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多重人格和分离性障碍患者在心理测试中的特征。

Characteristics of patients with multiple personality and dissociative disorders on psychological testing.

作者信息

Armstrong J G, Loewenstein R J

机构信息

Department of Psychology, Towson State University, Maryland.

出版信息

J Nerv Ment Dis. 1990 Jul;178(7):448-54. doi: 10.1097/00005053-199007000-00006.

Abstract

We describe a new psychological testing procedure used on a consecutive series of 14 patients with multiple personality and dissociative disorders who met DSM-III-R and research criteria for dissociative disorders. Once dissociative phenomena were accounted for in testing, most patients displayed response patterns markedly different from those of schizophrenic and borderline patients. Patients showed striking variability on cognitive and projective tests, often related to posttraumatic intrusions. Rorschach protocols showed unusual thinking accompanied by psychological complexity and highly developed self-observing capacity. In contrast to classical conceptualizations about these patients, most subjects had personality profiles that were intellectualized, obsessive, and introversive, not histrionic or labile.

摘要

我们描述了一种新的心理测试程序,该程序应用于连续的14例患有多重人格和分离性障碍的患者,这些患者符合DSM-III-R及分离性障碍的研究标准。一旦在测试中考虑到分离现象,大多数患者表现出的反应模式与精神分裂症患者和边缘型患者明显不同。患者在认知和投射测试中表现出显著的变异性,这通常与创伤后侵扰有关。罗夏墨迹测验记录显示出异常思维,伴随着心理复杂性和高度发展的自我观察能力。与关于这些患者的经典概念化不同,大多数受试者的人格特征是理智化、强迫性和内向性的,而非戏剧性或不稳定的。

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