Inslegers Ruth, Vanheule Stijn, Meganck Reitske, Debaere Virginie, Trenson Eline, Desmet Mattias
Department of Psychoanalysis and Clinical Consulting, Ghent University, Ghent, Belgium.
J Nerv Ment Dis. 2012 Jul;200(7):607-13. doi: 10.1097/NMD.0b013e31825bfad9.
In this study, associations between alexithymia, interpersonal problems, and cognitive-structural aspects of internal interpersonal representations were examined. Alexithymia was measured using the Toronto Structured Interview for Alexithymia (TSIA) and the 20-item Toronto Alexithymia Scale (TAS-20). To measure interpersonal problems, the dominance and affiliation dimension scores of the Inventory of Interpersonal Problems were used, and cognitive-structural characteristics of interpersonal representations were measured using the Social Cognition and Object Relations Scale (SCORS). As hypothesized, alexithymia was related to cold and withdrawn, but not to dominant or submissive, interpersonal functioning. In terms of the SCORS, alexithymia was negatively related to complexity of interpersonal representations, both in TAT and in interview narratives, indicating a link between alexithymia and mentalization. However, alexithymia was related only to the dimension of social causality when this dimension was scored on TAT narratives. Overall, the TSIA provides the most consistent and stable results after controlling for negative affectivity.
在本研究中，对述情障碍、人际问题以及人际内部表征的认知结构方面之间的关联进行了考察。使用多伦多述情障碍结构化访谈（TSIA）和20项多伦多述情障碍量表（TAS-20）来测量述情障碍。为了测量人际问题，使用了人际问题量表的支配和亲和维度得分，并用社会认知与客体关系量表（SCORS）来测量人际表征的认知结构特征。正如所假设的那样，述情障碍与冷漠和退缩的人际功能有关，但与支配或顺从的人际功能无关。就SCORS而言，在主题统觉测验（TAT）和访谈叙述中，述情障碍都与人际表征的复杂性呈负相关，这表明述情障碍与心理化之间存在联系。然而，当在TAT叙述中对这一维度进行评分时，述情障碍仅与社会因果关系维度有关。总体而言，在控制了消极情感性之后，TSIA提供了最一致和稳定的结果。
