Object relations of sexually and physically abused female children: a TAT analysis.

Selected Thematic Apperception Test (Murray, 1943) stories of 17 sexually abused, 15 physically abused, and 15 nonabused but distressed clinical comparison subjects were analyzed using the Social Cognition and Object Relations Scales (Westen, Lohr, Silk, Kerber, & Goodrich, 1985). Results revealed significant differences in overall object relations between the abused and nonabused children both on mean scores, reflecting lower levels of typical functioning, and on frequency of Level 1 scores, indicating a propensity for more grossly pathological functioning. Further comparisons between sexual and physical abuse victims revealed differential impairments in the capacity to invest in relationships and moral standards. Diagnostic and theoretical implications are discussed.