Sheehan M J
Br J Med Psychol. 1985 Jun;58(2):119-28. doi: 10.1111/j.2044-8341.1985.tb02624.x.
Twelve out-patients with a 'definite' or 'probable' diagnosis of major depressive disorder were treated by the author using personal construct psychotherapy (Kelly, 1955). Changes in their construct systems were monitored at intervals during the course of therapy using traditional role construct repertory grids and 'multiple perception of the self' grids. The level of depression was measured on each occasion of testing using psychiatric and self-rating depression scales. The most important findings were that high levels of depression were associated with low levels of 'conflict' and a cluster of variables to do with the construing of self, namely negative self-construing, low self-esteem and perceived self-isolation. As the depression lifted during the course of psychotherapy, there was a significant increase in the amount of 'conflict' and in the level of self-esteem, and a significant decrease in the level of self-isolation. The fact that over time the 'multiple perception of self' grids changed significantly more than the grids concerned with the construing of the self and others is interpreted as further evidence of the crucial role that the self-concept plays in depression.
作者使用个人建构心理治疗法（凯利，1955年）对12名被明确诊断为重度抑郁症或可能患有重度抑郁症的门诊患者进行了治疗。在治疗过程中，每隔一段时间使用传统的角色建构 repertory 方格和“自我的多重认知”方格来监测他们建构系统的变化。每次测试时，使用精神病学和自评抑郁量表来测量抑郁程度。最重要的发现是，高抑郁水平与低“冲突”水平以及与自我建构相关的一组变量有关，即消极的自我建构、低自尊和感知到的自我孤立。随着心理治疗过程中抑郁情绪的缓解，“冲突”量和自尊水平显著增加，自我孤立水平显著降低。随着时间的推移，“自我的多重认知”方格的变化比与自我及他人建构相关的方格的变化显著更多，这一事实被解释为自我概念在抑郁症中起关键作用的进一步证据。
