Berg J L
J Pers Assess. 1990 Winter;55(3-4):537-48. doi: 10.1080/00223891.1990.9674089.
This study investigated differences in ego functions of borderline and narcissistic personality disorders through examining responses to Rorschach structural and content variables. Reality testing, thought process, affective regulation, impulse control, and the defenses of splitting and grandiosity were examined from Rorschach protocols of 50 borderlines and 26 narcissists. The borderlines produced greater distortion in reality testing, p less than .05; the narcissists produced more insidious thought process disturbance, p less than .05; and higher functioning groups demonstrated greater control of impulses, p less than .05. Borderlines in this sample demonstrated more affective constriction than the narcissists and used more splitting, p less than .05; narcissists used more grandiosity, p less than .05. Implications of this study are (a) ego functions mature inconsistently, (b) affective responsivity influences ego disorganization, and (c) level of functioning and IQ are related to the production of Rorschach variables.
本研究通过检查对罗夏测验结构和内容变量的反应，调查了边缘型人格障碍和自恋型人格障碍自我功能的差异。从50名边缘型人格障碍患者和26名自恋型人格障碍患者的罗夏测验记录中，考察了现实检验、思维过程、情感调节、冲动控制以及分裂和夸大防御。边缘型人格障碍患者在现实检验中产生了更大的扭曲，p小于0.05；自恋型人格障碍患者产生了更隐匿的思维过程障碍，p小于0.05；功能较高的组表现出对冲动的更大控制，p小于0.05。该样本中的边缘型人格障碍患者比自恋型人格障碍患者表现出更多的情感收缩，且使用了更多的分裂防御，p小于0.05；自恋型人格障碍患者使用了更多的夸大防御，p小于0.05。本研究的意义在于：（a）自我功能成熟不一致；（b）情感反应性影响自我紊乱；（c）功能水平和智商与罗夏测验变量的产生有关。
