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Psychosomatics and mentalization

Published online by Cambridge University Press:  19 July 2023

A. M. Delgado Campos*
Affiliation:
Departamento Psiquiatría CSM, Hospital Universitario Infanta Leonor, Madrid, Spain
P. Alcindor Huelva
Affiliation:
Departamento Psiquiatría CSM, Hospital Universitario Infanta Leonor, Madrid, Spain
A. Alvarez Astorga
Affiliation:
Departamento Psiquiatría CSM, Hospital Universitario Infanta Leonor, Madrid, Spain
S. Rubio Corgo
Affiliation:
Departamento Psiquiatría CSM, Hospital Universitario Infanta Leonor, Madrid, Spain
E. Pérez Vicente
Affiliation:
Departamento Psiquiatría CSM, Hospital Universitario Infanta Leonor, Madrid, Spain
M. Arrieta Pey
Affiliation:
Departamento Psiquiatría CSM, Hospital Universitario Infanta Leonor, Madrid, Spain
C. Diaz Gordillo
Affiliation:
Departamento Psiquiatría CSM, Hospital Universitario Infanta Leonor, Madrid, Spain
P. Del Sol Calderón
Affiliation:
Departamento Psiquiatría CSM, Hospital Universitario Infanta Leonor, Madrid, Spain
A. C. Martín Martín
Affiliation:
Departamento Psiquiatría CSM, Hospital Universitario Infanta Leonor, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

We have investigated the relationship between the Psychosomatic Classification method (Marty) and the Rorschach Test, with respect to the diagnosis of psychosomatic disorders, within the framework of the degree of mentalization measured by both.

Objectives

A) To verify statistical coincidence with respect to the degree of mentalization (risk of generating psychosomatic disorders in a subject) between the Rorschach Test and the diagnostic technique Psychosomatic Classification, by P. Marty. B) To test the hypothesis: Patients diagnosed with infertility, whose degree of mentalization is good, will have a greater probability of achieving a successful pregnancy throught Assisted Reproduction Techniques.

Methods

Two evaluation tools were used: a) Psychosomatic Classification based on the criteria established by this diagnostic method; b) The Rorschach test (based on the evaluation of 29 indicators, selected according to their greater relevance in the generation of somatic symptoms).

A sample of 120 patients (women) diagnosed infertility at the Assisted Reproduction Unit (U.R.A.) at Hospital Universitario 12 de Octubre in Madrid was recruited. The method of ‘statistical correlation of coincidence’ between the results of the two diagnostic instruments used was used. Once both tests had been assessed by the “inter-judge” method and the quantitative values of the selected items had been weighted, the KAPPA statistical method was applied to establish the “correlation of coincidence” between the results of the two assessment instruments.

Results

Considering that the KAPPA method takes values between “0" and ”1" and that between 0.6 and 0.8 the agreement or coincidence is considered good, and above 0.8 very good, the result applied to the hypothesis is 0’76 (’good’).

Conclusions

A) Using the Rorschach Test and P. Marty’s Psychosomatic Classification in a complementary manner, these two instruments together provide high reliability, with respect to the degree of mentalization (a subject’s risk of suffering psychosomatic disorders). B) The degree of mentalization has a significant impact on the success or failure in the application of Assisted Reproduction Techniques in infertile women.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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