A 类人格障碍中的催眠易感性与人格障碍类型紊乱
Hypnotizability and Disordered Personality Styles in Cluster A Personality Disorders.
作者信息
Zhang Bingren, Pan Bing, Chen Jueying, Wang Junjie, Zhu Zhenyu, Lajunen Timo Juhani, Wang Wei
机构信息
School of Clinical Medicine, Hangzhou Normal University, Hangzhou 311121, China.
Center for Cognition and Brain Disorders, The Affiliated Hospital, Hangzhou Normal University, Hangzhou 310015, China.
出版信息
Brain Sci. 2023 Jan 22;13(2):182. doi: 10.3390/brainsci13020182.
AIM
Interpersonal sensitivity and mistrust are the main characteristics of cluster A personality disorders (CAPD) which might be due to the high accessibility to negative suggestions from environments. Yet the exact associations between hypnotic suggestibility and their personality disorder functioning styles remain unclear.
METHODS
We invited 36 patients with CAPD and 115 healthy volunteers to undergo the Stanford Hypnotic Susceptibility Scale: Form C (SHSS:C) and Parker Personality Measure (PERM).
RESULTS
Compared to controls; patients scored higher on PERM paranoid; schizoid; schizotypal; borderline; avoidant; and dependent styles; on the SHSS:C total and "challenge suggestions", and the passing rates of "hand lowering", "arm rigidity", "dream", and "arm immobilization". In patients, "dream" negatively predicted the schizoid; "hallucinated voice" negatively the schizotypal; "mosquito hallucination" positively the histrionic and dependent; and "arm immobilization" negatively the avoidant style.
CONCLUSIONS
Our results suggested that the insusceptibility to perceptual suggestions from others and the high control over body contribute to the paranoid attitude and interpersonal avoidance in CAPD. These findings help to understand the cause of interpersonal problems in these patients and suggest the trial of hypnotherapy for them.
目的
人际敏感性和不信任是A类人格障碍（CAPD）的主要特征，这可能是由于对来自环境的负面暗示高度易感性所致。然而，催眠易感性与其人格障碍功能模式之间的确切关联仍不清楚。
方法
我们邀请了36名CAPD患者和115名健康志愿者接受斯坦福催眠易感性量表C型（SHSS:C）和帕克人格量表（PERM）测试。
结果
与对照组相比，患者在PERM偏执、分裂样、分裂型、边缘型、回避型和依赖型模式上得分更高，在SHSS:C总分和“挑战暗示”以及“手部下降”“手臂僵硬”“梦境”和“手臂固定”的通过率上得分更高。在患者中，“梦境”对分裂样模式有负向预测作用；“幻听”对分裂型模式有负向预测作用；“蚊子幻觉”对表演型和依赖型模式有正向预测作用；“手臂固定”对回避型模式有负向预测作用。
结论
我们的结果表明，对他人感知暗示的不敏感性和对身体的高度控制导致了CAPD中的偏执态度和人际回避。这些发现有助于理解这些患者人际问题的原因，并建议对他们进行催眠治疗试验。
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