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所有叙事都是一样的吗:社会认知与客体关系量表-整体评分法在两种叙事类型中的聚合效度和区分效度。

Are all narratives the same: Convergent and discriminant validity of the Social Cognition and Object Relations Scale-Global Rating Method across two narrative types.

作者信息

Slavin-Mulford Jenelle M, Amerson Luke R, Hilsenroth Mark J, Zodan Jennifer, Charnas Jocelyn W, Cain Lylli A, Stein Michelle B

机构信息

Department of Psychological Sciences, Augusta University, Augusta, GA, USA.

Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, NY, USA.

出版信息

Clin Psychol Psychother. 2021 May;28(3):623-632. doi: 10.1002/cpp.2525. Epub 2020 Nov 9.

DOI:10.1002/cpp.2525
PMID:33105028
Abstract

This study examines the construct validity of the Social Cognition and Object Relations Scale-Global Rating Method (SCORS-G) by exploring the degree of convergence across different narrative sources (i.e., early memories [EM] and psychotherapy narratives [PT]) using a university-based outpatient sample (n = 101). First, we examined intercorrelations between SCORS-G ratings of EM and PT. Intercorrelations between SCORS-G EM and PT revealed that three of the dimensions significantly correlated with themselves across narrative type (Emotional Investment in Relationships [EIR], Experience and Management of Aggressive Impulses [AGG], and Self-Esteem [SE]), but that only AGG had its strongest correlation with itself (i.e., EM AGG to PT AGG). In addition, EM AGG was significantly related to all but one of the PT SCORS-G dimensions. Likewise, EM SE correlated with all but two of the PT SCORS-G dimensions. Second, we examined how narrative source related to clinical findings. With the use of a multimethod approach, we assessed how SCORS-G ratings from both narrative types correlated with selected variables from the Personality Assessment Inventory (PAI) and Rorschach Inkblot Test. Findings indicated that there were only three instances in which both narrative types had significant relationships to the same variable/scale, and all three instances were with the Rorschach. Together, these findings suggest that even when using the same scale (SCORS-G), different narrative sources differentially activate aspects of object relations. In addition, the results highlight that difficulties with self-esteem and poor management of aggression in childhood interactions relates to patients' object relational functioning later in life. Clinical implications and future research are discussed.

摘要

本研究通过使用一个以大学为基础的门诊样本(n = 101),探索不同叙事来源(即早期记忆[EM]和心理治疗叙事[PT])之间的趋同程度,来检验社会认知与客体关系量表-整体评分法(SCORS-G)的结构效度。首先,我们检验了EM和PT的SCORS-G评分之间的相互关系。EM和PT的SCORS-G评分之间的相互关系表明,三个维度在不同叙事类型中与自身显著相关(人际关系中的情感投入[EIR]、攻击性冲动的体验与管理[AGG]和自尊[SE]),但只有AGG与自身的相关性最强(即EM的AGG与PT的AGG)。此外,EM的AGG与PT的SCORS-G维度中除一个维度外的所有维度都显著相关。同样,EM的SE与PT的SCORS-G维度中除两个维度外的所有维度都相关。其次,我们检验了叙事来源与临床发现之间的关系。通过使用多方法途径,我们评估了两种叙事类型的SCORS-G评分与人格评估量表(PAI)和罗夏墨迹测验中选定变量的相关性。结果表明,只有三个实例中两种叙事类型与同一变量/量表都有显著关系,且这三个实例都与罗夏墨迹测验有关。总之,这些发现表明,即使使用相同的量表(SCORS-G),不同的叙事来源也会差异激活客体关系的不同方面。此外,结果突出表明,童年互动中自尊方面的困难和攻击性管理不善与患者晚年的客体关系功能有关。讨论了临床意义和未来研究。

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