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A Journal on Psychiatry, Psychology and Psychopharmacology

Official Journal of the Italian Society of Social Psychiatry
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Minerva Psichiatrica 2002 March;43(1):1

language: Italian

Bulimia and pseudo-self

Marocco Muttini C.


Background. The presence of a pseudo-self personality is frequently found in cases of bulimia according to the literature. Rorschach test was used to evaluate whether patients suffering from bulimic symptoms presented traces of this defensive organisation.
Methods. A group of 12 patients with dysorexia which had onset as anorexia and a further 12 with bulimia, which had onset in this form, were asked to take the test while under clinical observation or receiving psychotherapeutic treatment. A short medical history is presented for each patient together with the interpretation of the Rorschach test. The test looked for both the aspects in common and the differences between the tests in both groups and between individual patients within each group.
Results. The tests were variable in terms of personality structure; although common elements of conflict were found concerning identity and sexuality, they also presented contradictory signs which led back to a borderline organisation, more rarely to the neurotic structure and to a psychotic structure in two cases.
Conclusions. The most concordant aspects among the protocols were those indicating pseudo-self defences present in both groups.

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