Allen J G, Coyne L
Menninger Clinic, Topeka, Kansas 66601-0829, USA.
J Nerv Ment Dis. 1995 Oct;183(10):615-22. doi: 10.1097/00005053-199510000-00001.
Prior research on the MMPI has cautioned against misdiagnosing schizophrenia in patients with dissociative identity disorder. The present study examined the full spectrum of the dissociative experience in relation to MMPI-2 profiles. Ninety-eight women in treatment for trauma-related disorders completed the Dissociative Experiences Scale and the MMPI-2 in routine inpatient diagnostic evaluations. Consistent with prior research, severe dissociation was associated with high elevations on MMPI-2 scales typically associated with psychotic symptoms. Contrary to hypotheses, the ostensibly most benign form of dissociation, absorption and imaginative involvement, was somewhat more strongly related to MMPI-2 scores than the more pathognomonic forms of dissociation, depersonalization and amnesia. Although it should not be misdiagnosed, severe impairment on the MMPI in conjunction with dissociation should be taken seriously as suggesting vulnerability to psychotic experience. The dissociative retreat from the stressors of outer reality opens the door to the inner world of traumatic images and affects, along with compromised reality testing and disorganized thinking.
先前对明尼苏达多相人格测验（MMPI）的研究曾告诫，要谨防在分离性身份障碍患者中误诊精神分裂症。本研究考察了与MMPI-2剖面图相关的分离体验的全谱。98名因创伤相关障碍接受治疗的女性在常规住院诊断评估中完成了分离体验量表和MMPI-2。与先前的研究一致，严重分离与MMPI-2量表上通常与精神症状相关的高分相关。与假设相反，表面上最良性的分离形式，即专注和想象参与，与MMPI-2分数的相关性比更具诊断意义的分离形式，即人格解体和失忆，略强一些。虽然不应误诊，但MMPI上的严重损害与分离相结合应被认真对待，因为这表明易患精神病体验。从外部现实压力源的分离退缩为创伤性图像和情感的内心世界打开了大门，同时现实检验受损和思维混乱。
