Genova Federica, Gazzillo Francesco
Department of Clinical and Dynamic Psychology, Sapienza, University of Rome.
Researcher of Dynamic Psychology, Department of Clinical and Dynamic Psychology, Sapienza, University of Rome.
Psychodyn Psychiatry. 2018 Fall;46(3):357-392. doi: 10.1521/pdps.2018.46.3.357.
This study explores the relationship between clinicians' emotional reactions and patients' level of personality organization and personality style assessed according to the Psychodynamic Diagnostic Manual-2 (Lingiardi & McWilliams, 2017). Level of personality pathology was positively associated with helpless and overwhelmed responses and negatively with positive responses. Parental and disengaged responses were associated with schizoid, anxious and dependent personalities. Parental and criticized responses were associated with narcissistic personalities; their depressed versions were positively associated with parental reactions, but negatively with positive reactions. Parental and overwhelmed responses were associated with counter-dependent and passive-aggressive dependent personalities; the latter also with criticized reactions. Disengaged responses were associated with depressive personalities, particularly with their introjective subtypes, obsessive-compulsive and somatizing personalities. Overwhelmed reactions were associated with relational self-defeating and hysterical/histrionic personalities, the latter also with sexualized reactions. Sexualized and helpless reactions were connected to hypomanic personalities. Findings show that emotional reactions can be useful for understanding personality features.
本研究探讨了临床医生的情绪反应与根据《精神动力诊断手册-2》（林贾尔迪和麦克威廉姆斯，2017年）评估的患者人格组织水平和人格风格之间的关系。人格病理水平与无助和不知所措的反应呈正相关，与积极反应呈负相关。父母式和疏离式反应与分裂样、焦虑和依赖型人格相关。父母式和批评式反应与自恋型人格相关；其抑郁版本与父母式反应呈正相关，但与积极反应呈负相关。父母式和不知所措的反应与反依赖和被动攻击依赖型人格相关；后者也与批评式反应相关。疏离式反应与抑郁型人格相关，尤其是与他们的内摄亚型、强迫型和躯体化人格相关。不知所措的反应与关系型自我挫败和癔症/表演型人格相关，后者也与性化反应相关。性化和无助反应与轻躁狂型人格相关。研究结果表明，情绪反应有助于理解人格特征。
