An exploration of anorexia Nervosa within a South-African sample using the Rorschach Inkblot method

Abstract

Fifteen adult women (mean age 27.20 years) participated in this exploratory study. The aim of the study was to identify commonalities in Anorexia Nervosa patients’ personality structure and psychological functioning. Relevant historical data were obtained with the aid of a structured clinical interview, and the Rorschach Inkblot test was administered according to the guidelines set by the Comprehensive System. The results indicate an innate vulnerability in the sample’s personality structure that signals adjustment difficulties. Other key findings include a disruptive tendency to perceive events incorrectly, persistent, pervasive and severe breakdowns in reality testing that signifies a psychotic degree of disturbance and cognitive inflexibility that interferes with adaptation to new situations and unfamiliar demands. Theoretical inferences are made about the probable aeteological roots of these findings. The dynamic implications and possible function of self-starvation as a symptom was considered. Prognostic considerations are highlighted.