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Yıl:2015; Cilt: ; Sayı: 23>> Özet
Yansıtma: Psikopatoloji ve Projektif Testler Dergisi; 2015;(23):65-79
Farklı Yakınmalardan Ortak Kişilik Yapılanmalarına: Rorschach Testi Değerlendirmelerinde Bipolar Bozukluğa Dair Bulgulardan Örnekler
İE Atak
Farklı yakınmalarla psikiyatrik/psikoterapötik destek arayışında olan hastaların Rorschach testi değerlendirmeleri sonucunda, bu hastaların bipolar bozukluğa gönderme yapan ortak özellikler sergiledikleri görülmüştür. Bu özellikler, gerçeklikle ilişki, düşünce bozukluğu, dürtüsellik, kimlik tasarımı, nesne ilişkileri, duygulanım ne samunma mekanizmaları olarak sıralanabilir. YanIt sayıları oldukça fazla olarak değerlendirilen bu hastalar, psikotik işleyişe dair düşünce bozukluklarını hafif düzeyde sergilerken, asıl problematiğin depresif duygulanımla başetmek olduğu fark edilmiştir. Ölüme ve kayba dair yoğun endişe, kimlik sabitliğinin sağlanmasını da olumsuz yönde etkilemiş, hayatta kalmak için güçlü bir nesne gereksiniminin ön planda olduğu ortaya çıkmıştır. Dürtünün yoğunluğu ve buna bağlı olarak süregen nesne arayışı nesne ilişkilerinde de bozulmaya yol açarken kullanılan savunmaların daha ilkel savunmalar olması ve işlevselliğin aralarda bozulması da önemli bulgulardır. Dış dünyaya yapılan taşkın yatırım aldatıcı olabilmekte; bu hastalarla projektif çalışmalar yapmak tedavi planının oluşturulmasında da önem taşımaktadır.
From Different Complaints to Similar Personality Organizations: Examples of Bipolar Disorder Indications in Rorschach Evaluations
As a result of Rorschach assessments, patients that have consulted to psychiatric/ psychotherapeutic treatment with different symptoms have found to show similar characteristics. These features can be listed as relationship with reality, thought disorder, impulsivity, self representation, object relations, affect and defense mechanisms. It is found that the response rates are high, they exhibit slight thought disorder that can be evaluated wihin psychotic functioning; but, the main problem is coping with the depressive affect. Anxiety related to loss and death have negatively effected the stability of self, these patients have shown a great need for object in order to survive. The intensity of drives and continous search for object related to this have caused deterioration in object relations; the mechanisms that are used are more primary and the worsening of functioning is an important finding. The intense cathexis on the outside world can be deceitful, having gone through projective assessment is something that can be very significant in treatment planning.

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