نظریه ذهن: هم‌سنجی بین درمانجویان دارای اختلال شخصیت مرزی و افراد عادی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی بالینی، دانشگاه علامه طباطبائی، تهران، ایران.

2 استادیار گروه روانشناسی بالینی، دانشگاه علامه طباطبائی، تهران، ایران.

چکیده

مقدمه
نظریه ذهنیت ناموفق، یکی از نظریه­های اصلی در مفهوم­پردازی اختلال شخصیت مرزی، کمبود توانایی افراد در سویه­های گوناگون­ سازه نظریه ذهن را کانون آسیب می­داند و پدیدآیی، تحول و نمود نشانه­ها را برپایه آن تبیین می­کند­ بااین­همه سازش بایسته­ای در پژوهش­های پیرامون این نظریه وجود ندارند و با توجه به شکاف پژوهشی موجود در این زمینه،  این پژوهش با هدف هم­سنجی نظریه ذهن در درمانجویان دارای تشخیص اختلال شخصیت مرزی با گروه بهنجار انجام شد.
روش کار
این پژوهش توصیفی کمی و از نوع طرح علی-مقایسه­ای بود و جامعه آماری آن بزرگسال­های باسواد ساکن استان تهران بود که از بین آنها به روش نمونه­گیری دردسترس دوگروه 15 نفره دارای اختلال شخصیت مرزی و بهنجار گزینش شدند. یافته­های پژوهش با بهره­مندی از ابزارهای مصاحبه بالینی ساختاریافته SCID-II (1994)، نسخه ویرایش­شده چک­لیست نشانه­های روانی SCL-90-R (1994)، مقیاس افسردگی بک II (1961)، پرسشنامه اضطراب بک (1990) و آزمون ذهن­خوانی به­کمک تصویر چشم بارون و کوهن (2001) بدست آمد. درادامه داده­ها با استفاده از آزمون تحلیل واریانس چند متغیری یک راهه مورد کاوش قرار گرفت.
نتایج
یافته­های این پژوهش نشان داد تفاوت معناداری در توانایی نظریه ذهن افراد گروه بالینی دارای اختلال شخصیت مرزی و بهنجار وجود ندارد (05/0p>).
نتیجه­گیری
هنوز سازش کاملی بر روی کاستی توانایی نظریه ذهن در اختلال شخصیت مرزی وجود ندارد و تنها تشخیص­گذاری این اختلال دلیل کاستی این توانش در درمانجویان نیست ازاین­رو سنجش اولیه و توجه بیشتر در گزینش روش­های درمانگری برپایه نظریه ذهن در این اختلال پیشنهاد می­شود.

کلیدواژه‌ها

عنوان مقاله [English]

Theory of mind: A comparison between clients with borderline personality disorder and healthy individuals

نویسندگان [English]

  • Mahmoud Hakimnia 1
  • Zohreh Rafezi 2
  • Mahdi Moeini 2
1 Department of Clinical Psychology, Allameh Tabataba’i University, Tehran, Iran.
2 Assistant Professor, Department of Clinical Psychology, Allameh Tabataba'i University, Tehran, Iran.
چکیده [English]

Introduction: The theory of failed mentalization, one of the major theories in the conceptualization of borderline personality disorder, knows the individual deficit in various aspects of the constructs of the theory of mind as the core psychopathology and explains the emergence, evolution, and manifestation of symptoms based on it. However, there is no consensus in the research on this theory. The present study aimed to compare the theory of mind in borderline personality disorder with healthy individuals.
Method: This descriptive study followed a causal-comparative research design. The literate adults living in Tehran province made up the statistical population of the study. Two groups, including individuals with borderline personality disorder (n=15) and healthy individuals (n=15), were selected using convenience sampling. Research findings were obtained through the Structured Clinical Interviews (SCID-II) (1994), the Symptom Checklist-90-Revised (SCL-90-R) (1994), Beck Depression Inventory (BDI-II) (1961), Beck Anxiety Inventory (1990), and Baron-Cohen’s Reading the Mind in the Eye Test (2001). The data were then analyzed by one-way multivariate analysis of variance.
Results: The findings showed no significant difference in the ability of the theory of mind between the members of the clinical group with borderline personality disorder and the healthy group (p≤0.05).
Conclusion: There is still no complete consensus on the lack of ability of theory of mind in borderline personality disorder, and the mere diagnosis of this disorder does not reflect the lack of this ability in patients. Thus, the initial assessments and the selection of treatment methods based on the theory of mind need more attention in this disorder.

کلیدواژه‌ها [English]

  • Failed mentalizatoin
  • borderline personality disorder
  • mindreading
  • theory of mind

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 64، شماره 5
آذر و دی 1400
صفحه 4001-4011

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