ArticleResearch in psychotherapy (Milano)2020
Defense mechanisms in adolescents at high risk of developing psychosis: an empirical investigation.
Article in Research in psychotherapy (Milano), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 32 citations in OpenAlex.
- Affective Dysregulation Precedes Emergence of Psychosis-Like Experiences in a Community Sample of Young Adults.Schizophrenia bulletin · 2022Article
- Psychodiagnostic Chart-Child (PDC-C): a valid and clinically sensitive diagnostic tool for patient-tailored intervention planning.Research in psychotherapy (Milano) · 2022Article
- Do Immature Defense Mechanisms Mediate the Relationship Between Shame, Guilt, and Psychopathological Symptoms?Frontiers in psychology · 2022Article
- Defense mechanism responses to COVID-19.PeerJ · 2022Review
- Assessing children's defense mechanisms with the Defense Mechanisms Rating Scales Q-sort for Children.Research in psychotherapy (Milano) · 2021Article
- Mentalization, attachment, and defense mechanisms: a Psychodynamic Diagnostic Manual-2-oriented empirical investigation.Research in psychotherapy (Milano) · 2021Article
- Defensive Functioning of Individuals Diagnosed With Gender Dysphoria at the Beginning of Their Hormonal Treatment.Frontiers in psychology · 2021Article
- The Psychodynamic Approach During COVID-19 Emotional Crisis.Frontiers in psychology · 2021Article
- What Do Therapist Defense Mechanisms Have to Do With Their Experience of Professional Self-Doubt and Vicarious Trauma During the COVID-19 Pandemic?Frontiers in psychology · 2021Article
- The Hierarchy of Defense Mechanisms: Assessing Defensive Functioning With the Defense Mechanisms Rating Scales Q-Sort.Frontiers in psychology · 2021Article
- Editorial: Recent Empirical Research and Methodologies in Defense Mechanisms: Defenses as Fundamental Contributors to Adaptation.Frontiers in psychology · 2021Article
- Introduction to the Special Section onResearch in psychotherapy (Milano) · 2020Article
- Personality Traits and Disorders in Adolescents at Clinical High Risk for Psychosis: Toward a Clinically Meaningful Diagnosis.Frontiers in psychiatry · 2020Article
- Psychological Impact of Coronavirus Disease 2019 Among Italians During the First Week of Lockdown.Frontiers in psychiatry · 2020Article
- Preliminary Reliability and Validity of the DMRS-SR-30, a Novel Self-Report Measure Based on the Defense Mechanisms Rating Scales.Frontiers in psychiatry · 2020Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Research within psychotherapy and psychopathology frameworks has been inspired by the central concept of defense mechanisms, which play a pivotal role in psychoanalysis. Defense specificities have only recently been studied systematically in the context of several clinical diagnoses. The present study aimed to explore the specificities of defense mechanisms in adolescents at ultra-high risk of developing psychosis and test the relationship between defensive functioning and attenuated psychotic symptoms. Twenty-six adolescent inpatients at ultra-high risk of developing psychosis and a matched clinical control group of inpatients not at risk of psychosis were interviewed. Two observer-rater methods, the Defense Mechanism Rating Scales and the Psychotic-Defense Mechanism Rating Scales were applied to interview transcripts to assess the individual use of defenses. Ultra-high-risk patients demonstrated lower defense mechanisms (i.e., total instances of defense mechanisms observed) and lower overall adaptiveness of the defenses presented. When specific differences between groups were observed, psychotic defenses were the sole defenses that could partially discriminate between ultra-high-risk and not at-risk patients. Regarding the relationship between defense mechanisms and subthreshold psychotic symptoms, psychotic defenses were associated with negative and disorganization symptoms, rather than with positive symptoms. The psychological vulnerability of ultra-high-risk patients is discussed and treatment implications for psychotherapy with such challenging patients are addressed.
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