TAT stories of 17 sexually abused female subjects and a clinical group
of 25 female subjects with no documented history of sexual abuse were
analyzed using the Object Relations and Social Cognition Scoring Syst
em (Westen, Lohr, Silk, Kerber, & Goodrich, 1985). Subjects ranged in
age from 5 to 16 years. As predicted, mean scores on a measure of over
all object relations were significantly different between groups. Spec
ifically, the mental representations of subjects in the abuse group we
re characterized by more primitive and simple characterizations of peo
ple, more negative and punitive affect in their perceptions of the int
erpersonal world, an inability to invest in people and relationships i
n other than need-gratifying ways, and an inability to make sensible a
ttributions of self and others. Abuse subjects also produced more path
ological responses overall than did their nonabuse counterparts, indic
ating a tendency toward more extreme and immature functioning. These g
roup differences were independent of any contribution of age and a mea
sure of verbal productivity. Treatment and diagnostic implications are
discussed.