Blais M A, Hilsenroth M J, Fowler J C
Inpatient Psychiatry Service, Massachusetts General Hospital, Boston 02114, USA.
J Pers Assess. 1998 Apr;70(2):355-64. doi: 10.1207/s15327752jpa7002_12.
Rorschach assessment data have long been rationally linked to the psychiatric condition of hysteria. This study represents the first empirical attempt to explore the associations among select Rorschach variables, the Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) Histrionic Personality Disorder (HPD) criteria, and two self-report measures of hysteria. We correlated four Rorschach variables with total symptom scores for DSM-IV Cluster B Personality Disorders (Borderline, Antisocial, Narcissistic, and Histrionic). We found two Rorschach variables, FC + CF + C and T (Exner, 1993), to be significantly and meaningfully correlated with both the DSM-IV HPD total score (number of criteria) and the individual HPD criteria. Although not significantly associated with the HPD total score, Denial (DEN; Lerner & Lerner, 1980) was associated with one individual HPD criterion. Furthermore, DEN was significantly correlated with the MMPI-2 Hysteria (Hy) scale. The results are reviewed in terms of their clinical utility and the insights they offer into the psychological characteristics of the DSM-IV HPD.
长期以来，罗夏墨迹测验评估数据一直与癔症的精神状况存在合理关联。本研究首次进行实证尝试，以探究特定罗夏墨迹测验变量、《精神疾病诊断与统计手册》（第4版[DSM-IV]；美国精神病学协会，1994年）表演型人格障碍（HPD）标准以及两种癔症自我报告测量方法之间的关联。我们将四个罗夏墨迹测验变量与DSM-IV B类人格障碍（边缘型、反社会型、自恋型和表演型）的总症状评分进行了关联分析。我们发现两个罗夏墨迹测验变量，FC + CF + C和T（埃克斯纳，1993年），与DSM-IV HPD总分（标准数量）以及各个HPD标准均存在显著且有意义的关联。否认（DEN；勒纳和勒纳，1980年）虽然与HPD总分无显著关联，但与一项个体HPD标准相关。此外，DEN与明尼苏达多相人格问卷第二版（MMPI-2）癔症（Hy）量表显著相关。我们从临床实用性以及它们对DSM-IV HPD心理特征的洞察方面对研究结果进行了综述。
