open access
메뉴E-ISSN : 2733-4538
This study aimed to investigate the role of dichotomous thinking (DT) as a major vulnerability in paranoia, testing the hypotheses that paranoid persons may use more DT and that paranoid symptoms may result from the dichotomous interpretation of interpersonal life events. When measured via the Dichotomous Thinking Index, the paranoid group (69 college students screened with Paranoia Scale) used DT more than control group (67 college students screened with Paranoia Scale) did. There was a larger difference between the groups on the ‘social splitting’ subscale, which divides persons into my side vs. your side, friend vs. enemy. We subsequently analyzed the whole sample (338 persons) by means of multiple regressions calculated with the paranoia score as a dependent measure and with each DT and life event as independent variables. The results showed DT interacted with interpersonal life events (such as criticism, and refusal) to predict the paranoid symptoms. However, non-interpersonal events (such as financial difficulty, and disease) didn't interact with DT in predicting paranoia. That is, the results showed the pathological functioning of DT in paranoia is confirmed but confined to the domain of interpersonal relationships. These results support the hypothesis that DT plays a role as cognitive vulnerability in paranoia. Finally, we discuss implications and limitations of this study and present directions for future researches.
김정욱 (2003). 방어 성숙도와 상담자 개입이 심리증상 및 작업동맹에 미치는 영향. 서울대학교 대학원 박사학위 청구논문.
김지영 (2002). 편집성 성격성향자의 자기․타인 표상 및 지각된 부모 양육행동과의 관계. 서울대학교 대학원 석사학위 청구논문.
이훈진 (2004). 피해망상 집단과 우울증 집단의 지각된 부모양육행동과 애착유형. 한국심리학회지: 임상, 2, 381-395.
이훈진, 원호택 (1995). 편집증적 경향, 자기개념, 자의식간의 관계에 대한 탐색적 연구. 한국심리학회 ‘95 연차대회 학술발표논문집, 277-290.
전겸구, 김교헌 (1991). 대학생용 생활 스트레스척도의 개발: 제어이론적 접근. 한국심리학회지: 임상, 10, 137-158.
황성훈 (2007). 정신병리에서 이분법적 사고의 역할. 서울대학교 대학원 박사학위청구논문.
황성훈, 이훈진 (2009). 이분법적 사고와 MMPI로 측정한 정신병리의 관계. 한국심리학회: 임상, 28, 1-14.
Arntz, A. (2004). Borderline personality disorder. In T. A. Beck, A. Freeman, & D. D. Davis, et al. (Eds.), Cognitive therapy of personality disorder (2nd ed., pp.187-215). New York: The Guilford Press.
Auchincloss, E. L., & Weiss, R. W. (1992). Paranoid character and the intoleracne of indifference. Journal of American Psychoanalytic Association, 40, 1013-1037.
Beck, A. T., & Freeman, A. (1990). Cognitive therapy of personality disorders. New York: The Guilford Press.
Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: The Guilford Press.
Beck, A. T., Rush, J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: The Guilford Press and Mark Paterson.
Bentall, R. P., Kinderman, P., & Kaney, S. (1994). The self, attributional processes and abnormal beliefs: Towards a model of persecutory delusions. Behaviour Research and Therapy, 32, 331-341.
Berke, J. H., Pierides, S., Sabbadini, A., & Schneider, S. (1998). Even paranoids have enemies: New perspectives on paranoia and persecution. Routledge: London.
Burns, L. R., & Fedewa, B. A. (2005). Cognitive styles: Links with perfectionistic thinking. Personality and Individual Differences, 38, 103-113.
Cameron, N. (1963). Personality development and psychopathology. Boston: Mifflin Company.
Cohen, D. L., & Petrie, T. A. (2005). An examination of psychosocial correlates of disordered eating among undergraduate women. Sex Roles, 52, 29-42.
Derogatis, L. R. (1977). SCL-90R Manual-I. Baltimore: Clinical Psychometric Research.
Dyck, M. J., & Agar-Wilson, J. (1997). Cognitive vulnerabilities predict medical outcome in a sample of pain patients. Psychology, Health and Medicine, 2, 41-50.
Eckhardt, C. I., & Kassinove, H. (1998). Articulated cognitive distortions and cognitive deficiencies in maritally violent men. Journal of Cognitive Psychotherapy, 12, 231-250.
Gabbard, G. O. (2000). Psychodynamic psychiatry in clinical practice. New York: American Psychiatric Press.
Harris, R., & Lingoes, J. (1968). Subscales for the Minnesota Multiphasic Personality Inventory. Mimeographed materials, The Langley Porter Clinic.
Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
Litinsky, A. M., & Haslam, N. (1998). Dichotomous thinking as a sign of suicide risk on the TAT. Journal of Personality Assessment, 71, 368-378.
Meissner, W. W. (1986). Psychotherapy and the paranoid process. Northvale, NJ: Jason Aronson.
Mraz, W., & Runco, M. A. (1994). Suicide ideation and creative problem solving. Suicide and Life Threatening Behaviour, 24, 38-47.
Pretzer, J. (1990). Borderline personality disorder. In T. A. Beck, & A. Freeman, et al. (Eds.), Cognitive therapy of personality disorder (pp. 176-207). New York: The Guilford Press.
Rotheram-Borus, M. J., Trautman, P. D., Dopkins, S. C., & Shrout, P. E. (1990). Cognitive style and pleasant activities among female adolescent suicide attempters. Journal of Consulting and Clinical Psychology, 58, 554-561.
Teasdale, J. D., Scott, J., Moore, R. G., Hayhurst, H., Pope, M., & Paykel, E. S. (2001). How does cognitive therapy prevent relapse in residual depression? Evidence from a controlled trial. Journal of Consulting and Clinical Psychology, 69, 347-357.
Weishaar, M. E. (1996). Cognitive risk factors in suicide. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp.226-249). New York: Guilford Press.
Wenzel, A., Chapman, J. E., Newman, C. F., Beck. A. T., & Brown, G. K. (2006). Hypothesized mechanisms of change in cognitive therapy for borderline personality disorder. Journal of Clinical Psychology, 62, 503-516.