Defense Mechanisms in Adolescents at High Risk of Developing Psychosis: An Empirical Investigation

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 stu...
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Gespeichert in:

Autor*in:	Tommaso Boldrini [verfasserIn] Gabriele Lo Buglio [verfasserIn] Guido Giovanardi [verfasserIn] Vittorio Lingiardi [verfasserIn] Silvia Salcuni [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Defense mechanisms ultra-high risk for psychosis at-risk mental state for psychosis attenuated psychotic syndrome adolescence

Übergeordnetes Werk:	In: Research in Psychotherapy - PAGEPress Publications, 2019, 23(2020), 1
Übergeordnetes Werk:	volume:23 ; year:2020 ; number:1

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4081/ripppo.2020.456

Katalog-ID:	DOAJ024471968

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callnumber-first	B - Philosophy, Psychology, Religion
author	Tommaso Boldrini
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topic_title	BF1-990 Defense Mechanisms in Adolescents at High Risk of Developing Psychosis: An Empirical Investigation Defense mechanisms ultra-high risk for psychosis at-risk mental state for psychosis attenuated psychotic syndrome adolescence
topic	misc BF1-990 misc Defense mechanisms misc ultra-high risk for psychosis misc at-risk mental state for psychosis misc attenuated psychotic syndrome misc adolescence misc Psychology
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title	Defense Mechanisms in Adolescents at High Risk of Developing Psychosis: An Empirical Investigation
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title_full	Defense Mechanisms in Adolescents at High Risk of Developing Psychosis: An Empirical Investigation
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title_sort	defense mechanisms in adolescents at high risk of developing psychosis: an empirical investigation
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title_auth	Defense Mechanisms in Adolescents at High Risk of Developing Psychosis: An Empirical Investigation
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.
abstractGer	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.
abstract_unstemmed	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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title_short	Defense Mechanisms in Adolescents at High Risk of Developing Psychosis: An Empirical Investigation
url	https://doi.org/10.4081/ripppo.2020.456 https://doaj.org/article/f22deb220a54488baf14f7352ce2a457 https://www.researchinpsychotherapy.org/index.php/rpsy/article/view/456 https://doaj.org/toc/2499-7552 https://doaj.org/toc/2239-8031
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Defense Mechanisms in Adolescents at High Risk of Developing Psychosis: An Empirical Investigation

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