Westen D, Ludolph P, Lerner H, Ruffins S, Wiss F C
Department of Psychology, University of Michigan, Ann Arbor 48109-1346.
J Am Acad Child Adolesc Psychiatry. 1990 May;29(3):338-48. doi: 10.1097/00004583-199005000-00002.
Although pathological object relations is a core aspect of borderline psychopathology, few studies have examined borderline object relations empirically, and none has focused on borderline adolescents. The present study examined four dimensions of object relations, as measured by the Thematic Apperception Test, in a sample of adolescent borderlines, psychiatric comparison subjects, and normals. These dimensions are complexity of object representations, affect-tone of relationship paradigms, capacity for emotional investment in relationships and moral standards, and understanding of social causality. Borderlines differed significantly from both comparison groups in several distinct ways, supporting some aspects of psychoanalytic theories of borderline object relations, while challenging others. Borderline adolescents have a malevolent object world, a relative incapacity to invest in others in a non-need-gratifying way, and a tendency to attribute motivation to others in simple, illogical, and idiosyncratic ways. Their object representations, however, can be quite complex, suggesting something other than a preoedipal arrest.
尽管病理性客体关系是边缘型精神病理学的一个核心方面,但很少有研究对边缘型客体关系进行实证检验,且没有一项研究聚焦于边缘型青少年。本研究通过主题统觉测验,在青少年边缘型人格障碍患者、精神科对照受试者和正常人群样本中,考察了客体关系的四个维度。这些维度包括客体表征的复杂性、关系范式的情感基调、在关系中情感投入的能力和道德标准,以及对社会因果关系的理解。边缘型人格障碍患者在几个不同方面与两个对照组存在显著差异,这支持了边缘型客体关系精神分析理论的某些方面,同时也对其他方面提出了挑战。边缘型青少年拥有一个充满恶意的客体世界,相对缺乏以非满足需求的方式对他人投入情感的能力,且倾向于以简单、不合逻辑和独特的方式将动机归因于他人。然而,他们的客体表征可能相当复杂,这表明存在前俄狄浦斯期停滞之外的其他情况。