Khalily Muhammad Tahir, Wota Anna Paulina, Hallahan Brian
Psychology Department,Roscommon Mental Health Services,Ireland and Clinical Supervisor for D Psych Sc,School of Psychology,National University of Ireland,Galway.
Department of Psychology,University of Bielefeld Germany.
Ir J Psychol Med. 2011 Jun;28(2):76-81. doi: 10.1017/S0790966700011472.
To investigate schema modes currently activated in individuals with psychiatric disorders and to attain a greater understanding of healthy and dysfunctional schema modes in this population. Furthermore, we wish to ascertain if individuals who fulfil criteria for clinical (psychiatric) disorders with the Minnesota Multiphasic Personality Inventory (MMPI), also manifest dysfunctional modes and weaker healthy modes on the Schema Mode Inventory (SMI).
Fifty individuals were administered the MMPI and SMI during routine psychological assessments between September 2008 and June 2010.
Both healthy schema modes (Happy Child (HC) and dysfunctional schema modes (Compliant Surrender (CS), Detached Self-soother (DSS) and Demanding Parent (DP)) were evident in this population. Positive correlations were noted between several dysfunctional schema modes from the Child, Maladaptive Coping and Maladaptive Parent domains of the SMI and several scales of the MMPI including: Depression (D), Psychopathic deviate (Pd), Masculine feminine (Mf), Paranoia (Pa), Psychasthenia (Ps), Mania (Ma), Schizophrenia (Sc), and Social introversion (Si) (p < 0.001). A negative correlation (p < 0.001) was found between the Healthy Adult (HA) and Happy Child (HC) schema modes of the SMI and the Hypochondriasis (Hs), Depression (D), Psychopathic deviate (Pd), Psychasthenia (Pt), and Social introversion (Si) scales of MMPI.
This study demonstrates the presence of several dysfunctional schema modes in individuals with a wide range of clinical (psychiatric) disorders and a strong correlation between dysfunctional schema modes and clinical disorders of the MMPI. The SMI can aid in the assessment and understanding of individuals with a wide range of psychiatric disorders and can also form the basis for Schema Focused Therapy (SFT), a therapy showing promise for a number of clinical conditions, particularly borderline personality disorder.
调查目前在患有精神疾病的个体中激活的图式模式，并更深入地了解该人群中的健康和功能失调图式模式。此外，我们希望确定那些通过明尼苏达多相人格调查表（MMPI）符合临床（精神）疾病标准的个体，在图式模式量表（SMI）上是否也表现出功能失调模式和较弱的健康模式。
2008年9月至2010年6月期间，对50名个体在常规心理评估中进行了MMPI和SMI测试。
在该人群中，健康图式模式（快乐儿童（HC））和功能失调图式模式（顺从投降（CS）、分离自我安抚者（DSS）和苛求父母（DP））均很明显。在SMI的儿童、适应不良应对和适应不良父母领域的几种功能失调图式模式与MMPI的几个量表之间发现了正相关，包括：抑郁（D）、精神病态偏差（Pd）、男性化-女性化（Mf）、偏执狂（Pa）、精神衰弱（Ps）、躁狂（Ma）、精神分裂症（Sc）和社会内向性（Si）（p<0.001）。在SMI的健康成人（HA）和快乐儿童（HC）图式模式与MMPI的疑病（Hs）、抑郁（D）、精神病态偏差（Pd）、精神衰弱（Pt）和社会内向性（Si）量表之间发现了负相关（p<0.001）。
本研究表明，在患有多种临床（精神）疾病的个体中存在几种功能失调图式模式，并且功能失调图式模式与MMPI的临床疾病之间存在很强的相关性。SMI有助于评估和理解患有多种精神疾病的个体，也可为图式聚焦疗法（SFT）奠定基础，该疗法对多种临床病症，特别是边缘型人格障碍显示出前景。
