精神分裂症患者的妄想与心理防御机制的关系研究

Delusion and Defense Mechanism of Schizophrenics

目的 从精神动力学角度探讨精神分裂症患者的妄想与心理防御机制的相互关系 ,为临床心理治疗和康复训练提供理论指导。方法 选择住院精神分裂症患者有明确妄想的 48例、无妄想的 13例以及正常被试 31例 ,采用M .Bond编制的防御方式问卷 (DSQ)对各组被试进行测评。结果 精神分裂症有妄想组与正常被试DSQ不成熟防御机制均分、中间型防御机制均分均有显著差异 ,两组被试成熟防御机制均分差异不明显。结论 精神分裂症的妄想可能与较多应用不成熟防御机制尤其是投射、潜意显现、抱怨。

Objective To explore the relation between delusion and defense mechanism of schizophrenics in a psychodynamic view. Methods The Defense Style Questionnaire (DSQ) was administered to 48 schizophrenics with delusion, 13 schizophrenics without delusion, and 31 normal people. Results Schizophrenics with delusion scored significantly higher than normal people did on unmature mechanisms and some of the middle type mechanisms, there was no significant difference between the two groups. Conclusion The delusion of schizophrenics might be related with unmature defense mechanisms.