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精神分裂症患者、边缘型人格障碍患者及正常对照组的身份认同障碍与自我-他人分化

Identity disturbances and self-other differentiation in schizophrenics, borderlines, and normal controls.

作者信息

de Bonis M, De Boeck P, Lida-Pulik H, Féline A

机构信息

Service hospitalo-Universitaire de Psychiatrie, Hôpital de Bicêtre, Université Paris XI, France.

出版信息

Compr Psychiatry. 1995 Sep-Oct;36(5):362-6. doi: 10.1016/s0010-440x(95)90117-5.

Abstract

The present study investigates identity disorders in schizophrenics and borderlines. Nineteen schizophrenics and 17 borderlines were compared with 18 normal controls. The technique used was an adapted version of the repertory grid test to describe the self and nine significant others (i.e., family members). Three indices were derived from the 10 person x 20 self-generated-attribute matrix to measure the extent to which self was differentiated from others: (1) overlap of salient attributes, (2) overlap of opposite attributes, and (3) degree of differentiation among others. Results showed that both schizophrenics and borderlines describe themselves more in terms of opposites than in terms of salient attributes. Differentiation among significant others was severely impaired in schizophrenics and preserved in borderlines. These findings were interpreted as a failure of the individuation process in schizophrenics and as an incomplete construal of self-identity in borderlines.

摘要

本研究调查了精神分裂症患者和边缘性人格障碍患者的身份认同障碍。将19名精神分裂症患者和17名边缘性人格障碍患者与18名正常对照进行了比较。所使用的技术是一种改编版的角色构念方格测验,用于描述自我和九个重要他人(即家庭成员)。从10人×20个自我生成属性矩阵中得出三个指标,以衡量自我与他人的区分程度:(1)显著属性的重叠,(2)相反属性的重叠,以及(3)他人之间的分化程度。结果表明,精神分裂症患者和边缘性人格障碍患者都更多地用相反的方面来描述自己,而不是用显著属性。精神分裂症患者中重要他人之间的分化严重受损,而边缘性人格障碍患者中则得以保留。这些发现被解释为精神分裂症患者个体化过程的失败,以及边缘性人格障碍患者自我认同的不完全建构。

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