Mondal Anwesha, Kumar Manish
Department of Clinical Psychology, Institute of Psychiatry-A Centre of Excellence, Kolkata, West Bengal, India.
Department of Psychiatry, Institute of Psychiatry-A Centre of Excellence, Kolkata, West Bengal, India.
Ind Psychiatry J. 2021 Jan-Jun;30(1):74-83. doi: 10.4103/ipj.ipj_74_20. Epub 2021 Jun 4.
Rorschach test has been considered a well-known and most widely used projective test for the assessment of personality and diagnostic evaluation in various psychiatric disorders. Schizophrenia is considered to be the major psychiatric illness characterized by gross distortion of reality, the disorganization and fragmentation of perception, thought, emotion, and withdrawal from social interaction. Rorschach provides both specific and general knowledge about the different areas of personality functioning, such as coping style, emotions, managing stress, mediation, ideation, self-perception, and interpersonal relationships along with correlating with the psychopathology of the schizophrenia patients.
The aim of the present study is to assess the relationship between Rorschach response pattern different symptoms in schizophrenia patients.
After having informed consent, 100 patients of schizophrenia group were included as per the International Classification of Diseases 10th Revision Diagnostic Criteria for Research (ICD-10 DCR) criteria. Information about sociodemographic data and clinical details was collected using the sociodemographic and clinical data sheet from the drawn sample. For the assessment of symptoms of schizophrenia patients, Scale for the Assessment of Positive Symptom and Scale for the Assessment of Negative Symptom have been used. After that Rorschach test was administered individually to all the participants to assess the personality structure of each schizophrenia patients.
The results showed that there is a significant positive and negative correlation among positive, negative schizophrenia symptoms, and different Rorschach variables.
Schizophrenia patients having positive and negative symptoms would be giving Rorschach variables indicative of moderate level of cognitive distortions, poorly controlled and disorganized affect, less conventional form of responses, poor perception and loss with reality, poor interpersonal relationships, presence of anxiety, and aggression.
罗夏墨迹测验一直被认为是一种知名且应用最广泛的投射测验，用于评估人格以及各种精神障碍的诊断。精神分裂症被认为是主要的精神疾病，其特征是对现实的严重扭曲、感知、思维、情感的紊乱和碎片化，以及社交互动退缩。罗夏墨迹测验提供了关于人格功能不同领域的具体和一般知识，如应对方式、情绪、压力管理、调解、思维、自我认知和人际关系，同时与精神分裂症患者的精神病理学相关。
本研究的目的是评估精神分裂症患者罗夏墨迹测验反应模式与不同症状之间的关系。
在获得知情同意后，根据《国际疾病分类第10次修订本研究诊断标准》（ICD - 10 DCR）标准纳入100例精神分裂症患者组。使用从抽取样本中获取的社会人口统计学和临床数据表收集社会人口统计学数据和临床细节信息。为了评估精神分裂症患者的症状，使用了阳性症状评估量表和阴性症状评估量表。之后，对所有参与者单独进行罗夏墨迹测验，以评估每位精神分裂症患者的人格结构。
结果表明，阳性、阴性精神分裂症症状与不同的罗夏墨迹测验变量之间存在显著的正相关和负相关。
有阳性和阴性症状的精神分裂症患者在罗夏墨迹测验变量上表现为认知扭曲程度中等、情感控制不佳且紊乱、反应形式不太传统、对现实感知和把握差、人际关系不佳、存在焦虑和攻击性。
