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虚幻的优越性与分裂型人格:解释主观/客观精神病理学之间的差异

Illusory superiority and schizotypal personality: explaining the discrepancy between subjective/objective psychopathology.

作者信息

Cohen Alex S, Auster Tracey L, MacAulay Rebecca K, McGovern Jessica E

机构信息

Department of Psychology, Louisiana State University.

出版信息

Personal Disord. 2014 Oct;5(4):413-8. doi: 10.1037/per0000080. Epub 2014 Aug 25.

Abstract

An interesting paradox has emerged from the literature regarding schizotypy--defined as the personality organization reflecting a putative liability for schizophrenia--spectrum disorders. Across certain cognitive, emotional, quality of life, and other functional variables, individuals with schizotypy report experiencing relatively severe levels of pathology. However, on objective tests of these same variables, individuals with schizotypy perform largely in the healthy range. These subjective impairments are paradoxical in that individuals with schizotypy, typically recruited from undergraduate college populations, should be healthier in virtually every conceivable measure compared to chronic, older outpatients with severe mental illness. The present study evaluated the idea that the subjective deficits associated with schizotypy largely reflect a lack of illusory superiority bias-a normally occurring bias associated with an overestimation of self-reported positive qualities and underestimation of negative qualities compared to others. In the present study, both state-measured using laboratory emotion-induction methods-and trait positive and negative emotion was assessed across self (e.g., how do you feel at this moment?) and other (e.g., how do most people feel at this moment?) domains in 39 individuals with self-reported schizotypy and 39 matched controls. Controls demonstrated an illusory superiority effect across both state and trait measures whereas individuals with schizotypy did not. These results were not explained by severity of mental health symptoms. These results suggest that a cognitive bias, or lack thereof, is a marker of schizotypy and a potential target for further research and therapy.

摘要

关于分裂型人格特质(被定义为反映精神分裂症谱系障碍假定易感性的人格结构)的文献中出现了一个有趣的悖论。在某些认知、情感、生活质量及其他功能变量方面,具有分裂型人格特质的个体报告称经历了相对严重程度的病理状况。然而,在对这些相同变量的客观测试中,具有分裂型人格特质的个体表现大多处于健康范围内。这些主观损害是自相矛盾的,因为具有分裂型人格特质的个体(通常从本科大学生群体中招募)在几乎每一项可想象的指标上都应该比患有严重精神疾病的慢性老年门诊患者更健康。本研究评估了这样一种观点,即与分裂型人格特质相关的主观缺陷很大程度上反映了缺乏虚幻优越性偏差——一种正常出现的偏差,与高估自我报告的积极品质以及低估与他人相比的消极品质有关。在本研究中,通过实验室情绪诱导方法测量的状态以及特质积极和消极情绪,在39名自我报告有分裂型人格特质的个体和39名匹配的对照组中,针对自我(例如,你此刻感觉如何?)和他人(例如,大多数人此刻感觉如何?)领域进行了评估。对照组在状态和特质测量中均表现出虚幻优越性效应,而具有分裂型人格特质的个体则没有。心理健康症状的严重程度并不能解释这些结果。这些结果表明,一种认知偏差或缺乏这种偏差是分裂型人格特质的一个标志,也是进一步研究和治疗的潜在目标。

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