摘要
目的:探讨强迫症状人群的内心世界,总结其初始沙盘特征。方法:某医学院在校学生,采用症状自评量表筛选出强迫症状人群33人为强迫症状组,36名为非强迫症状者为对照组,两组均参与沙盘游戏。采用沙盘作品编码表对沙盘游戏作品进行信息编码。结果:(1)在沙具的使用情况方面,强迫症状组武器类、其他类沙具的使用多于对照组[(1.30±1.28)vs.(0.11±0.32),(0.18±0.47)vs.(0.00±0.00);P=0.056,0.022],而交通工具、建筑物、植物、生活用品类沙具的使用少于对照组[(0.73±1.18)vs.(1.61±2.16),(1.15±1.50)vs.(2.39±1.68),(4.82±5.96)vs.(9.72±6.67),(0.76±1.03)vs.(1.75±2.01);均P<0.05];(2)在沙盘主题特征方面,与对照组相比,强迫症状组多出现空洞、分裂、忽视、受伤、威胁、倒置6个创伤主题(51.5%vs.0%,42.4%vs.0%,30.3%vs.2.8%,27.3%vs.0%,45.5%vs.5.6%,12.1%vs.0%,均P<0.05),少出现流动、抚育、能量3个治愈主题(6.1%vs.50%,6.1%vs.27.8%,33.3%vs.58.3%,均P<0.05)。结论:强迫症状人群在初始沙盘中的有特征性表现,初始沙盘可能具有临床心理评估的功能和价值。
Objective： To explore the initial sandplay＇s clinical diagnosis role and value on the obsession symptom. Method： Thirty-three students with obsession symptoms and 36 healthy students were selected with the Symptom Checklist 90（SCL-90）. These students participate in the initial sandplay operation, and their products of sandplay were coded. Results： （1）On the use of toys, the experimental group was significantly nigher in armaments and others [（1.30±1.28）vs. （0. 11±0. 32）, （0. 18±0.47） vs. （ 0.00±0.00）;P =0. 056,0. 022], and significantly lower in transports, plants, and daily necessities [ （0.73±1.18） vs. （ 1.61±2. 16）, （4. 82± 5.96） vs. （ 9.72±6. 67）, （0. 76±1.03）vs. （ 1.75±2. 01）;Ps 〈0. 05]. （2）On the theme of sandplay, the experimental group was significantly higher in empty, restriction, neglect, injury, threat, and inversion（51.5% vs. 0%, 42.4% vs. 0%, 30. 3% vs. 2. 8%, 27. 3% vs. 0% ,45.5% vs. 5.6%, 12. 1% vs. 0%, Ps 〈0. 05）, and lower in travel, cultivation, and energy（6. 1% vs. 50%, 6. 1% vs. 27.8%, 33.3% vs. 58.3%, Ps 〈 0.05）. Conclusion： The results show that the obsession symptoms have significantly characteristics in sandplay. Initial sandplay is valuable to be a clinical psychological assessment.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2010年第10期757-761,774,共6页
Chinese Mental Health Journal
关键词
沙盘游戏
初始沙盘
强迫症状
病例对照研究
sandplay
initial sandplay
obsession symptom
case-controlled studies
