Stuart J, Westen D, Lohr N, Benjamin J, Becker S, Vorus N, Silk K
Department of Psychology, University of Michigan, Ann Arbor 48109.
J Pers Assess. 1990 Fall;55(1-2):296-318. doi: 10.1080/00223891.1990.9674068.
Recently, researchers and clinicians have become increasingly interested in diagnostic distinctions between borderline and mood disorders. Object relations theory provides a useful framework for the comparison of these two overlapping diagnostic categories. In our study, a measure of object relations as represented on the Rorschach, developed by Blatt, Brenneis, Schimeck, and Glick (1976), was applied to data produced by borderline and depressive inpatients and by normal comparison subjects. Portions of the Blatt measure that tap the subject's experience of human action and interaction distinguish among the three diagnostic groups. Specifically, borderlines tend to understand human action as more highly motivated and human interaction as more malevolent in nature than do either depressive or normals. The data indicate that borderlines experience the object-relational world in a way that is fundamentally different from the way normals and depressives perceive it. Implications are discussed for theories of borderline object relations.
最近，研究人员和临床医生对边缘性人格障碍和情绪障碍之间的诊断区别越来越感兴趣。客体关系理论为比较这两个重叠的诊断类别提供了一个有用的框架。在我们的研究中，由布拉特、布伦尼斯、希梅克和格利克（1976年）开发的一种基于罗夏测验所呈现的客体关系测量方法，被应用于边缘性人格障碍患者、抑郁症住院患者以及正常对照受试者所产生的数据。布拉特测量方法中涉及受试者对人类行为和互动体验的部分，能够区分这三个诊断组。具体而言，与抑郁症患者或正常受试者相比，边缘性人格障碍患者倾向于将人类行为理解为动机更强，将人类互动本质上理解为更具恶意。数据表明，边缘性人格障碍患者体验客体关系世界的方式与正常人和抑郁症患者感知它的方式根本不同。文中还讨论了这些结果对边缘性客体关系理论的启示。
