Smith J E, Hillard M C, Walsh R A, Kubacki S R, Morgan C D
Department of Psychology, University of New Mexico, Albuquer{ue 87131.
J Pers Assess. 1991 Apr;56(2):277-88. doi: 10.1207/s15327752jpa5602_8.
Research in bulimia has flourished in recent years, and yet minimal attention has been devoted to explorations of the bulimic's basic personality organization. We utilized the Rorschach to differentiate between purging and nonpurging bulimics and controls. There were 15 subjects in each group. The Comprehensive System (Exner, 1986) was used for the scoring of the protocols. Statistically significant differences were not found between the two bulimia groups, but interesting trends were detected in the areas of depression, anger, and self-preoccupation. Results appear to be constrained by the low rate of purging behavior. Comparisons between the combined bulimia groups and the controls resulted in solidly characterizing the bulimics as displaying perceptual inaccuracies, disordered thinking, a vulnerability to interpersonal problems, a damaged self-image, and a pessimistic outlook. The strengths of the study were its use of the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) nonpatients bulimic subtypes and a control group that was comparable in terms of demographics. Future Rorschach studies with bulimics displaying higher frequencies of binging and purging behaviors are suggested.
近年来，对贪食症的研究蓬勃发展，但对贪食症患者基本人格结构的探索却极少受到关注。我们利用罗夏墨迹测验来区分清除型和非清除型贪食症患者以及对照组。每组有15名受试者。使用综合系统（埃克斯纳，1986年）对测验记录进行评分。在两个贪食症组之间未发现统计学上的显著差异，但在抑郁、愤怒和自我专注方面发现了有趣的趋势。结果似乎受到清除行为发生率低的限制。将合并的贪食症组与对照组进行比较，明确了贪食症患者表现出感知不准确、思维紊乱、易出现人际问题、自我形象受损和悲观的前景。该研究的优势在于其使用了《精神障碍诊断与统计手册》（第3版，修订版[DSM-III-R]；美国精神病学协会，1987年）中的非患者贪食症亚型以及一个在人口统计学方面具有可比性的对照组。建议未来对表现出更高频率暴饮暴食和清除行为的贪食症患者进行罗夏墨迹测验研究。
