Personality and object relations in patients with affective disorders: idiographic research by means of the repertory grid technique

Background: This paper presents an idiographic approach to evaluate the sel f concept and the self-object-relationship of patients suffering from affec tive disorders. Methods: Significant dimensions of the personality and the object relations of 127 depressive patients and 34 orthopaedic patients wer e investigated with the repertory grid-technique. The self concept and the object relations were: compared by means of nomothetically used idiographic results after recovery from manifest depression. Results: 'Low self esteem ' was frequently found in patients with a long lasting course of illness an d the ICD-10-diagnoses of 'bipolar affective disorder' and 'dysthymia'. The object relations of the depressive sample were characterised by the dimens ion 'symbiotic near'; 'ambivalent' and 'indifferent' partnership relationsh ips were found much more frequently in the controls. Conclusions: The idiog raphic results help to differentiate the spectrum of affective disorders. T hey underline the importance of the interpersonal dimension of depression a nd may be used as a basis of a therapeutic appraisal. Limitations: The repe rtory grid-technique may not be used as a diagnostic instrument. However, t he combination of idiographic results with further clinical informations en ables the multidimensional assessment of the self concept and psychosocial coping mechanisms. (C) 2000 Elsevier Science B.V. All rights reserved.