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对自杀未遂者的儿时创伤和自我概念的访谈分析
Childhood Trauma and Self-concept of Those with History of Suicide Attempt
【摘要】 目的探讨自杀未遂者的儿时创伤与自我概念状况。方法对30名自杀未遂者(研究组)进行访谈,对自杀未遂者与父母的居住历史、最初的记忆、自杀前的梦境、房树人的投射测试等资料进行了收集和分析,并与30名正常对照比较。结果研究组早年离开父母生活者多于正常对照组(33%/3%,χ2=14.73,P=0.000);梦境有恐怖场景者多于对照组(恶梦17/6,被杀12/2,梦见鬼5/1);绘画测验中自我意想不完整(6/1)、将树或人涂黑(6/0)、树干创伤(3/0)、断枝(6/1)、树或房子不完整(5/2)数均多于对照组。结论研究组情感上的被弃创伤明显多于正常人,其自我概念明显劣于正常人。
【Abstract】 Objective: To explore relationship between childhood trauma, self-concept and suicide attempts of adult.Methods: 30 adults with recent suicide attempt were asked to complete a psychoanalysis interview which including: the earliest memory, the dreams occurred just before suicide, House-Tree-Person test and so on.Other 30 healthy persons collected as control were also received the same procedure.Results: The rate of individuals with childhood separation with parents was higher in suicide attempters (33% vs 3%,χ2=14.73,P<0.001).Compared with control, more attempters had nightmare (17/6), had dream of being victim of homicide (12/2), and dream of ghosts (5/1).In House-Tree-Person test, attempters had higher rate of defected self-image (6/1), painting the tree and the person as dark (6/0), drawing a tree with broken branch (6/1) or wounded trunk (3/0) and drawing a house or tree with defects (5.2).Conclusion:Mood trauma are more common in suicide attempters and they have poorer self-concept than normal control.
【Key words】 suicide attempt; interview; trauma; self-concept; psychoanalysis; qualitative study;
- 【文献出处】 中国心理卫生杂志 ,Chinese Mental Health Journal , 编辑部邮箱 ,2007年06期
- 【分类号】B846
- 【被引频次】15
- 【下载频次】917