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罗夏墨迹测验对与战斗相关的创伤后应激障碍(PTSD)伪装的易感性。

The susceptibility of the Rorschach Inkblot Test to malingering of combat-related PTSD.

作者信息

Frueh B C, Kinder B N

机构信息

Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC 29401-5799.

出版信息

J Pers Assess. 1994 Apr;62(2):280-98. doi: 10.1207/s15327752jpa6202_9.

DOI:10.1207/s15327752jpa6202_9
PMID:8189337
Abstract

The ability of subjects to alter their responses on the Rorschach and self-report measures to fake the symptoms of combat-related Posttraumatic Stress Disorder (PTSD) was investigated. Subjects were 40 White male undergraduates, randomly assigned to either a control or role-informed malingerer group, and 20 White Vietnam veterans with PTSD. Subjects were administered the Rorschach, MMPI-2 validity scales, and Mississippi Scale for Combat-Related PTSD. Results indicated that malingerers were able to achieve scores similar to the PTSD patients on the Mississippi Scale and some Rorschach variables. However, they evidenced significant differences on the MMPI-2 validity scales and several important Rorschach variables. Malingerers typically gave responses that were overly dramatic and less complicated, less emotionally restrained, and indicated an exaggerated sense of impaired reality testing as compared to PTSD patients. Behavioral differences were also noted between the groups. Findings are discussed in the context of the study's limitations and the practical detection of malingered PTSD in clinical settings.

摘要

本研究调查了受试者在罗夏墨迹测验和自我报告测量中伪造与战斗相关的创伤后应激障碍(PTSD)症状的能力。受试者包括40名白人男性大学生,随机分为对照组或知情装病组,以及20名患有PTSD的白人越南退伍军人。对受试者进行了罗夏墨迹测验、明尼苏达多相人格调查表第二版(MMPI - 2)效度量表和与战斗相关的PTSD密西西比量表测试。结果表明,装病者在密西西比量表和一些罗夏墨迹测验变量上能够获得与PTSD患者相似的分数。然而,他们在MMPI - 2效度量表和几个重要的罗夏墨迹测验变量上存在显著差异。与PTSD患者相比,装病者的回答通常过于夸张、不够复杂、情绪控制较少,并且表现出对现实检验受损的夸张感觉。两组之间也注意到了行为差异。研究结果将在研究局限性和临床环境中对伪装PTSD的实际检测的背景下进行讨论。

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