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首页> 外文期刊>The journal of forensic psychiatry & psychology >Hard to treat forensic patients: the development and initial validation of the Mind-scale
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Hard to treat forensic patients: the development and initial validation of the Mind-scale

机译：难以医治的法医患者：心智量表的开发和初步验证

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摘要

The construction of the Mind-scale was initiated by therapeutic experiences with forensic patients that are not easy to treat. They impressed by their emotional disconnection and misleading psychological insight. Moreover, these patients strongly advocate a self-assured autonomy, bluntly saying that mandatory treatment is unnecessary. Winnicott's Theory of Mind describes and explains these clinical characteristics and inspired, together with clinical experience, the formulation of 46 candidate items of the Mind-scale. A principal component analysis with varimax rotation was conducted on the item scores of 286 clinical participants. The scree plot directed to a one-component solution that formed the basis for the Mind-scale, containing 22 items. The Mind-scale shows good internal consistency (reliability), test-retest reliability, and constructs validity. The results are discussed in relation to different constructs and measures of psychopathy and the specific meaning of 'positive adjustment' in a clinical forensic context.
机译：心理量表的构建是由对不易治疗的法医患者的治疗经验发起的。他们的情感脱节和误导性的心理见识给他们留下了深刻的印象。此外，这些患者强烈主张自我保证的自主权，直言不讳地说强制治疗是不必要的。温尼科特的“心理理论”描述并解释了这些临床特征，并结合临床经验启发了46个候选量表的制定。对286名临床参与者的项目评分进行了方差最大旋转的主成分分析。卵石图指向一个单成分解决方案，该解决方案构成了心智量表的基础，包含22个项目。思维量表显示出良好的内部一致性（可靠性），重测信度和构造效度。讨论了有关精神病的不同结构和措施以及临床法医背景下“正向调整”的具体含义的结果。

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