In recent years, there has been growing interest in examining the stimulus pull effects on respondent narratives to the Thematic Apperception Test (Murray, 1943) using standardized coding methods such as the Social Cognition and Object Relations Scale–Global Rating Method (SCORS-G; Stein, Hilsenroth, Slavin-Mulford, & Pinsker, 2011; Westen, 1995). The present study expands on prior work by examining sources of variance in SCORS-G dimensions and card pull effect patterns in an adult clinical sample characterized by high psychiatric comorbidity and clinical severity. A sample of 158 adult psychiatric patients in long-term residential treatment provided narratives to 10 TAT cards (five of which have not previously been studied for pull effects). Cards 2 and 7BM pulled for significantly more adaptive narratives (positive pull), whereas Card 13MF pulled for more pathological stories (negative pull). Like prior studies, variance in cognitive dimensions of the SCORS-G was most explained by person effects, whereas the largest source of variance for all other dimensions was best explained by a combination of the card and the person effects on the narrative. Finally, exploratory analyses of card pull effects within different gender groups were conducted. The implications of these findings for performance-based future studies and possible clinical applications of card pull findings are discussed.

中文翻译：

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使用社会认知和客体关系的主题统觉测试的卡片拉动效应 - 全局评级方法对复杂精神病样本

近年来，人们越来越有兴趣使用标准化编码方法，如社会认知和对象关系量表 - 全球评级方法 (SCORS-G； Stein、Hilsenroth、Slavin-Mulford 和 Pinsker，2011 年；Westen，1995 年）。本研究通过检查以高精神病合并症和临床严重程度为特征的成人临床样本中 SCORS-G 维度和卡片拉动效应模式的方差来源，扩展了先前的工作。长期住院治疗的 158 名成年精神病患者的样本为 10 张 TAT 卡提供了叙述（其中五张以前没有研究过拉动效应）。卡片 2 和 7BM 被拉用于更适应的叙事（正拉），而 Card 13MF 则拉取了更多病态故事（负拉）。与之前的研究一样，SCORS-G 认知维度的差异最能由人的影响来解释，而所有其他维度的最大差异来源最好是通过卡片和人对叙述的影响的组合来解释。最后，对不同性别组内的卡片拉动效应进行了探索性分析。讨论了这些发现对基于性能的未来研究和卡片拉动发现的可能临床应用的影响。而所有其他维度的最大差异来源最好通过卡片和人物对叙述的影响的组合来解释。最后，对不同性别组内的卡片拉动效应进行了探索性分析。讨论了这些发现对基于性能的未来研究和卡片拉动发现的可能临床应用的影响。而所有其他维度的最大差异来源最好通过卡片和人物对叙述的影响的组合来解释。最后，对不同性别组内的卡片拉动效应进行了探索性分析。讨论了这些发现对基于性能的未来研究和卡片拉动发现的可能临床应用的影响。