Change in defense mechanisms and coping over the course of short-term dynamic psychotherapy for adjustment disorder.

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State: Public
Version: author
Serval ID
serval:BIB_54BAE34AAF1F
Type
Article: article from journal or magazin.
Collection
Publications
Title
Change in defense mechanisms and coping over the course of short-term dynamic psychotherapy for adjustment disorder.
Journal
Journal of Clinical Psychology
Author(s)
Kramer U., Despland J.N., Michel L., Drapeau M., de Roten Y.
ISSN
1097-4679[electronic], 0021-9762[linking]
Publication state
Published
Issued date
2010
Peer-reviewed
Oui
Volume
66
Number
12
Pages
1232-1241
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
Short-term dynamic psychotherapy (STDP) has rarely been investigated with regard to its underlying mechanisms of change, even if psychoanalytic theory informs us about several potential putative mechanisms of change in patients. Change in overall defensive functioning is one. In this study, we explored the role of overall defensive functioning, by comparing it on the process level with the neighbouring concept of overall coping functioning. A total of N=32 patients, mainly presenting adjustment disorder, were included in the study. The patients underwent STDP up to 40 sessions; three sessions per psychotherapy were transcribed and analyzed by using two observer-rating scales: Defense Mechanism Rating Scales (Perry, 1990) and Coping Action Patterns (Perry, Drapeau, Dunkley, & Blake, 2005). Hierarchical linear modeling was applied to model the change over the course of therapy and relate it to outcome. Results suggest that STDP has an effect on the target variable of overall defensive functioning, which was absent for overall coping functioning. Links with outcome confirm the importance of the effect. These results are discussed from methodological and clinical viewpoints.
Pubmed
Web of science
Create date
09/11/2010 16:57
Last modification date
20/08/2019 14:09
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