Confluent paranoia in African American psychiatric patients: an empirical study of Ridley's typology.
Confluent paranoia in African American psychiatric patients: an empirical study of Ridley's typology.
复制标题
非裔美国精神病患者的融合偏执：里德利类型学的实证研究。
DOI：
10.1037//0021-843x.111.4.568
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发表时间：
2002
影响因子：
4.6
通讯作者：
Whaley,ArthurL
中科院分区：
文献类型：
--
作者：
Whaley,ArthurL
本研究检验了Ridley（1984）的非裔美国人偏执狂类型学，该类型学假设了症状表达中文化和病理的正交维度。文化不信任量表和错误信念和感知量表的得分中位数分别代表文化偏执和病理偏执的高水平和低水平。4组黑人患者分别为非偏执、文化偏执、病理性偏执和融合性偏执。一个Fenigstein偏执量表操作检查表明，偏执症状的表现在各组之间的差异部分支持Ridley的模型，作为措施的敌意和自尊的看法。组间差异的综合检验对于功能的总体评估和患者图表中记录的症状数量具有显著性。预测模式检验显示，在偏执狂组的平均分数中，一些临床医生评定的功能指标存在显著的严重性维度，但其他指标没有。SCID访谈者对文化不信任和限制（或隔离）次数的评级与代表偏执狂群体的文化维度而不是严重性维度的模式更一致。研究结果提供了有限的经验验证Ridley的偏执狂在非洲裔美国人的类型。
This study examined Ridley's (1984) typology of paranoia in African Americans, which assumes orthogonal dimensions of culture and pathology in symptom expression. Median split of scores on the Cultural Mistrust Inventory and the scale of False Beliefs and Perceptions represented high and low levels of cultural paranoia and pathological paranoia, respectively. The 4 groups of Black patients were nonparanoia, cultural paranoia, pathological paranoia, and confluent paranoia. A Fenigstein Paranoia Scale manipulation check indicated that differences in paranoid symptom expression among the groups were partially supportive of Ridley's model, as were measures of perceptions of hostility and self-esteem. Omnibus tests of between-groups differences were significant for global assessment of functioning and number of symptoms recorded in patients' charts. Predicted pattern testing revealed a significant severity dimension in mean scores across paranoia groups for some measures of clinician-rated functioning but not others. SCID interviewers' ratings of cultural mistrust and number of times restrained (or secluded) were more consistent with a pattern representing a cultural dimension than a severity dimension across paranoia groups. Findings provide limited empirical validation of Ridley's typology of paranoia in African Americans.