录,其中包含更多的初级过程材料和更具创造性的解决方案。相比之下,银屑病患者的记录严格且形式良好,偶尔会有轻微令人震惊的初级过程材料爆发。患有特应性湿疹的女孩产生的记录冗长多样,但相当具有防御性,类似波莉安娜式。每个诊断组中母亲和女儿之间的统计差异表明,精神科患者在以下方面与他们的母亲差异最大:他们给出更多的力比多答案,这些答案往往比他们母亲的答案更原始,而且,他们似乎比母亲有更好的应对冲动的方式。(摘要截选至250字)