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강박성 성격장애 경향군의 대인관계 문제 및 변동성: 대인관계 원형모델을 바탕으로

Interpersonal Problems and Variability of Individuals with Obsessive-Compulsive Personality Disorder Tendencies: Focusing on the Interpersonal Circumplex

임종민|장문선|이지은
한국임상심리학회 (Korean Clinical Psychology Association)|2020.08|Korean Journal of Clinical Psychology|제39권 제3호|pp. 215-230|DOI http://doi.org/10.15842/KJCP.PUB.39.3.215

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참고문헌

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interpersonal problems대인관계 문제강박성 성격장애대인관계 원형모델개인내적 변동성obsessive-compulsive personality disorderinterpersonal circumplexintraindividual variability
주제분류심리과학

초록

강박성 성격장애는 대인관계 통제 욕구로 인해 경직되고 완강한 대인관계 양상을 보이며 타인과 친밀한 관계를 맺는 것에 어려움을 나타낸다(APA, 2013). 대인관계 기능이 성격병리를 이해하는데 핵심 요소임에도 불구하고, 강박성 성격장애의 대인관계 문제나 대인관계 경직성을 살핀 선행연구는 매우 드물다. 이에 본 연구는 권위(Agency)와 친화(Communion)라는 두 차원으로 대인관계 요소를 측정하는 대인관계 원형모델(Leary, 1957)을 바탕으로 강박성 성격장애 경향군의 주된 대인관계 문제와 대인관계 행동 및 사회적 지각에서의 변동성을살펴보았다. 특히, 강박성 성격장애가 권위를 바탕으로 타인과 관계를 맺는다는 점을 감안하여, 대상(친구와 권위자)에 따라 행동 및 지각에서의 변동성이 어떻게 달라지는지 비교하였다. 또 강박성 성격장애가 자기애성 성격장애와 자주 공병한다는 점을 고려하여, 자기애성 성격특성을 공변인으로 통제했다. 연구 결과, 통제집단은 대상에 따른 행동과 지각 변동성의 차이가 유의하지 않았다. 반면, 강박성 성격장애경향군은 동료를 대할 때보다 권위자를 대할 때 행동의 범위가 줄어들었고, 특히 권위 차원에서 경직된 대인관계 행동 양상을 보였다. 아울러, 강박성 성격장애 경향군의 권위와 관련된 행동 변동성은 자기애성 성격특성을 통제했을 경우에 더 감소했는데, 이는 강박성 성격장애가 자기애성 성격장애에 비해 권위 차원에서 더 경직된 행동 패턴을 보임을 간접적으로 시사한다. 마지막으로 본 연구의 결과를 바탕으로 강박성 성격장애군에 대한 상담 및 치료에서의 시사점을 논의하였다.

Abstract

The core feature of Obsessive-Compulsive Personality Disorder (OCPD) is based on a desire for mental and interpersonal control, which leads to rigidity, stubbornness, and difficulties in maintaining an intimate relationship (APA, 2013). This study aimed to investigate prototypical interpersonal problems and behavioral and perceptual intraindividual variability in OCPD, based on the Interpersonal Circumplex (IPC; Leary, 1957). Participants (N= 226) responded to PDQ-4+, KIIP-SC, behavioral response options, and an interpersonal grid with interpersonal scenarios. As OCPDs relate to others based on status and power, this study measured behavioral and perceptual intraindividual variability in relationships with friends and authority figures, respectively. In addition, the Narcissistic Personality Disorder (NPD) scores were controlled for, as previous studies have suggested that OCPD individuals reported similar interpersonal problems on the IPC with NPD individuals. The results showed that behavioral range and agency variability in individuals with OCPD tendencies decreased in relationships with authority figures compared to those with friends. Furthermore, their behavioral variability in agency decreased more when NPD scores were controlled for in relationships with authority figures, which suggests that OCPD is characterized by a rigid behavioral pattern when it comes to agency.

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