Defense Style as a Predictor of Change in Interpersonal Problems among Patients Attending Day Treatment for Personality Disorder

Joyce, Anthony S.; Stovel, Laura; Ogrodniczuk, John S.; Fujiwara, Esther

doi:10.1521/pdps.2013.41.4.597

Cited by 9 publications

(6 citation statements)

References 33 publications

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“…This seems to suggest that in patients with MDD and NSSI, NSSI is more closely related to intermediate defense styles than the depression itself. Studies have found that immature defense styles and intermediate defense styles are predictors of poor interpersonal relationships ( Joyce et al, 2013 ) and negative emotions ( Carvalho et al, 2013 ), and these factors are the main reasons for individuals to engage in NSSI ( American Psychiatric Association D, Association AP, 2013 ). This suggests that immature and intermediate defense styles may be NSSI mediated by bad interpersonal relationships and negative emotions, but the findings need further investigation.…”

Section: Discussionmentioning

confidence: 99%

Personality characteristics, defense styles, borderline symptoms, and non-suicidal self-injury in first-episode major depressive disorder

Peng

Liao

et al. 2023

Front. Psychol.

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BackgroundNon-suicidal self-injury (NSSI) is commonly seen in adolescents with depression and is a high-risk factor leading to suicide. The psychological mechanisms underlying depression with NSSI are still unclear. The purpose of this study was to explore the differences in personality traits, defensive styles, and borderline symptoms among first-episode youth patients with depression and self-injury compared with patients with depression without self-injury and healthy populations.MethodsThe current study recruited 188 participants, including 64 patients with depression and NSSI, 60 patients with depression without NSSI, and 64 healthy control subjects. Eysenck Personality Questionnaire, the Defense Style Questionnaire, the short version of the Borderline Symptom List, the Beck Depression Inventory, and the Ottawa Self-Injury Inventory were used to assess all participants.ResultsPatients with depression and NSSI showed more psychoticism than patients with depression without NSSI and healthy control subjects. Patients with depression and NSSI presented more intermediate defense styles than healthy control subjects. In the patients with depression and NSSI group, the frequency of self-injury in the last week was negatively correlated with mature defense styles and positively correlated with depressive symptoms and borderline symptoms. Further regression analysis showed that EPQ-psychoticism and depressive symptoms were independent risk factors for NSSI in patients with depression.ConclusionThis study found that patients with depression and self-injury presented more neuroticism, introversion, EPQ-psychoticism, immature defenses, intermediate defenses, and borderline symptoms. Self-injury frequency was negatively correlated with mature defense styles and positively correlated with depressive symptoms and borderline symptoms. EPQ-Psychoticism and depressive symptoms are risk factors for predicting non-suicidal self-injury in patients with depression.

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Section: Discussionmentioning

confidence: 99%

Personality characteristics, defense styles, borderline symptoms, and non-suicidal self-injury in first-episode major depressive disorder

Peng

Liao

et al. 2023

Front. Psychol.

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“…Approximately 80–100 patients, commonly with Axis II (usually from Clusters B and C) and comorbid Axis I mood and anxiety disorders, complete the program annually. The DTP has been the subject of several studies (Joyce et al., ; Ogrodniczuk et al., ; Ogrodniczuk et al., ), including a large‐scale clinical trial (Piper, Rosie, Joyce, & Azim, ), which revealed substantial benefits of treatment that were statistically and clinically significant and maintained over an average follow‐up period of 8 months posttreatment.…”

Section: Treatment Programmentioning

confidence: 99%

“…We selected the case for this current report by reviewing those in the sample from our 2013 study (Joyce et al., ) that had provided complete pre‐ and posttreatment outcome data ( N = 32). Of these, one half ( n = 16) had scored above 61 on the total score of the Toronto Alexithymia Scale‐20 at pretreatment, which is defined as the clinical cutoff reflecting “full alexithymia” (Bagby et al., ).…”

Section: Case Selectionmentioning

confidence: 99%

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Partial Hospitalization Treatment of the Alexithymic Patient: A Case Study

et al. 2015

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Patients with alexithymia are a challenge to engage in treatment and require a diverse range of interventions to realize benefit. A partial hospitalization treatment program, offering multiple forms of group therapy in an integrated system, may be particularly helpful for patients with alexithymia. We examine the course of treatment for one alexithymic patient who participated in an 18-week intensive group- and dynamically oriented treatment program in Edmonton. Group support and feedback emerged as important elements in the treatment approach. Other features of the approach overlap with treatment guidelines for alexithymia found in the literature.

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“…Defense mechanisms are also explicitly related to aspects of psychological functioning like interpersonal style, reflective functioning, and attachment insecurity (Joyce et al, 2013; Porcerelli et al, 2016). Defense mechanisms like projection, acting out, and passive aggression tend to have negative interpersonal consequences (Mielimaka et al, 2018).…”

mentioning

confidence: 99%

Assessing defense mechanisms in binge-eating disorder: Preliminary validity and reliability of the Defense Mechanism Rating Scale (DMRS) coded from Adult Attachment Interviews.

Carlucci¹,

Chyurlia²,

Presniak³

et al. 2023

Psychoanalytic Psychology

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We assessed the reliability and validity of the Defense Mechanism Rating Scale (DMRS) when used with the Adult Attachment Interview (AAI) and compared defensive functioning among women with and without binge-eating disorder (BED). Participants were women with BED (n = 101), overweight/obese women without BED (n = 47), and normal weight women without BED (n = 49). Participants completed the AAI, and self-report measures of interpersonal distress, reflective functioning, and attachment insecurity. Coders rated the DMRS and reflective functioning from AAI transcripts. We found acceptable interrater reliability on the DMRS; significant correlations between the DMRS and interpersonal distress, reflective functioning, and attachment insecurity; and significantly lower defensive functioning among women with BED compared to normal weight women without BED. The DMRS is reliable and valid when rated from AAI transcripts. BED is associated with lower defensive functioning. Further research on defensive functioning in BED may lead to better treatment outcomes.

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Defense Style as a Predictor of Change in Interpersonal Problems among Patients Attending Day Treatment for Personality Disorder

Abstract: The sample was small and assessment of defense style and interpersonal problems relied on patient self-report.

Cited by 9 publications

References 33 publications

Personality characteristics, defense styles, borderline symptoms, and non-suicidal self-injury in first-episode major depressive disorder

Personality characteristics, defense styles, borderline symptoms, and non-suicidal self-injury in first-episode major depressive disorder

Partial Hospitalization Treatment of the Alexithymic Patient: A Case Study

Assessing defense mechanisms in binge-eating disorder: Preliminary validity and reliability of the Defense Mechanism Rating Scale (DMRS) coded from Adult Attachment Interviews.

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