Pcocc Corpa, Hauxaii
PROBLEMRsmarkably little consideration has been given to the question of the meaning to be aeaigned specific individual symptoms in psychopathology. For the most part, symptom inte retation has followed two major lines of interest and theoretical commitment. T n the one hand, symptoms are seen only as signposts indicating the presence of one or another mental c(disesse" in the patient. In this case, the interest in symptoms lies only in their presence or absence. No attention is given to the information that symptoms may give about the person in whom they appear or about the problems he is facing. This approach to symptomatology is epitomiaed in descriptive psychiatric classification. An alternative ap roach to symptom interual symptoms carry the signature of a patient's unconscious motivational processes as these are filtered through his psychological defenses and other ego roce89es.Rsaently, Phillips, Inge Broverman and Zigler(') suggested a d e r e n t interpretation of symptom manifestation. They proposed that symptoms are expreasive of the behavior style which is characteristic of the individual patient. These symptomatic behaviors are presumed to reflect a pervasive and, indeed, lifelong set of attitudes which give coherence and direction to the patient's relations with his world. It is as if, over time, such attitudes bring into being a specific yet limited repertoire of behaviors. A given person's dominant attitudinal set precludes, or at least makes highly unlikely, other patterns of response. Symptoms, from this point of view, can be seen as simply expressing the person's behavior style as he tries ineffectually to cope with the problems unique to his life. (6) Findings in earlier studies have indicated that the psychiatric diagnoses atsigned patients correspond to consistent modes of behavioral response in the premorbid (6.1)) and pathological periods of life. ('. * I ) To this point, however, the evidence has remained inferential, dependent upon an internal consistency in adaptive and symptomatic responses. We propose to test the proposition that patterns of symptomatic behaviors are systematically related to guiding and pervssive attitudinal sets.Phillips and Rabinovitch(*) proposed that psychiatric symptoms may be thought of as reflecting the patient's way of relating to others, that is, his role relationships. From an empirical analysis of symptom clusters, they derived three role orientations: (1) Avoidance of Others, (2) Self-Deprivation, and Turning Against the Self, and (3) Self-Indulgence and Turning Against Others. Zigler and Phillips(") have suggested that symptoms indicative of a particular role orientation represent an overt expression of the kind of generslised attitudinal set we have just described. This study tests the hypothesis that symptom manifestation reflects attudinal sets. To this end, the authors brought together a pool of one-sentence statements, endorsement or rejection of which may be presumed to express a guiding attitudinal orientation. For example, it...