Helena García-Mieres, Susana Ochoa, Raquel López-Carrilero, Development Unit of Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, 08330 Barcelona, Spain.
World J Psychiatry. 2016 Sep 22;6(3):381-90. doi: 10.5498/wjp.v6.i3.381.
In this paper we illustrate the potential of the repertory grid technique as an instrument for case formulation and understanding of the personal perception and meanings of people with a diagnosis of psychotic disorders. For this purpose, the case of James is presented: A young man diagnosed with schizophrenia and personality disorder, with severe persecutory delusions and other positive symptoms that have not responded to antipsychotic medication, as well with depressive symptomatology. His case was selected because of the way his symptoms are reflected in his personal perception of self and others, including his main persecutory figure, in the different measures that result from the analysis of his repertory grid. Some key clinical hypotheses and possible targets for therapy are discussed.
在本文中，我们说明了纲要图技术作为一种工具的潜力，可用于精神障碍患者的病例制定和理解，以及个人感知和意义的理解。为此，呈现了詹姆斯的案例：一位被诊断患有精神分裂症和人格障碍的年轻人，有严重的被害妄想和其他阳性症状，抗精神病药物治疗无效，还有抑郁症状。选择他的案例是因为他的症状反映在他对自我和他人的个人感知中，包括他的主要迫害者，这在他的纲要图分析得出的不同测量结果中有所体现。讨论了一些关键的临床假设和可能的治疗靶点。
