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Flexibility and Rigidity in Object Relational Functioning: Assessing Change in Suicidal Ideation and Global
A Jill Clemence1, Katie Lewis2
1a Albany Stratton VA Medical Center.
Journal of Personality Assessment
|February 17, 2018
Summary
A wider range of emotional experiences in relationships, assessed by the Social Cognition and Object Relations Scale-Global Rating Method (SCORS-G), predicts reduced suicidal ideation and improved psychiatric functioning over five years.
Area of Science:
- Psychology
- Psychiatry
- Clinical Psychology
Background:
- Object relations functioning is crucial for mental health.
- The Social Cognition and Object Relations Scale-Global Rating Method (SCORS-G) is a validated tool for assessing object relations.
- Understanding the link between relational functioning and psychiatric outcomes is vital for treatment.
Purpose of the Study:
- To investigate the association between global impairments and rigidity in object relations quality with changes in suicidal ideation and psychiatric functioning.
- To explore how the range of affective quality and emotional investment in relationships impacts long-term mental health outcomes.
Main Methods:
- Utilized the Social Cognition and Object Relations Scale-Global Rating Method (SCORS-G) to assess object relational functioning.
- Collected participant narratives of interpersonal experiences using the Relationship Anecdote Paradigm.
- Analyzed data from individuals with complex psychopathology undergoing residential psychiatric treatment.
Main Results:
- A greater range in affective quality and emotional investment scores at treatment admission correlated significantly with reduced suicidal ideation at 5-year follow-up.
- Broader relational experiences predicted improved global psychiatric functioning over the 5-year period.
- Individuals acknowledging diverse relationship qualities (healthy and troubled) showed better outcomes than those with uniform relational experiences.
Conclusions:
- The range of emotional experiences in relationships is a significant predictor of long-term psychiatric outcomes, including suicidal ideation.
- The SCORS-G can identify individuals at risk for persistent psychopathology based on relational functioning.
- Clinical interventions may benefit from addressing the breadth of relational experiences to improve patient outcomes.
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