Determination of First Object Relations and Emotion Regulation Difficulties in Borderline Personality Disorder with Objective and Projective Methods

Öz

Evaluation of the disorders in the personality organization of the individual is only possible by examining the object relations functions, and it is known that the elimination of emotion regulation difficulties (ERD) has a central role in the treatment of borderline personality disorder (BPD). Therefore, this study, in which objective and projective methods were used together, was designed to determine the ERD of BPD patients and the relationship between the patients' object relations and emotion regulation difficulties. It is thought that the results of the study can be useful in the psychotherapy processes of BPD patients. For this purpose, the Sociodemographic Data Form, Rorschach Test, and Emotion Regulation Difficulty Scale developed by the researchers were applied to 37 individuals diagnosed with Borderline Personality Disorder according to DSM-5 criteria and 37 individuals who did not have any psychiatric diagnosis as a result of their psychiatric examination by a psychiatrist. As a result of the study, it was determined that there was a significant relationship between BPD and ERD, and this relationship could be determined through the Rorschach test, and it was determined that BPD constituted 55% of the variance of ERD. ERD, which can have significant disruptive effects on the lives of borderline patients, was associated with the patients' lack of satisfaction and inclusion in their relations with their first object, which is usually their parents, and it was determined negative qualities of first objects accounted for 23% of the variance of difficulty in emotion regulation. It is thought that the results of the study may contribute to the acceleration of the solution of interpersonal problems, which have a close relationship with ERD, of the patients and the standardization of the Rorschach Test.

Anahtar Kelimeler

• borderline personality disorder
• object relations
• first object
• emotion regulation
• Rorschach Test

Borderline Kişilik Bozukluğunda İlk Nesne İlişkileri ve Duygu Düzenleme Güçlüğünün Objektif ve Projektif Yöntemlerle Belirlenmesi

Öz

Bireyin kişilik örgütlenmesindeki bozuklukların değerlendirilmesi ancak nesne ilişkileri fonksiyonların incelenmesiyle tam anlamıyla mümkün olmakta ve duygu düzenleme güçlüğünün (DDG) giderilmesinin borderline kişilik bozukluğu (BKB) tedavisinde merkezi bir role sahip olduğu bilinmektedir. Bu doğrultuda hem BKB hastalarının duygu düzenleme güçlüklerinin hem de hastaların nesne ilişkilerinin duygu düzenleme güçlükleri ile olan ilişkisinin belirlenmesi amaçlanarak objektif ve projektif yöntemlerin bir arada kullanıldığı bu çalışma tasarlanmıştır. Çalışma sonuçlarından BKB hastalarının psikoterapi süreçlerinde faydalanılabileceği düşünülmektedir. Bu amaçla psikiyatri uzmanı tarafından, DSM-5 ölçütlerine göre BKB tanısı alan 37 birey ile psikiyatrik muayenesi sonucunda herhangi bir psikiyatrik tanı almamış 37 bireye araştırmacılar tarafından geliştirilmiş olan Sosyodemografik Veri Formu, Rorschach Testi, Duygu Düzenleme Güçlüğü Ölçeği uygulanmıştır. Çalışma sonucunda BKB ile DDG arasında anlamlı bir ilişki olduğu ve bu ilişkinin Rorschach testi aracılığıyla belirlenebildiği tespit edilmiş olup BKB’nin DDG varyansının %55’ini oluşturduğu belirlenmiştir. Borderline hastaların yaşamları üzerinde önemli bozucu etkilerde bulunabilen duygu düzenleme güçlüğünün, hastaların genellikle ebeveynleri olan ilk nesneleriyle ilişkilerindeki doyum ve kapsanma yetersizliğiyle ilişkili olduğu olup ilk nesnelere dair olumsuz niteliklerin DDG varyansının %23’ünü oluşturduğu tespit edilmiştir. Çalışma sonuçlarının hastaların, DDG ile yakından ilişkili olan, kişilerarası problemlerinin çözümünün hızlanmasına ve projektif bir ölçüm aracı olan Rorschach Testi’nin standardizasyonu adına katkı sağlayabileceği düşünülmektedir.

Anahtar Kelimeler

• borderline kişilik bozukluğu
• nesne ilişkileri
• ilk nesne
• duygu düzenleme
• Rorschach Testi

Kaynakça

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