Therapeutic Use of Humor in Antisocial Personalities

Therapeutic use of humor in patients with antisocial personality disorders is scarcely studied until now. However, therapeutic use of humor could contribute to a growth of social-emotional and moral awareness and capacities, enhancement of self-insight and reality testing, and associated therapeutic progress in these patients. Suggestions are made for a) adequate and safe use of humor in the therapeutic context, and b) effective selection of patients. More research is needed into the effects and adequate strategies of therapeutic humor in different categories of antisocial patients. Furthermore, it is also necessary to investigate how humor could be integrated well in various psychotherapeutic approaches     

Differentiating Ego Functions of Borderline and Narcissistic Personalities

This study investigated differences in ego functions of borderline and narcissistic personality disorders through examining responses to Rorschach structural and content variables. Reality testing, thought process, affective regulation, impulse control, and the defenses of splitting and grandiosity were examined from Rorschach protocols of 50 borderlines and 26 narcissists. The borderlines produced greater distortion in reality testing, p < .05; the narcissists produced more insidious thought process disturbance, p < .05; and higher functioning groups demonstrated greater control of impulses, p < .05. Borderlines in this sample demonstrated more affective constriction than the narcissists and used more splitting, p < .05; narcissists used more grandiosity, p < .05. Implications of this study are (a) ego functions mature inconsistently, (b) affective responsivity influences ego disorganization, and (c) level of functioning and IQ are related to the production of Rorschach variables.     

Spiritual Psychotherapy for Antisocial and Psychopathic Personalities: Some Theoretical Building Blocks

Until now a profound theoretical model for spiritual psychotherapy, which is constructed specifically for nonreligious antisocial and psychopathic patients who have spiritual and philosophical interests, is missing. In this paper some important theoretical issues with respect to spiritual psychotherapy for antisocial and psychopathic patients will be discussed such as the links between spirituality on one hand and authenticity, vanity; emotional, moral, and social capacity; reality testing; creativity; and faith in life on the other. Furthermore, the spiritual psychotherapist's attitude towards his or her patients will be explored.     

The Development of Defense Mechanisms

ABSTRACT It is proposed that defense mechanisms may be characterized as forming a hierarchy, from least to most complex, and that the lowest level defenses emerge early in life, while the more complex defenses emerge later in development Three defenses–Denial, Projection and Identification–were chosen to test this assumption A method for assessing the use of these defenses in Thematic Apperception Test (TAT) stories was developed and validated in a study of four age groups preschool, elementary school, early adolescent, and late adolescent The results of the study were consistent with the prediction Denial was used most frequently by preschool children, and decreased in use thereafter Identification was used minimally by preschool children but increased steadily through adolescence The use of Projection was most frequent in the two middle age groups Some evidence for sex differences, based on the internal/external orientation of the defense, also was found     

The Role of Neurobiological Deficits in Childhood Antisocial Behavior

ABSTRACT— Childhood-onset antisocial behavior is an important predictor of chronic and serious forms of antisocial behavior in later life. Both biological and social factors are involved in the development of abnormal behavior. We examine the underlying role of stress-response systems in the link between early social adversity and juvenile antisocial behavior, and propose that children with genetically and/or perinatally based neurobiological deficits have problems in activating these systems and therefore experience difficulties in regulating affect and behavior. Underactivity or attenuated reactivity of the stress-response systems may predispose antisocial individuals to seek out stimulation or take risks, and thereby explain deficits in learning and socialization. Further investigations of neurobiological functioning in antisocial children might not only indicate which children are more likely to persist in behaving antisocially but also guide the development of new interventions.     

A Theoretical Approach to the Treatment of Work Difficulties in Borderline Personalities

This paper reviews the psychodynamic basis of borderline personality disorder with special reference to work difficulties. The model of human occupation is reviewed, and its use as a theoretical framework model for a formulation of borderline occupational functioning is proposed. A hypothetical model is conceptualized and the expected deficits in the volitional, habituation, and performance subsystems described. The primary occupational dysfunction of the borderline patient is shown to occur at the level of exploratory behavior, or play, and to manifest itself in the inability to perform autonomous adult roles. A treatment approach derived from this formulation is delineated, emphasizing the need for a context of exploration and curiosity. A specific treatment program is described and the therapeutic change process is illustrated through clinical case examples.     

The Roles of Risk Perception and Borderline and Antisocial Personality Characteristics in College Alcohol Use and Abuse1

This study examined the relationships among risk perceptions, alcohol use and abuse, and borderline and antisocial personality characteristics in college students. College students who perceived themselves less able to avoid negative consequences reported drinking more and having more substance abuse symptoms than those who perceived themselves as more able to avoid negative consequences. College students who scored higher on borderline or antisocial personality tended to rate personal avoidability of negative consequences lower than those who scored lower on these personality characteristics. A multiple regression model accounted for 50% of the variance in self‐reported substance abuse symptoms. Low perceived personal avoidability of negative drinking consequences and high borderline or antisocial personality characteristics are risk factors for substance abuse problems.     

The Identification and Modification of Defense Mechanisms in Counseling

This article suggests considerations and strategies for identifying and modifying a client's defense mechanisms in counseling. A systematic approach to a client's mechanisms of defense contributes to therapeutic gain. Inappropriate counselor responses intensify an individual's defenses and undermine the counseling relationship. Definitions of individual defenses and indicators for identifying the mechanisms are provided. A literature review focuses on the counseling implications of the defenses. The process of defense mechanism modification is illustrated through a case example.     

Defensiveness and Defense Mechanisms

This introduction to the Journal of Personality's special issue on the topic of defense mechanisms raises the question of why defenses have been largely overlooked in personality research. Although defenses were originally discussed in the context of psychopathology, for the past 60 years psychodynamically oriented psychologists have understood that defenses play an important part in normal psychological development. Recently, psychologists outside the field of personality have incorporated the ideas of unconscious mental processes and of defenses into their research programs. In this issue, personality researchers discuss their ideas about defense mechanisms, organized around three topical areas: current conceptualizations of defense, the measurement of defense mechanisms, and the integration of defense mechanisms into personality research. The issue concludes with a commentary on these articles and provides suggestions for future work.     

Relation Between Childhood Maltreatment and Severe Intrafamilial Male‐Perpetrated Physical Violence in Chinese Community: The Mediating Role of Borderline and Antisocial Personality Disorder Features

This study investigates the role of borderline personality disorder (BPD) and antisocial personality disorder (ASPD) features as mediators of the effects of childhood maltreatment on severe intrafamilial physical violence amongst Chinese male perpetrators. A cross‐sectional survey and face‐to‐face interview were conducted to examine childhood maltreatment, personality disorder features, impulsivity, aggression, and severe intrafamilial physical violence in a community sample of 206 abusive men in China. The results suggest that ASPD or BPD features mediate between childhood maltreatment and intimate partner violence perpetration in Chinese abusive men. These findings may yield clinical and forensic implications for assessing the psychopathology of abusive men, and may steer the intervention of intimate partner violence. Aggr. Behav. 38:64‐76, 2012. © 2011 Wiley Periodicals, Inc.     

The Relationship Between Emotional Intelligence and Ego Defense Mechanisms

The author examined the relationship between the components of emotional intelligence (perception of emotion, affect regulation, and emotional knowledge) and personality factors associated with adaptation, represented by the hierarchical model of defense mechanisms (M. Bond, S. Gardner, J. Christian. & J. Sigal, 1983). Bivariate correlation analyses yielded mixed results; the adaptive defense styles were correlated with overall emotional intelligence but not with the emotional perception and regulation components, as was hypothesized. Emotional knowledge was correlated with both adaptive and maladaptive defense styles and with general intelligence, as was expected. Implications for counseling and psychoeducational interventions are suggested.     

The Role of Defense in the Life Story

In modern societies, adults typically provide their lives with some sense of unity and purpose by constructing self-defining life stories that serve as their identities. Such stories are told to others and to an internalized audience or listener who serves as an ultimate judge and interpreter of the narrative. Defense mechanisms specify narrative strategies that persons use to shape how their lives are told to others and to their internalized audiences. Life events and experiences are incorporated into a life story to the extent that the internalized audience can make sense of the telling. Defenses function to make some stories more tellable than they might otherwise be and to keep other potentially storied accounts from ever reaching the status of being told.     

Observer-Rated Measures of Defense Mechanisms

Observer-rated measures of defense mechanisms are the direct lineal descendants of Freud's clinical proposition that an observer can reasonably infer defensive operations in an individual of which the individual himself or herself is unaware. Assessment methods of defenses have used both projective testing and clinical interview data. Recent Rorschach test methods have focused on borderline and neurotic-level defenses used to discriminate diagnostic groups and predict other aspects of functioning. A TAT method has demonstrated some evidence for age progression in the development of defensive functioning and for regression in defensive functioning following psychological stress. While interrater reliability is generally good, the methods are limited by the availability of the testing situation and the need to demonstrate generalization to external situations.
Following the early introduction of systematic methods by Haan and Vaillant, a number of methods use clinical interview data to assess specific defenses and overall defensive functioning. These methods identify defenses either as qualitative categories, rank-ordered scores by Q-sort, or actual counts of each instance a defense is used. Summary scores are generally of good reliability, with wider variation for individual defenses. There is wide variation on training required, ease of use, and levels of validation.
A review of some correlates of each method suggests that the instruments have a robust potential for use in fundamental and applied clinical research. While each method has some clear applications, the quantitative clinical interview methods appear best adapted to microanalytic process research on issues of defensive change in treatment.     

Immunizing Strategies and Epistemic Defense Mechanisms

An immunizing strategy is an argument brought forward in support of a belief system, though independent from that belief system, which makes it more or less invulnerable to rational argumentation and/or empirical evidence. By contrast, an epistemic defense mechanism is defined as a structural feature of a belief system which has the same effect of deflecting arguments and evidence. We discuss the remarkable recurrence of certain patterns of immunizing strategies and defense mechanisms in pseudoscience and other belief systems. Five different types will be distinguished and analyzed, with examples drawn from widely different domains. The difference between immunizing strategies and defense mechanisms is analyzed, and their epistemological status is discussed. Our classification sheds new light on the various ways in which belief systems may achieve invulnerability against empirical evidence and rational criticism, and we propose our analysis as part of an explanation of these belief systems’ enduring appeal and tenacity.     

不同注意条件下的知觉启动及其机制

采用快速命名方法探讨不同注意条件下的知觉启动效应及其机制。实验中呈现一系列颜色词,要求被试分别完成集中和分散注意任务,然后进行词命名和再认测验。在词命名任务中．实验1包括旧词、重组颜色词和新词,而在实验2中重组颜色词改为新颜色词。结果表明,在实验1中,只有在集中注意条件下,被试对旧词的命名时间明显短于重组颜色词．即表现出知觉启动效应。而在实验2的两种注意条件下,被试对旧词的命名时间均明显短于新颜色词。这提示,在不同注意条件下的学习会影响其后的颜色知觉启动,并且与词和颜色的联结捆绑有关。     

Understanding Mechanisms of Change in the Development of Antisocial Behavior: The Impact of a Universal Intervention

The association between the development of antisocial behavior, affiliation with deviant friends, and peer rejection was tested with a preventive intervention; 664 boys and girls were randomly assigned to a universal classroom-based intervention targeting disruptive behavior or a control condition. Peer nominations of antisocial behavior, friends' antisocial behavior, and peer rejection were assessed annually for 4 years. A high, a moderate, and a stable low antisocial behavior trajectory were identified. Large reductions in antisocial behavior were found among intervention children who followed the high trajectory. These reductions coincided with affiliations with nondeviant peers and with decreases in peer rejection. The affiliation between deviant and nondeviant peers was initiated by nondeviant children. The results support a causal role of deviant friends and peer rejection in the development of antisocial behavior. The implications for our understanding of the mechanisms leading to reductions in antisocial behavior are discussed.     

The Effects of Success and Failure on Children's Use of Defense Mechanisms

ABSTRACT The effects of moderate stress on the use of defense mechanisms by 64 second- and sixth-graders were determined The use of denial, projection, and identification was assessed from stones told to the Thematic Apperception Test (TAT) prior to, and subsequent to, an experimentally controlled experience of success or failure Subjects who experienced failure were more likely to use the lower level defenses of denial and projection, while the experience of success was followed by greater use of identification The results also were consistent with previous studies in demonstrating age and sex differences in the use of defense mechanisms