scholarly journals L'évaluation normalisée et clinique des mécanismes de défense: Revue critique de 6 outils quantitatifs

2005 ◽  
Vol 50 (12) ◽  
pp. 792-801 ◽  
Author(s):  
Charlotte Soultanian ◽  
Roland Dardennes ◽  
Stéphane Mouchabac ◽  
Julien Daniel Guelfi

Contexte: Le concept de mécanisme de défense (MD) remonte aux fondements de la psychanalyse et en constitue un des piliers théoriques. Plus récemment, en raison de l'introduction de cette notion dans une rubrique expérimentale des classifications catégorielles, les MD sont devenus un nouveau champ à explorer dans le domaine de la recherche et de la communication scientifique. L'augmentation du nombre d'études prenant en compte les MD est allée de pair avec l'élaboration d'échelles d'évaluation clinique plus utilisables que les tests projectifs. Il n'existe à notre connaissance aucune analyse comparative de ces outils. Objectif: Nous décrivons dans un premier temps le mode d'utilisation et les qualités métrologiques des échelles les plus récentes. Nous proposons ensuite les avantages et les limites de ces instruments d'évaluation clinique. Ce travail vise à aider les cliniciens chercheurs dans le choix de l'outil le plus adapté à leur protocole. Méthode: Nous présentons les outils suivants au moyen d'une revue de la documentation: Defense Mechanism Inventory, Defense Mechanism Profile, Defense Style Questionnaire (DSQ), Defense Mechanism Rating Scale, Life Style Index, Response Evaluation Measure. Conclusion: L'utilisation des échelles cliniques comprend de nombreuses limites liées au concept de MD. Néanmoins, leur faisabilité et leur validité en justifient l'emploi. Les avantages du DSQ ressortent du fait de ses nombreuses qualités; néanmoins les spécificités des autres instruments restent à considérer en fonction des protocoles envisagés.

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
D. Raketic ◽  
M. Kovacevic ◽  
T. Djuric

Very few researches concerning women addictions are done up to day. This paper tries to define basic similarities and differences in defense mechanisms used by women alcohol and opiate addicts.Method:Sample of alcohol and opiate female addicts (30 patients in each group) plus control group (30 women) with no psychiatric diagnosis were questioned with Defense Style Questionnaire - DSQ 40 (Andrews, Singh, Bond, 1993).Results:There were found no statistically relevant differences between two experimental and one control group concerning mature defense mechanism use. Significant differences were found in neurotic and immature defense mechanism use: alcohol addicts use prevalently neurotic mechanisms and immature mechanisms prevail among opiate addicts.Conclusions:In our research mostly used neurotic defense mechanisms by alcohol addicts were: pseudoaltruism, idealization, and undoing. The mostly used immature defense mechanisms among opiate addicts were: phantasy, isolation, devaluation, denial and splitting.


2011 ◽  
Author(s):  
Jaclyn Bleski ◽  
Adrienne Matta ◽  
Katie Thorpe ◽  
Wilson McDermut

Author(s):  
Francesca Locati ◽  
Pietro De Carli ◽  
Emanuele Tarasconi ◽  
Margherita Lang ◽  
Laura Parolin

The relationship between transference and therapeutic alliance has been long discussed. It is only recently, however, that empirical evidence has provided support for a tight correspondence between several transference dimensions and rupture and resolution processes. In the present single-case study, we used alliance ruptures as a key dimension to understand patient’s transference dynamics. This was achieved in a particular form of patient’s behavior, i.e., patient’s deference and acquiescent behavior, which describes a significant submission to assertions, skills, judgments and point of views of another person. Therapeutic process was measured by means of the Rupture Resolution Rating Scale, the Core Conflictual Relationship Theme and the Defense Mechanism Rating Scales, whereas therapeutic outcome was measured by means of the Shedler-Westen Assessment Procedure-200. Results of sequential analysis yielded a significant correspondence between rupture markers, characterized by avoidance and shifting of session’s topic, and patient’s narrations. Furthermore, a systematic correspondence between alliance ruptures and patient’s avoidant functioning, which emerged both in transference relationship and in the quality of the defense structure, was found. Together, these findings indicate that patient’s deference inhibits the expression of relational themes, with ruptures in alliance that seem to be supported by a strong defensive structure. In particular, patient’s avoidance played a double role in the treatment. On the one hand, avoidance was the main characteristic of her transference structure, based on extreme intellectualization and emotional closure. On the other hand, it contributed to create an impasse in the treatment, based on a withdrawal ruptures model and on obsessive level defences.


2010 ◽  
Vol 33 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Mariana Eizirik ◽  
Sidnei Schestatsky ◽  
Letícia Kruel ◽  
Lúcia Helena Freitas Ceitlin

OBJECTIVE: To identify demographic and clinical correlates associated with therapists' countertransference feelings on the first visit of women victims of sexual violence. METHOD: Forty patients were seen by 26 therapists, during 2 consecutive years, at the Center for the Study and Treatment of Psychological Trauma, Hospital de Clínicas de Porto Alegre , Brazil. After the first visit with the patient, the therapist completed the Assessment of Countertransference Scale and the patient was evaluated with the Davidson Trauma Scale, the Standardized Assessment of Personality - Abbreviated Scale, the Beck Depression Inventory, and the Defense Style Questionnaire. RESULTS:The therapists showed a predominance of feelings of closeness (Mean = 5.42, SD = 1.25) in relation to the feelings of indifference (Mean = 1.82, SD = 1.22) and distance (Mean = 1.57, SD = 1.08) [p < 0.001]. Multivariate analyses did not present significant associations between countertransference feelings and clinical characteristics of patients. The gender of the therapists did not influence the pattern of countertransference feelings. In the subgroup of female therapists, we detected an inverse correlation between a higher probability of patients' personality disorders and feelings of closeness in the therapists. CONCLUSION: We did not detect a differential pattern of countertransference feelings associated with specific clinical characteristics. Therapists of both genders presented a similar pattern of feelings of empathy towards women victims of sexual violence, although the gender of the therapist may moderate the feelings evoked by patients with increased likelihood of personality disorders.


2006 ◽  
Vol 28 (2) ◽  
pp. 144-160
Author(s):  
Mônica Andrade ◽  
Itiro Shirakawa

O Defense Style Questionnaire (DSQ) é um instrumento para avaliação de derivados conscientes dos mecanismos de defesa do ego, desenvolvido e validado por Michael Bond em 1983 no Canadá. O presente trabalho consistiu da tradução e adaptação desse instrumento para o português, assim como do estudo de confiabilidade estatística da tradução em relação ao original. MÉTODOS: A tradução foi feita por um grupo de profissionais (psiquiatras, psicólogos e professores de inglês) segundo a técnica de retrotradução. O estudo da confiabilidade da tradução foi realizado em uma amostra de 51 bilíngües (inglês/português), os quais responderam aos testes nas duas versões (original e traduzida). A análise estatística da consistência interna e das correlações item por item e sujeito por sujeito, assim como entre os escores médios de cada uma das formas (original e traduzida), demonstrou que as duas versões são equivalentes e, portanto, a tradução para o português é precisa. Foram ainda avaliadas as abstenções às respostas e a taxa de concordância entre as versões. RESULTADOS E CONCLUSÃO: Todos os resultados foram bastante satisfatórios e estatisticamente significantes, o que nos permite concluir que o instrumento traduzido é adequado para uso no Brasil.


1995 ◽  
Vol 9 (2) ◽  
pp. 124-133 ◽  
Author(s):  
Philip Spinhoven ◽  
Hendrikus A.E. van Gaalen ◽  
Robbert E. Abraham

Author(s):  
Gavin Andrews ◽  
Michelle Singh ◽  
Michael Bond

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