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Rorschach evaluation of adolescent bulimics.
J E Smith1, M C Hillard, S Roll
1Department of Psychology, University of New Mexico, Albuquerque 87131.
Adolescence
|January 1, 1991
Summary
Adolescent girls with bulimia nervosa exhibit distinct personality traits, including increased depression, self-punishment, and disordered thinking. Early intervention is crucial for this vulnerable population to prevent symptom escalation.
Area of Science:
- Psychology
- Psychiatry
- Clinical Psychology
Background:
- Excessive dieting in early adolescence is a precursor to eating disorders.
- Bulimia nervosa is documented in late adolescence, but distinguishing personality traits are understudied.
Purpose of the Study:
- To identify personality characteristics differentiating adolescent bulimics from non-bulimic peers.
- To explore cognitive and emotional differences in adolescent bulimia nervosa.
Main Methods:
- Utilized the Rorschach Comprehensive System to assess 12 adolescent bulimics and 12 controls.
- Employed Exner's (1986) scoring system for Rorschach protocols.
Main Results:
- Bulimics showed significantly higher Depression and Schizophrenia Indices.
- Bulimics displayed more aggression responses, disordered thoughts, and impaired judgment.
- Cognitive disturbances extended beyond food and weight concerns.
Conclusions:
- Adolescent bulimics are more depressed, self-punitive, and negativistic.
- Significant cognitive disturbances are present in adolescent bulimia nervosa.
- Early identification and intervention are recommended due to potential symptom worsening.