scholarly journals Ego defense mechanisms in Pakistani medical students: a cross sectional analysis

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Maria A Parekh ◽  
Hina Majeed ◽  
Tuba R Khan ◽  
Anum B Khan ◽  
Salman Khalid ◽  
...  
2011 ◽  
Vol 26 (S2) ◽  
pp. 1945-1945
Author(s):  
M. Parekh ◽  
H. Majeed ◽  
T. Khan ◽  
A. Khan ◽  
S. Khalid ◽  
...  

BackgroundEgo defense mechanisms, defined by Freud as unconscious resources used by the ego to reduce conflict between the id and superego, are a reflection of how an individual deals with conflict and stress. Vaillants’ proposed Hierarchy of Defenses states that mature defenses are associated with better adaptive functioning and health, as opposed to immature defense which are correlated negatively with measures of adaptive adult functioning.ObjectivesThis study assesses the prevalence of various ego defense mechanisms employed by medical students of Karachi, which is a group with higher stress levels than the general population.MethodsA questionnaire based cross-sectional study was conducted on 682 students from five major medical colleges of Karachi in November 2006. Ego defense mechanisms were assessed using the Defense Style Questionnaire(DSQ-40) individually and as grouped under Mature, Immature, and Neurotic factors.ResultsNeurotic defenses had a higher mean score(5.62) than Mature(5.60) and Immature(4.78) mechanisms. Immature mechanisms were more commonly employed by males whereas females employed more Neurotic mechanisms than males. Neurotic and Immature defenses were significantly more prevalent in first and second year students. Mature mechanisms were significantly higher in students enrolled in Government colleges than Private institutions (p< 0.05).ConclusionsNeurotic mechanisms are more commonly encountered than Mature or Immature mechanisms among medical students of Karachi, and this could reflect greater stress levels than the general population. Employment of these mechanisms was associated with female gender, enrollment in a private medical college, and students enrolled in the first 2 years of medical school.


2014 ◽  
Vol 20 (2) ◽  
pp. 6-9 ◽  
Author(s):  
Nina Ayala ◽  
Celia P. MacDonnell ◽  
Luba Dumenco ◽  
Richard Dollase ◽  
Paul George

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e048597
Author(s):  
Henryk Bukowski ◽  
Nor Faizaah Ahmad Kamal ◽  
Deirdre Bennett ◽  
Gabriella Rizzo ◽  
Colm O'Tuathaigh

ObjectivePhysicians’ cognitive empathy is associated with improved diagnosis and better patient outcomes. The relationship between self-reported and performance-based measures of cognitive empathic processes is unclear.DesignCross-sectional analysis of the association between medical students’ empathy scale scores and their empathic performance in a visuospatial perspective-taking (VPT) task.ParticipantsUndergraduate medical students across two European medical schools (n=194).Primary and secondary outcome measuresTwo self-report empathy and one performance-based perspective-taking outcome: Jefferson Scale of Physician Empathy (JSPE); Empathy Quotient (EQ); Samson’s level-1 VPT task.ResultsHigher scores on the ‘standing in patient’s shoes’ subscale of the JSPE were associated with a lower congruency effect (as well as lower egocentric and altercentric biases) in the VPT (B=−0.007, 95% CI=−0.013 to 0.002, p<0.05), which reflects an association with better capacity to manage conflicting self-other perspectives, also known as self-other distinction. Lower egocentric bias was also associated with higher scores on the ‘social skills’ EQ subscale (B=−10.17, 95% CI=−17.98 to 2.36, p<0.05). Additionally, selection of a ‘technique-oriented’ clinical specialty preference was associated with a higher self-perspective advantage in the VPT, reflecting greater attentional priority given to the self-perspective.ConclusionsWe show that self-assessment scores are associated with selected performance-based indices of perspective taking, providing a more fine-grained analysis of the cognitive domain of empathy assessed in medical student empathy scales. This analysis allows us to generate new critical hypotheses about the reasons why only certain self-report empathy measures (or their subscales) are associated with physicians’ observed empathic ability.


Sign in / Sign up

Export Citation Format

Share Document