Do therapists practicing psychoanalysis, psychodynamic therapy and short-term dynamic therapy address patient defences differently?

Bhatia, Maneet; Petraglia, Jonathan; Roten, Yves de; Drapeau, Martin

doi:10.12740/app/69642

Cited by 5 publications

(2 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of valid and reliable measures based on the gold-standard theory is essential for ensuring that what we observe is properly operationalized. The DMRS-Q is an easyto-use, low-cost, computerized tool with promising psychometric properties can help clinicians in monitoring changes in defense mechanisms during the treatment, as suggested by others (Bhatia et al, 2017;Barber and Solomonov, 2019). The automatic scoring procedure provides a comprehensive report of qualitative and quantitative information on patient's defensive functioning that can be used for clinical, research, and teaching purposes.…”

Section: Discussionmentioning

confidence: 99%

The Hierarchy of Defense Mechanisms: Assessing Defensive Functioning With the Defense Mechanisms Rating Scales Q-Sort

Giuseppe

Perry

2021

Front. Psychol.

View full text Add to dashboard Cite

The psychodynamic concept of defense mechanisms is nowadays considered by professionals with various theoretical orientations of great importance in the understanding of human development and psychological functioning. More than half century of empirical research has demonstrated the impact of defensive functioning in psychological well-being, personality organization and treatment process-outcome. Despite the availability of a large number of measures for their evaluation, only a few instruments assess the whole hierarchy of defenses, based on the Defense Mechanisms Rating Scales (DMRS), which arguably offers an observer-rated gold standard of assessment. The present article illustrates the theoretical and methodological background of the DMRS-Q, the Q-sort version of the DMRS for clinical use. Starting from the definition and function of the 30 defense mechanisms included in the hierarchy, we extracted 150 items that captured a full range of defensive manifestations according to the DMRS theory. The DMRS-Q set is described in this paper with reference to the DMRS manual. Directions are also provided for using the DMRS-Q online software for the free and unlimited coding of defense mechanisms. After each coding, the DMRS-Q software provides a report including qualitative and quantitative scores reflecting the individual’s defensive functioning. Qualitative scores are displayed as the Defensive Profile Narratives (DPN), while quantitative scores are reported as Overall Defensive Functioning (ODF), defensive categories, defense levels, and individual defense mechanisms. Syntax for the scoring is displayed in the results and a clinical vignette of a psychotherapy session coded with the DMRS-Q is provided. The DMRS-Q is an easy-to-use, free, computerized measure that can help clinicians in monitoring changes in defense mechanisms, addressing therapeutic intervention, fostering symptoms decreasing and therapeutic alliance. Moreover, the DMRS-Q might be a valid tool for teaching the hierarchy of defense mechanisms and increase the observer-rated assessment of this construct in several research fields.

show abstract

Section: Discussionmentioning

confidence: 99%

The Hierarchy of Defense Mechanisms: Assessing Defensive Functioning With the Defense Mechanisms Rating Scales Q-Sort

Giuseppe

Perry

2021

Front. Psychol.

View full text Add to dashboard Cite

show abstract

“…Process-outcome research has highlighted the effectiveness of dynamic psychotherapy in treating various mental disorder such as depression (Meystre et al, 2017 ; Starrs and Perry, 2018 ; Perry et al, 2020 ), anxiety (Maffei et al, 1995 ; Babl et al, 2019 ; Solomonov et al, 2019 ) eating disorders (Gelo et al, 2015 ; Lo Coco et al, 2021 ), pathologic addictions (Terrone et al, 2018 ; Frisone et al, 2020 ; Lo Coco et al, 2020 ; Giordano et al, 2021 ), psychotic traits (Boldrini et al, 2019 , 2020 ), externalizing problems (Prout et al, 2018a ; Hoffman and Prout, 2020 ), and personality disfunction (Lingiardi and Giovanardi, 2017 ; Goldman et al, 2018 ; Aafjes-van Doorn et al, 2019 ; Kramer, 2019 ; Di Giuseppe et al, 2020b ; Solomonov et al, 2020 ). The role of therapeutic alliance as mediator on outcomes in psychotherapy has been demonstrated in several studies highlighting the need for an in-depth investigation of patient-therapist communicative exchange (Lingiardi et al, 2010 ; Perry, 2014 ; Bhatia et al, 2017 ; Salvatore et al, 2017 ; Rocco et al, 2018 ; Tanzilli et al, 2018 ; Lo Coco et al, 2019b ; Leibovich et al, 2020 ; Zilcha-Mano et al, 2020 ).…”

mentioning

confidence: 99%

The Psychodynamic Approach During COVID-19 Emotional Crisis

Conversano

2021

Front. Psychol.

View full text Add to dashboard Cite

Vers un dialogue entre recherche et clinique : l’alliance thérapeutique

Roten

2023

Perspectives Psy

View full text Add to dashboard Cite

Chercheurs et cliniciens vivent dans des mondes de plus en plus séparés, précipitant la psychothérapie dans une crise de légitimité. Cet article fait l’hypothèse que l’alliance thérapeutique, en tant que variable intégrative par excellence, est un élément à même de réduire ce fossé, en considérant en particulier que l’alliance entre chercheur et clinicien repose sur les mêmes bases que l’alliance de travail entre patient et thérapeute. Quelques exemples de recherches empiriques permettent d’aborder plus particulièrement trois aspects conflictuels de nos connaissances actuelles concernant l’alliance : comme facteur commun ou comme agent spécifique, comme utile au chercheur ou utile au clinicien, enfin la distinction entre composante-trait et la composante-état de l’alliance. Le temps est venu de fortifier cette alliance vitale entre recherche et pratique clinique.

show abstract

Do therapists practicing psychoanalysis, psychodynamic therapy and short-term dynamic therapy address patient defences differently?

Abstract: SummaryBackground: Defense mechanisms are a central component of psychodynamic theory [1,2] and their interpretation is key to psychodynamic practice. Over the years, varying perspectives on dealing with patients' defense mechanisms have been outlined [3].

Cited by 5 publications

References 23 publications

The Hierarchy of Defense Mechanisms: Assessing Defensive Functioning With the Defense Mechanisms Rating Scales Q-Sort

The Hierarchy of Defense Mechanisms: Assessing Defensive Functioning With the Defense Mechanisms Rating Scales Q-Sort

The Psychodynamic Approach During COVID-19 Emotional Crisis

Vers un dialogue entre recherche et clinique : l’alliance thérapeutique

Contact Info

Product

Resources

About