2. 人格 2AM-015 日心第77回大会（2013） MMPI-2 ⮫ᗋᑻᗘ⩌୰ࡢ Hysteria ᑻᗘ(Hy) ෆᐜ࣭⿵ຓᑻᗘ⩌ࡢ㛵㐃 ⏤⃰⨾ۑ⣖Ꮚ㸯࣭➟⩧ኴ㸰࣭∾㔝㈗ᶞ㸱 㸦 ᮾி་⛉ṑ⛉ᏛᏛ㝔ಖ⾨⏕Ꮫ◊✲⛉࣭㸰すṊᩥ⌮Ꮫ┳ㆤᏛ㒊࣭㸱ᮾிᏛ⏕⏘ᢏ⾡◊✲ᡤ㸧 ࣮࣮࢟࣡ࢻ: MMPI-2 ෆᐜ㺃⿵ຓᑻᗘ⩌ ㌿ᆺࣄࢫࢸ࣮ࣜᑻᗘ Correlation of Hysteria Scale (Hy) with content and supplementary scales in MMPI-2 Yukiko MINO1, Shota KASAI 2, and Takaki MAKINO 3 (1 Tokyo Medical and Dental University, 2 Bunri University of Hospitality, 3 University of Tokyo) Key words: MMPI-2 Content /Supplementary Scales Hysteria Scale 㸯 ┠ ⓗ ࡣ, PS(Post traumatic Stress Disorder-Schlenger)ࡀ᭱ࡶඹ㏻ຍⅬ㡯┠ MMPI-1 ࡣ 1939 ᖺ⡿࡛Ⓨ⾲ࡉࢀ,༙ୡ⣖ࢆ⤒㐣ࡋࡓ 1989 ᖺ ࡀከࡃ 10 ಶ࡛,⫯ᐃ 4 㡯┠,ྰᐃ 6 㡯┠(10:4,6),ḟ࠸࡛ PK(Post trauma ᨵゞࡉࢀ࡚ MMPI-2 ࡞ࡾ㠃┠ࢆ୍᪂ࡋࡓࠋMMPI-1 ࡣ 10 ಶࡢ tic Stress Disorder-Keane)(9:4,5), Mt(College Maladjustment )(9:2,7)ࡀ ⮫ᗋᑻᗘࡀタᐃࡉࢀ࡚࠾ࡾ,ࡑࡢࡲࡲ MMPI-2 ཷࡅ⥅ࡀࢀࡓࠋ 9 ಶከࡗࡓࠋḟࡣࠊR(Repression)(4:0,4),O-H(Overcontrolled Hosti MMPI-2 ࡛ࡣ,ࡇࢀࡽࡢ⮫ᗋᑻᗘ⩌ࡢ⥔ᣢຍ࠼,᪂ࡓෆᐜᑻᗘ⩌ lity) (4:0,4) , Re(Social Responsibility)(3:0,3)࡞ࡿࠋ⿵ຓᑻᗘ⩌୰ࡢ (Content Scales)15 ಶ⿵ຓᑻᗘ⩌(Supplementary Scales)18 ಶࡀタ A(Anxiety)ࡣ,Hy ࡢ㛵㐃ࡀணࡉࢀࡓࡀ,ᑻᗘຍⅬ㡯┠ᩘ 39 ಶࡢෆ, ࡉࢀࡓࠋMMPI-1 ࡛ࡣከࡃࡢ㏣ຍᑻᗘࡀ㛤Ⓨࡉࢀࡓࡀ,MMPI-2 ࡛ࡣ, Hy ࡢඹ㏻ຍⅬ㡯┠ࡣࠊࢃࡎ 2 ಶ(2:2,0)࡛࠶ࡗࡓࠋ ࡇࡢࡼ࠺࡞㏣ຍᑻᗘࡢ୰࡛᭷⏝࡞ࡶࡢࡋ࡚ 18 ಶࡢ⿵ຓᑻᗘ⩌ࢆබ ෆᐜᑻᗘ⿵ຓᑻᗘࡘ࠸࡚,Hy ࡢྵ᭷ಶᩘࢆẚ㍑ࡍࡿ⿵ຓᑻ ᗘ⩌ࡢ᪉ࡀෆᐜᑻᗘ⩌ࡼࡾࡶ Hy ຍⅬ㡯┠ᩘࡀከ࠸ࠋࡋࡋࠊྛᑻᗘ ㄆࡋ࡚࠸ࡿࠋ MMPI-2 ཷࡅ⥅ࡀࢀࡓ⮫ᗋᑻᗘࡢ୰ Hy (Hysteria) ᑻᗘࡀ࠶ࡿࠋ ࡇࡢᑻᗘࡢ㧗ᚓⅬ⪅ࡣ,㌿ᆺࣄࢫࢸ࣮ࣜ(㌿ᛶ㞀ᐖ)デ᩿ࡉࢀࡿ ඹ㏻ຍⅬ㡯┠⋡ࢆぢࡿࠊෆᐜᑻᗘ࡛࠶ࡿ HEA ࡢ୍⮴⋡ࡀ 44.4㸣 ᭱ࡶ㧗ࡃࠊHy ࡢ㛵㐃ᛶࡢ㧗ࡉࡀ࠺ࡀ࠼ࡓ㸦⾲㸯㸧ࠋ ⪃ ᐹ ⪅ࡀከ࠸ࡇࡽ,ࡇࡢᑻᗘࡢຍⅬ㡯┠ࡀࡢࡼ࠺࡞ෆᐜᑻᗘ࠾ࡼࡧ ⿵ຓᑻᗘࡢඹ㏻ຍⅬ㡯┠࡞ࡗ࡚ᵓᡂࡉࢀ࡚࠸ࡿࢆ᫂ࡽࡋ,ࡑ Hy ࡣ,ჾ㉁ᝈࡢ᰿ᣐࢆḞࡃឤぬᛶ࠶ࡿ࠸ࡣ㐠ືᛶ㞀ᐖࢆ♧ࡍᝈ ࡢ㛵㐃ᛶࡘ࠸࡚᥈ࡿࡇࡣ,㌿ᛶ㞀ᐖ(Conversion Disorder)ࡢᮏ㉁ ⪅࠾࠸࡚㛤Ⓨࡉࢀࡓᑻᗘ࡛࠶ࡾ,60 㡯┠ࡽᵓᡂࡉࢀ࡚࠸ࡿࠋHy ⌮ゎ㈨ࡍࡿᛮࢃࢀࡿࡢ᳨࡛ウࡍࡿࠋ ࡢ㧗ᚓⅬ⪅ࡣ,㌟య≧ࢆసࡾୖࡆ,ࡑࢀࢆ㞃ࢀ⵿ࡋ࡚ࢫࢺࣞࢫ ᪉ ἲ ᑐฎࡋ,㈐௵ࢆᅇ㑊ࡍࡿഴྥࡀ࠶ࡾ,㌟య≧ࡢฟ⌧ࡣᏳࡸࢫࢺ ◊✲ᑐ㇟ࡣ Hy ᑻᗘࡢຍⅬ 60 㡯┠,ෆᐜᑻᗘ⩌ 15 ಶ⿵ຓᑻᗘ ࣞࢫࡀ㛵ࡋ࡚࠸ࡿゝࢃࢀ࡚࠸ࡿࠋ⮬ศࡢឤࡸ≧ࡢཎᅉࡘ ⩌ 15 ಶ(ጇᙜᛶࡢ 3 ᑻᗘࢆ㝖ࡃ)୰ࡢຍⅬ㡯┠,ᘏ 932 㡯┠࡛࠶ࡿࠋ ࠸࡚ࡢὝᐹࢆḞࡁ,⢭⚄ⓗᮍ⇍࡛,ᚰ⌮ⓗᅽຊᑐࡋ࡚ࡢฎ⌮⬟ຊ ࡲࡎᑐ㇟ࡍࡿෆᐜᑻᗘ࠾ࡼࡧ⿵ຓᑻᗘ⩌࠾ࡅࡿຍⅬ㡯┠ࡢ୰ ࡀప࠸ࠋ⾲㸯ࡽࠊHy ᭱ࡶ㛵㐃ࡀ㧗࠸ෆᐜᑻᗘ࡛࠶ࡿ HEA ᑻᗘ ࡽ Hy ඹ㏻ࡍࡿຍⅬ㡯┠ࡀ࠶ࡿ࠺ࢆ☜ㄆࡍࡿࠋHy ࢆ୰ᚰ ࡢ㧗ᚓⅬ⪅ࡢഴྥࡣ,ࠕ㌟యࡢ࠸ࡃࡘࡢჾᐁࡲࡓࡀࡗࡓ㌟ⓗ ࡋࡓඹ㏻ຍⅬ㡯┠ᩘࢆ⟬ᐃࡋ࡚,ࡑࡢ⥲ᩘࡀࡁ࠸ෆᐜ࣭⿵ຓᑻᗘࢆ ㄪࢆッ࠼,ᗣᑐࡋ࡚㐣ᗘᚰ㓄ࡋ,ேࡼࡾࡶẼࡀࡕ࡛࠶ࡿឤ 㑅ࡧฟࡍࠋࡢෆᐜᑻᗘ࣭⿵ຓᑻᗘ୰ࡢࡢ㡯┠ࡀඹ㏻ຍⅬ㡯┠ ࡌ࡚࠸ࡿࠖ⩌࡛࠶ࡾ,Hy 㛵㐃ࡢ㧗ࡉࡣ⣡ᚓࡀ࡛ࡁࡿࠋ⿵ຓᑻᗘ ࡞ࡿࡢࢆ▌ぢࡋࡓࡢࡕ,㑅ࡧฟࡉࢀࡓෆᐜ࣭⿵ຓᑻᗘ࠾ࡅࡿඹ㏻ ࠾࠸࡚ὀ┠ࡍࡁⅬࡋ࡚ࡣ,PTSD(እയᚋࢫࢺࣞࢫ㞀ᐖ)ホ౯ᑻᗘ࡛ ຍⅬ㡯┠ࢆ㢮ูẚ㍑ࡍࡿࡇࡼࡗ࡚,Hy ࡢࡶࡘ≉ᚩࢆ᫂ࡽࡍ ࠶ࡿ PK,PS ᑻᗘඹ㏻ຍⅬ㡯┠ᩘࡀከ࠸࠸࠺ࡇ࡛࠶ࡿࠋHy ࡣࢫ ࡿඹᏳࡢ㛵㐃ࡘ࠸࡚ࡶ᳨ウࡍࡿࠋ ࢺࣞࢫᑐฎ⬟ຊࡀపࡃ,ࡑࢀࡼࡗ࡚㌟య≧ࢆᣍ࠸࡚࠸ࡿゝࢃࢀ ෆᐜᑻᗘ⩌⿵ຓᑻᗘ⩌ࡘ࠸࡚ ࡿࡀ,ࡑࡢཎᅉ࡞ࡿࡶࡢ PTSD ࡢ㛵㐃ࡀ㧗࠸ࡍࢀࡤ,㌿ᛶ㞀 ෆᐜᑻᗘ⩌ࡣ 1985 ᖺ Butcher JN ࡽࡼࡗ࡚タࡉࢀ,1990 ᖺゎ ᐖᝈ⪅ࡢ⒪ࡸࢣ࠾ࡅࡿ⮫ᗋୖࡢ㔜せ࡞ほᐹ㡯┠ᡂࡾᚓࡿࡇ ㄝ᭩ࡀฟ∧ࡉࢀࡓࠋ㛤Ⓨࡢ➨㸯ࢫࢸࢵࣉࡣ,ᐇ㦂ⓗᑠᏊ࡛࠶ࡿ ࡀ♧၀ࡉࢀࡓࠋR,O-H,Re ࡣ,㐣࡞ᢚᅽࢆࡶࡗ࡚⮬ศࢆⰋࡃぢࡏࡼ MMPI-AX ∧(MMPI-2 ࡢ๓㌟)ࡢ㡯┠ᩥࡘ࠸࡚,⮫ᗋᚰ⌮Ꮫⓗ㐺 ࠺ࡍࡿഴྥ࡛࠶ࡾ,ࡑࡢഴྥࡀᙉ࠸ࡇࡼࡗ࡚㐺ᛂ(Mt)ࡸᢚ࠺ ษ࡞⊂❧ࡢෆᐜ㡿ᇦ☜ᐃ࡛࠶ࡗࡓࠋ᭱ึ 22 ࡢෆᐜ㡿ᇦ(ᑻᗘ)ࡾ ࡘ(DEP)ࢆᣍࡃ࠸࠺ Hy ࡢࡶࡘ≉ᚩࡀ᫂ࡽ࡞ࡗࡓࠋᏳࢆ௦⾲ ศࡅࡽࢀࡓࡀ,ࡉࡽྛᑻᗘጇᙜᛶࡢ⤫ィᏛⓗ᳨ド,ᑻᗘ┦㛵㛵ಀ ࡍࡿᑻᗘ࡛࠶ࡿ ANX ࡸ A ࠾࠸࡚ࡣ,Hy ࡢඹ㏻ຍⅬ㡯┠ᩘࡀ 2~1 ࡢ࡞࠸㡯┠ᩥࡢྠᐃ๐㝖,ᑻᗘ┦㛵ࡍࡿ㡯┠ᩥࡢྠᐃ㏣ຍ,ኚ ಶពእᑡ࡞ࡗࡓࡇࡽ,Hy ࡣ ┤᥋ⓗ࡞Ᏻ࠸࠺ࡼࡾ ᭦ࡉࢀࡓ㡯┠ᩥࢆྵࡴᑻᗘࡢྡ⛠ኚ᭦,ᨵࡵ࡚᭱⤊ⓗ⤫ィᏛⓗㄪᩚࢆ ࡶ,PTSD ࡢ㛵ࡸ㐺ᛂ⬟,⮬ศࢆࡼࡃぢࡏࡼ࠺ࡍࡿᛶ᱁ഴྥ㉳ ⤒㐣ࡋ࡚ 15 ಶࡢෆᐜᑻᗘ⩌ࡀỴᐃࡉࢀࡓࠋࡑࡢ୰ࡢ㸯ࡘᏳ ᅉࡍࡿࡶࡢࡀࡁ࠸ࡇࡀ♧၀ࡉࢀࡓࠋ /ANX(Anxiety)ࡀ࠶ࡿࠋ ⾲㸯㸬+\ ᑻᗘຍⅬ㡯┠ᩘෆᐜ࣭⿵ຓᑻᗘඹ㏻ຍⅬ㡯┠ᩘ MMPI-1 ࡢ㏣ຍᑻᗘ⩌ࡣ,ྛ⮫ᗋᑻᗘࡢᑻᗘ㛫㝽ࢆᇙࡵ,ࢸࢫࢺ ࡢ≉ᚩࢆ᫂☜ࡋࡓࡀ,ࡑࡢ୰࡛ 18 ᑻᗘࡀಙ㢗ᛶ࣭ጇᙜᛶࡀ࠶ࡾ,⮫ ෆᐜᑻᗘ⩌䠄㻯㻕㻌 ⿵ຓᑻᗘ⩌䠄㻿㻕㻌 ྰ ᐃ㻌 ྛᑻᗘຍⅬ 㡯┠ᩘ㻌 ྛᑻᗘඹ㏻ຍⅬ 㡯┠ᩘ⋡䠄䠂䠅㻌 㻝㻢㻌 㻝㻜㻌 㻥㻌 㻥㻌 㻠㻌 㻠㻌 㻠㻌 㻟㻌 㻟㻌 㻢㻌 㻠㻌 㻠㻌 㻞㻌 㻜㻌 㻜㻌 㻝㻌 㻜㻌 㻞㻌 㻝㻜㻌 㻢㻌 㻡㻌 㻣㻌 㻠㻌 㻠㻌 㻞㻌 㻟㻌 㻝㻌 㻟㻢㻌 㻢㻜㻌 㻠㻢㻌 㻠㻝㻌 㻟㻣㻌 㻞㻤㻌 㻟㻟㻌 㻟㻜㻌 㻞㻟㻌 㻠㻠㻚㻠㻌 㻝㻢㻚㻣㻌 㻝㻥㻚㻢㻌 㻞㻞㻚㻜㻌 㻝㻜㻚㻤㻌 㻝㻠㻚㻟㻌 㻝㻞㻚㻝㻌 㻝㻜㻚㻜㻌 㻝㻟㻚㻜㻌 㻨ཧ⪃㻪㻌㻭㻔㻿㻕㻌 㻞㻌 㻞㻌 㻜㻌 㻟㻥㻌 㻡㻚㻝㻌 ࠸ࡿࠋෆヂࡣఏ⤫ⓗᑻᗘࡋ࡚ 4 ಶ,㏣ຍᑻᗘࡋ࡚ 11 ಶ,᪂ጇᙜᛶ ᣦᶆࡋ࡚ 3 ಶࡀ☜ᐃࡋ࡚࠸ࡿࠋ ⤖ ᯝ Hy ࡢඹ㏻ຍⅬ㡯┠ࡢ᭱ࡶከࡗࡓࡶࡢࡣ,ෆᐜᑻᗘ࡛ࡣ HEA(He alth Concerns)࡛࠶ࡿࠋHEA ࡣඹ㏻ຍⅬ㡯┠ᩘ 16 ಶ࡛,⫯ᐃ 6 㡯┠,ྰ ᐃ 10 㡯┠(16:6,10)࡛࠶ࡗࡓࠋḟࡣࡔ࠸ࡪᑡ࡞ࡃ࡞ࡗ࡚ DEP(Depressi ⫯ ᐃ㻌 㻴㻱㻭㻔㻯㻕㻌 㻼㻿㻔㻿㻕㻌 㻼㻷㻔㻿㻕㻌 㻹㼠㻔㻿㻕㻌 㻾㻔㻿㻕㻌 㻻㻙㻴㻔㻿㻕㻌 㻰㻱㻼㻔㻯㻕㻌 㻾㼑㻔㻿㻕㻌 㻭㻺㼄㻔㻯㻕㻌 ᗋゎ㔘᭷⏝࡞ࡶࡢࡋ࡚ MMPI-2 ࡢ⿵ຓᑻᗘ⩌ࡋ࡚᥇⏝ࡉࢀ࡚ on)ࡢ(4:1,2)ࠋḟ࠸࡛ࠊANX(Anxiety)ࡢ(3:2,1)࡛࠶ࡗࡓࠋ⿵ຓᑻᗘ࡛ ඹ㏻ຍⅬ 㡯┠ᩘ㻌 ― 26 ―
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