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抑郁症患者的个人构念

Personal constructs among depressed patients.

作者信息

Space L G, Cromwell R L

出版信息

J Nerv Ment Dis. 1980 Mar;168(3):150-8. doi: 10.1097/00005053-198003000-00005.

DOI:10.1097/00005053-198003000-00005
PMID:7354317
Abstract

The Kelly Role Construct Repertory Test (rep grid) was administered to 19 depressed patients, 19 psychiatric controls, and 19 normal controls. Tests were analyzed to produce measures of cognitive complexity, self-ideal congruency, negative self-construing, identification (self-other distances), and consistency of within-factor self-attribution. In comparison to the two control groups, three characteristics of depressed patients emerged: a) the well known tendency to construe oneself negatively occurred but not in terms of a greater number of factors with consistent negative self-description; instead, b) depressed patients had more mixed (positive and negative) self-description than other patients, thus suggesting a propensity to cognitive slot movement; finally, c) independent of positivity/negativity, depressed patients had a greater tendency to view themselves as different from others. From these findings a formulation about depression is presented, and implications for etiology and treatment are discussed.

摘要

对19名抑郁症患者、19名精神科对照者和19名正常对照者进行了凯利角色构念 repertory测试(rep网格)。对测试进行分析,以得出认知复杂性、自我理想一致性、消极自我建构、认同(自我与他人距离)以及因素内自我归因一致性的测量结果。与两个对照组相比,抑郁症患者出现了三个特征:a)出现了众所周知的消极看待自己的倾向,但并非在更多具有一致消极自我描述的因素方面;相反,b)抑郁症患者比其他患者有更多混合(积极和消极)的自我描述,因此表明有认知插槽移动的倾向;最后,c)独立于积极/消极因素,抑郁症患者更倾向于认为自己与他人不同。根据这些发现,提出了一个关于抑郁症的构想,并讨论了其对病因和治疗的影响。

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引用本文的文献

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Construal of self as a mental health inpatient: a systematic review and narrative synthesis of repertory grid studies.将自我理解为心理健康住院患者:格盘研究的系统评价与叙述性综合分析
Front Psychiatry. 2025 Apr 4;16:1431798. doi: 10.3389/fpsyt.2025.1431798. eCollection 2025.
2
Depression and Identity: Are Self-Constructions Negative or Conflictual?抑郁与身份认同:自我建构是消极的还是冲突的?
Front Psychol. 2017 May 30;8:877. doi: 10.3389/fpsyg.2017.00877. eCollection 2017.
3
A repertory grid comparison of endogenous and neurotic depressions.
内源性和神经症性抑郁症的纲要方格比较。
Indian J Psychiatry. 1983 Jan;25(1):46-51.