Khadivi A, Wetzler S, Wilson A
Department of Psychiatry, Bronx-Lebanon Hospital Center, USA.
J Pers Assess. 1997 Oct;69(2):365-75. doi: 10.1207/s15327752jpa6902_8.
This study examined signs of mania on the Rorschach, specifically whether manic inpatients (n = 24) produce different thematic content and thought disorder than comparison groups of paranoid schizophrenic (n = 27) and schizoaffective (n = 25) inpatients. Rorschach protocols were scored by a trained rater for the Thought Disorder Index and the Schizoid-Affective Rating Scale. Results indicated that all 3 groups had moderate levels of thought disorder, but the manic inpatients produced significantly more combinatory thinking and affective content responses than the other 2 groups. The paranoid schizophrenic and schizoaffective patients did not produce significantly more schizoid content and were not different on any other types of thought disorder than the manic patients. These findings are discussed in terms of the contribution of thought disorder and affective thematic content in making the diagnosis of mania on the Rorschach.
本研究考察了罗夏墨迹测验中的躁狂迹象,具体而言,躁狂症住院患者(n = 24)与偏执型精神分裂症住院患者(n = 27)及分裂情感性障碍住院患者(n = 25)的对照组相比,是否会产生不同的主题内容和思维紊乱。由一名经过培训的评分者对罗夏墨迹测验记录进行思维紊乱指数和分裂情感性评定量表的评分。结果表明,所有3组的思维紊乱程度均为中等,但躁狂症住院患者产生的组合思维和情感内容反应明显多于其他两组。偏执型精神分裂症患者和分裂情感性障碍患者并未产生明显更多的分裂样内容,在其他任何类型的思维紊乱方面与躁狂症患者并无差异。本文根据思维紊乱和情感主题内容对罗夏墨迹测验中躁狂症诊断的作用对这些发现进行了讨论。