Specificities of defense mechanisms in bipolar affective disorder: relations with symptoms and therapeutic alliance.

Détails

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Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_FCC5A8DA4B0B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Specificities of defense mechanisms in bipolar affective disorder: relations with symptoms and therapeutic alliance.
Périodique
The Journal of nervous and mental disease
Auteur(s)
Kramer U., de Roten Y., Perry J.C., Despland J.N.
ISSN
1539-736X (Electronic)
ISSN-L
0022-3018
Statut éditorial
Publié
Date de publication
09/2009
Peer-reviewed
Oui
Volume
197
Numéro
9
Pages
675-681
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Résumé
Defense mechanisms as a central notion of psychoanalysis have inspired various levels of interest in research in psychotherapy and psychopathology. Defense specificities have only recently been investigated systematically with regard to several clinical diagnoses, such as affective and personality disorders. For the present study, 30 inpatients diagnosed with Bipolar Affective Disorder I (BD) were interviewed. An observer-rater method, the Defense Mechanisms Rating Scales (DMRS), applied to session-transcripts, of assessment of defenses was used. A matched, nonclinical control group was introduced. Defense specificities in BD encompass a set of 5 immature defenses, of which omnipotence is linked with symptom level. The level of the therapeutic alliance is predicted by mature defenses. These results are discussed with regard to the psychological vulnerability of BD, and treatment implications for psychodynamic psychotherapy with such challenging patients are evoked.
Mots-clé
Adult, Aged, Bipolar Disorder/diagnosis, Bipolar Disorder/psychology, Bipolar Disorder/therapy, Defense Mechanisms, Female, Hospitalization, Humans, Linear Models, Male, Middle Aged, Personality Disorders/diagnosis, Personality Disorders/psychology, Personality Inventory/statistics & numerical data, Professional-Patient Relations, Psychiatric Status Rating Scales/statistics & numerical data, Psychometrics, Psychotherapeutic Processes, Psychotherapy/methods, Reproducibility of Results, Severity of Illness Index, Surveys and Questionnaires
Pubmed
Web of science
Création de la notice
28/09/2009 16:40
Dernière modification de la notice
20/08/2019 17:27
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