A Rorschach exploration of the DSM-IV Borderline Personality Disorder.
Rorschach data has been useful in identifying the DSM Borderline Personality Disorder (BPD) and has potential for improving our understanding of this disorder. Recently, the DSM-IV BPD has been shown to be composed of 3 primary or core factors: Factor I-unstable self-other images. Factor II-deficits in affect and thought modulation, and Factor III-impulsive self-damaging actions. In a sample of outpatients with personality disorders. we explored the relationships among 6 psychoanalytically derived Rorschach scales (primitive aggression, oral dependency, self-other differentiation, splitting, devaluation, and projective identification), and the core BPD features. Significant correlations were found between 5 of the Rorschach variables and BPD total scores. Correlations between these 5 variables and the BPD core features showed that oral dependency needs were negatively associated with all 3 BPD core features, whereas the defenses of devaluation and splitting were positively associated with these core features. The clinical implications of these findings are reviewed.
Blais
M A
MA
Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA.
Hilsenroth
M J
MJ
Fowler
J C
JC
Conboy
C A
CA
D000328:Adult; D001883:Borderline Personality Disorder / Q000145:classification / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D012392:Rorschach Test; D012649:Self Concept