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Object relations deficits in subtypes of schizophrenia
Author(s) -
Bell Morris,
Lysaker Paul,
Mestein Robert
Publication year - 1992
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/1097-4679(199207)48:4<433::aid-jclp2270480403>3.0.co;2-c
Subject(s) - psychology , schizophrenia (object oriented programming) , positive and negative syndrome scale , object relations theory , clinical psychology , egocentrism , brief psychiatric rating scale , rating scale , psychosis , paranoid schizophrenia , psychiatry , developmental psychology , psychotherapist , psychoanalytic theory
Abstract Forty‐eight subjects with diagnoses of schizophrenia were assessed with the Bell Object Relations Inventory (BORI), the Positive and Negative Syndrome Scale (PANSS), the Brief Psychiatric Rating Scale (BPRS), and the Premorbid Adjustment Scale (PAS) to determine the distribution of object relations deficits in the whole sample and four subtypes: paranoid, schizoaffective, poor premorbid, and prominent negative symptoms. Results indicate that 92% of the sample had object relations deficits; 85% showed elevations on the BORI Alienation scale. Subjects with prominent negative symptoms produced lower values on Insecure Attachment and higher values on Egocentricity. This suggests that negative symptoms are associated with a reduction in perceived painfulness of attachment and increased egocentric investment. Other subtyping schemes showed no reliable pattern of object relations deficits.