Longitudinal study of defense mechanisms: late childhood to late adolescence

Based on longitudinal data from the Institute of Human Development Intergenerational Study, the use and change in defense mechanisms of more than 150 individuals, as assessed from TAT stories, was studied across ages 11, 12, and 18. The findings of this study, based on an earlier generation, were generally consistent with cross-sectional findings from current samples, showing that the defenses of projection and identification were used more frequently than denial at all three ages and that the use of projection and identification increased from early to late adolescence. However, unlike current findings, the 18-year-olds did not show greater use of identification than of projection, perhaps due to IQ differences between this community sample and the samples of more recent studies.     

Loneliness among late adolescents

The extent of loneliness among late adolescents was assessed by means of the Revised UCLA Loneliness Scale. Findings suggest that although moderate loneliness was reported by most participants, a number of young people evidenced a high degree of loneliness. A comparison of lonely and nonlonely adolescents yielded relatively few significant differences. Of particular interest, however, was the finding that lonely and nonlonely adolescents use different strategies to deal with feelings of loneliness. Implications for working with lonely adolescents are offered.     

Treatment-resistant depression in late life

Treatment resistance is reported in up to 40% of older patients with major depression. Before labeling an episode of depression as treatment resistant, it is important to ensure that the diagnosis is correct and that the patient has received and adhered to an adequate dose of treatment for an appropriate length of time. It is also important to assess the patient for comorbid physical and psychiatric conditions that can contribute to treatment resistance. In patients who do not experience remission of symptoms with an adequate trial of medication, the following options can be considered: augmenting the antidepressant with a drug that is not primarily an antidepressant, adding a second antidepressant to the first, switching to a different antidepressant medication, or switching to electroconvulsive therapy. This paper reviews the concept of treatment-resistant depression and discusses its assessment and management in the elderly. The author concludes that when a systematic stepped-care approach to treatment is followed, most older patients with major depression will experience remission of symptoms.     

Personal relationships in late modernity

This article is concerned with the significance of personal relationships in contemporary social life, principally drawing on recent British research. After reviewing traditional sociological theories concerning the impact of economic transformations on family and community ties, the author examines the character of couple and family commitment in the context of the radical demographic changes that have been occurring, particularly in patterns of family formation and dissolution. Relating these changes to theories of “late modernity,” the author assesses their implications for the relevance of personal relationships in general, and friendship in particular, in contemporary social formations. The author's argument is that far from becoming socially marginal as dominant theories generally imply, personal relationships are likely to become increasingly significant as social life becomes more fragmented and less predictable.     

Factors appearing late in practice

With extended practice on a task a shift seems to occur from controlled to automatic processing. If differential factors associated with automatic processing exist, they could only be observed after this shift occurs. Hence, any such factor would be late-appearing, in the sense that it could only be identified late in practice. The present paper reports two tests of the existence of late-appearing factors. Both tests involved extended practice on five video games; the two tests were carried out in two different populations approximately 1 year apart. The results of the two experiments were in complete agreement. In both cases all factors, with one possible exception in the second experiment, were identified by content exclusively and not by stage of practice. The results, therefore, are negative. Other studies using other materials, other subjects, or other conditions of practice may reach different conclusions; but the studies reported in this paper offer no support for the existence of late-appearing factors.     

Seeking meaning in late stage dementia

The author uses case studies to illustrate the effectiveness of two techniques which pastoral caregivers may teach to family carers of dementia patients. In the last stages of dementia, it is important to seek meaning and keep in significant contact as long as possible, both for family members as well as for the dementia patients. After a brief literature review, implications for care theory, practice, and policy are reviewed, and a scientific bias is illustrated. These techniques build on the work of C. G. Jung and James Hillman, utilizing metaphor in non-rational uses of language. It is suggested that pastoral caregivers could teach these techniques to families of this population, in the hope of prolonging meaningful connection with their loved one.     

Integrating fundamental movement skills in late childhood

The study examined how children of different ages integrate fundamental movement skills, such as running and throwing, and whether their developmental status was related to the combination of these skills. Thirty children were divided into three groups (G1 = 6-year-olds, G2 = 9-year-olds, and G3 = 12-year-olds) and filmed performing three tasks: running, overarm throwing, and the combined task. Patterns were identified and described, and the efficiency of integration was calculated (distance differences of the ball thrown in two tasks, overarm throwing and combined task). Differences in integration were related to age: the 6-year-olds were less efficient in combining the two skills than the 9- and 12-year-olds. These differences may be indicative of a phase of integrating fundamental movement skills in the developmental sequence. This developmental status, particularly throwing, seems to be related to the competence to integrate skills, which suggests that fundamental movement skills may be developmental modules.     

Symptom patterns in late luteal-phase dysphoric disorder

The symptom patterns of 180 women with prospectively confirmed late luteal-phase dysphoric disorder (LLPDD) were examined using a careful application of factor and cluster analytic techniques. Factor analysis of premenstrual change scores on 33 common premenstrual syndrome symptoms yielded four orthogonal factors that were consistent across two sets of menstrual cycle data. These were a negative affect dimension with concomitant behavioral changes, physical symptoms, agitation, and positive arousal. Cluster analysis of factor scores grouped patients into one of five symptom patterns, the most common of which is a general distress cluster, characterized by symptoms across all dimensions. The LLPDD symptom groups identified are remarkably consistent with those of earlier studies using both normative and clinic samples, and consideration of symptom pattern differences in future research may greatly increase our understanding of this disorder.     

Optimal recall in early and late adulthood

Mäntylä & Nilsson (1983) recently presented a striking empirical phenomenon demonstrating a practically perfect recall of verbal materials encountered at one single trial and without specific instructions to learn the items. The purpose of the study to be presented in this article was to investigate whether older adults are capable of performing at the same high level of recall as younger adults did in the Mäntylä & Nilsson study. Type of instructions and number of retrieval cues were included in the experimental design, in addition to the age factor. Although the results indicated a superior memory performance of younger adults as compared to older adults, the latter group of subjects demonstrated an extremely high level of recall as well. Both age groups showed quite similar recall patterns in the sense that no interaction effects between the age factor and the other independent variables were obtained. The data were discussed relative to qualitatively and quantitatively based explanations of age differences in memory.     

Temperament and self-esteem in late adolescence.

The purpose of this study was to investigate the relationship between temperament and self-esteem (or social competence) among late adolescents. The Dimensions of Temperament Scale and the Short Form of the Texas Social Behavior Inventory were administered to 186 students. It was found that Adaptability, Attention/Distractibility, and Reactivity all showed significant correlations with self-esteem. An interactive framework suggested that temperament may mediate how each individual perceives and experiences social demands and constraints, thereby influencing the level of positive regard and success during development.     

Sex-role development in late adolescence and adulthood

The present study investigated associations between age and sex roles in a cross-sectional analysis of people varying in age from late adolescence to middle adulthood. People in the androgynous sex role were older than sex-typed men and women. Cross-sex characteristics tended to be greater among older people, while same-sex characteristics were uncorrelated with age. Sex-role development appears to continue into adulthood, a view more in keeping with a transcendent model than a traditional model of sex-role development.This study was assisted by computer funds from the College of Human Development, The Pennsylvania State University. The authors thank an anonymous reviewer for helpful comments on an earlier version of this article.     

Identification and the development of competence: a 44-year longitudinal study from late adolescence to late middle age

The role of defense mechanisms in the development of planful competence (J. A. Clausen, 1993) was studied over a period of 44 years in participants from the Oakland Growth Study, who are part of the Intergenerational Studies of the Institute of Human Development. Planful competence was assessed on 4 occasions, from late adolescence (ages 15-18) to late middle age (age 62). The use of the defense mechanisms of denial, projection, and identification was assessed in late adolescence, based on Thematic Apperception Test (H. A. Murray, 1943) stories coded with the Defense Mechanism Manual (P. Cramer, 1991b). In late adolescence, the defense mechanism of identification was found to be positively related to competence, whereas the less mature defense of projection was related to lower levels of competence. For the group as a whole, hierarchical linear modeling (Bryk & Raudenbush, 1992) indicated that competence increased across the adult years, with a modest decline at late middle age. Individual differences for intraindividual change in competence were related to the use of identification: high use of identification in late adolescence was associated with relative stability in adult competence, whereas low use of identification in adolescence predicted changes in adult competence.