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罗夏墨迹测验自闭症分类法及其对思维障碍患者鉴别诊断的启示

A taxonomy of Rorschach autisms with implications for differential diagnosis among thinking-disordered patients.

作者信息

Wagner E E, Wagner C F, Hilsenroth M J, Fowler C

机构信息

University of Tennessee, USA.

出版信息

J Clin Psychol. 1995 Mar;51(2):290-3. doi: 10.1002/1097-4679(199503)51:2<290::aid-jclp2270510220>3.0.co;2-7.

DOI:10.1002/1097-4679(199503)51:2<290::aid-jclp2270510220>3.0.co;2-7
PMID:7797654
Abstract

A tripartite taxonomy of perceptual-cognitive errors on the Rorschach, abbreviated TRAUT, was reviewed. TRAUT classifies "autisms" as stemming from either an arrant disregard for the blot shapes (HYPO), an inordinate attention to unusual blot areas (HYPER), or an endorsement of counterfactual relationships among blot areas (RELER) included among Exner's Unusual Verbalizations. The scoring of HYPOs and HYPERs and the frequency of their occurrence among thought-disordered groups were determined by examining Rorschachs of inpatient schizophrenics, outpatient schizophrenics, borderline personality disorders, and Cluster A personality disorders. Because HYPOs and HYPERs yielded better differential diagnoses than RELERs among these four groups, it was suggested that such percepts should be scored routinely as a screen for thought disorder.

摘要

对罗夏墨迹测验中知觉-认知错误的三元分类法(简称为TRAUT)进行了综述。TRAUT将“自闭症”归类为源于对墨迹形状的全然漠视(低反应型)、对异常墨迹区域的过度关注(高反应型),或对埃克纳异常言语中包含的墨迹区域间反事实关系的认可(关系型)。通过检查住院精神分裂症患者、门诊精神分裂症患者、边缘性人格障碍患者和A类人格障碍患者的罗夏墨迹测验结果,确定了低反应型和高反应型的评分及其在思维紊乱群体中的出现频率。由于在这四组人群中,低反应型和高反应型比关系型能产生更好的鉴别诊断,因此有人建议应常规对这类知觉进行评分,作为思维紊乱的筛查手段。

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