Descheemaeker M, Lowyck B, Verhaest Y, Luyten P, Vermote R
Departement Psychologie, KU Leuven.
Tijdschr Psychiatr. 2013;55(1):9-19.
In his psychodynamic theory of personality development, Blatt distinguishes between an anaclitic and an introjective cluster of psychological disorders. Whereas, in the past, research in this area has focused mainly on depression, nowadays more and more attention is being given to the relevance of this distinction for the theoretical conceptualisation and treatment of personality disorders (PD).
To examine the association between dsm-iv pd characteristics and the anaclitic and introjective personality dimensions.
We conducted a cross-sectional study (n = 48) embedded in a five-year follow-up study after psychodynamic treatment for PD. We used multiple linear-regression analysis to investigate the relationship between pd characteristics (scid-ii Personality Questionnaire) and the anaclitic and introjective personality dimensions (Depressive Experiences Questionnaire), while controlling for the severity of the depression (Beck Depression Inventory) and for the introjective and anaclitic dimension, respectively.
There was evidence for a positive relationship between the anaclitic dimension and dependent and borderline pd characteristics on the one hand and between the introjective dimension and avoidant, obsessive-compulsive, passive-aggressive, depressive, paranoid, schizotypal and narcissistic PD characteristics on the other hand.
Results are consistent with and provide important empirical support for Blatt’s assumptions concerning an anaclitic and an introjective cluster of personality pathology.
在其人格发展的心理动力学理论中，布拉特区分了依恋型和内投型心理障碍集群。过去，该领域的研究主要集中在抑郁症上，而如今，人们越来越关注这种区分对于人格障碍（PD）的理论概念化和治疗的相关性。
研究《精神疾病诊断与统计手册》第四版（DSM-IV）中人格障碍特征与依恋型和内投型人格维度之间的关联。
我们在一项针对人格障碍的心理动力学治疗后的五年随访研究中进行了一项横断面研究（n = 48）。我们使用多元线性回归分析来研究人格障碍特征（《精神疾病诊断与统计手册》第二版人格问卷）与依恋型和内投型人格维度（抑郁体验问卷）之间的关系，同时分别控制抑郁的严重程度（贝克抑郁量表）以及内投型和依恋型维度。
有证据表明，一方面，依恋型维度与依赖型和边缘型人格障碍特征之间存在正相关，另一方面，内投型维度与回避型、强迫型、被动攻击型、抑郁型、偏执型、分裂型和自恋型人格障碍特征之间存在正相关。
研究结果与布拉特关于依恋型和内投型人格病理学集群的假设一致，并为其提供了重要的实证支持。
