De Somatisatie-Ernstige Psychopathologie combinatie binnen de theoriegestuurde profielinterpretatie van de Nederlandse Verkorte MMPI (NVM). Somatisatie als affectregulator en maat voor sociale (in)competentie
Eurelings-Bontekoe and Snellen developed a theory driven profile interpretation of the Dutch Short Form of the MMPI, that claims to measure structural features of personality pathology. On the basis of this profile interpretation patients may be classified as either having a Neurotic Organization (NPO) a Borderline Organization (BPO) or a Psychotic Organization (PPO). In addition, they describe the clinical importance of the relationship between the Severe Psychopathology scale and the Somatization Scale. Within this diagnostic approach, Somatization is considered (as) an important affect regulator and as a marker of social (in)capacity, in concordance with the meaning of the MMPI scale Hysteria (3), on which the Somatization scale is based. They hypothesize that a Somatization score that is low relative to the score on Severe Psychopathology reflects a poor affect regulation and social incompetence.
This article describes the results of an exploratory file-study among 77 ambulatory psychiatric patients. Results suggest that a low Somatization score per se reflects a poor affect regulation, that may manifest itself in acting out/borderline symptoms, independent of the structural diagnosis and as a marker of social incompetence. A Somatization score that is low relative to the Psychopathology score is an independent predictor of social incompetence, over and above the single scales and especially so in case of a Neurotic Personality Organization.