Defense mechanisms in psychology today. Further processes for adaptation

Although the concept of the defense mechanism was rejected from academic psychology for a number of years, recent empirical studies show renewed interest in defenses. Cognitive psychologists have confirmed the existence of unconscious psychological processes, a requisite for defenses. Developmental, personality, and social psychologists have all found evidence for defense mechanisms that explicate psychological functioning. The relevance of this new information for clinical practice is discussed.     

Why Should We Lower Our Defenses About Defense Mechanisms?

Personality and social psychologists already use ideas that are closely related to defense mechanisms, but few of our paradigms include extensive theoretical or empirical treatment of such mechanisms. Yet defense mechanisms focus on negative affect and protection of the self, and many of the controversies, issues, and impasses contemporary researchers confront also concern negative affect and self-protection. This article discusses whether we might find systematic consideration of defense mechanisms and defensive processing to be broadly useful across several related areas of personality and social psychology in which the relationships between self and affect are implicated. Areas considered include positive illusions and adaptation, the interpretation of reports of negative affect, and related concepts from the coping, self-regulation, affect regulation, and goals literature. Thinking about defense mechanisms would seem to have both specific value for sharpening our understanding of different possible interpretations of our data, and broad heuristic value for thinking about personality integration and social behavior.     

Seven Pillars of Defense Mechanism Theory

Defense mechanisms are cognitive processes that function to protect the individual from excessive anxiety or other negative emotions. They also protect the person from loss of self‐esteem and, in the extreme, the loss of self‐integration. Although past critics questioned the existence of defense mechanisms, recent research has supported seven basic tenets regarding defenses. These include: (1) defenses function outside of awareness; (2) there is a chronology of defense development; (3) defenses are present in the normal personality; (4) defense use increases under conditions of stress; (5) defense use reduces the conscious experience of negative emotions; (6) defense function is connected to the autonomic nervous system; (7) excessive use of defenses is associated with psychopathology. Research supporting the seven pillars of defense mechanism theory is described in this essay.     

Are the interpersonal and identity disturbances in the borderline personality disorder criteria linked to the traits of affective instability and impulsivity?

This study examines the degree to which two putative biologically influenced personality traits, affective instability and impulsive aggression, are associated with some of the interpersonal and intrapsychic disturbances of borderline personality disorder (BPD) and with choice of defense mechanism. In a sample of 152 personality disorder patients, affective instability and impulsive aggression were measured. Defense mechanisms were assessed in 140 of these patients using the Defensive Style Questionnaire (DSQ). The correlations between the traits of affective instability and impulsive aggression and the eight DSM-III-R criteria for borderline personality disorder and 20 DSQ defenses were examined. Affective instability was significantly correlated with the DSM-III-R criteria of identity disturbance, chronic emptiness or boredom, inappropriate anger, suicidality, and the affective instability criteria. It also was associated with the defenses of splitting, projection, acting out, passive aggression, undoing, and autistic fantasy. Impulsive aggression was related to unstable interpersonal relationships, inappropriate anger and impulsiveness and with the defense of acting out. It was negatively correlated with the defenses of suppression and reaction formation. A number of the interpersonal and experiential disturbances and defense mechanisms that are features of BPD are associated with the traits of affective instability and impulsive aggression among patients with personality disorders.     

The relationship between defenses and symptoms in adolescent psychopathology

The relationship between defense mechanisms and symptoms was assessed in a group of 196 psychiatrically hospitalized adolescents. Defense mechanisms were measured through the use of the Defense Mechanisms Inventory (DMI); symptoms and problem behaviors were measured with the Youth Self-Report. Univariate and multivariate analyses indicated that externalizing symptoms are associated with defenses that locate the conflict outside of the self, whereas internalizing symptoms are associated with defenses that locate the conflict within the self. In contrast to previous reports, no gender differences were found in defense preference, though gender differences were found in the relation of defenses to symptoms. The findings are consistent with clinical theory of defense processes and support the distinction between internalizing/externalizing behaviors and personality dimensions for both symptoms and defenses. The study supports the validity of the adolescent form of the DMI.     

Defenses, Personality Structure, and Development: Integrating Psychodynamic Theory Into a Typological Approach to Personality

Psychodynamic theory does not conceptualize motivated unconscious defenses primarily in terms of individual traits. Rather, a person's mechanisms of defense are understood in terms of his or her personality structure and level of psychological development. This paper outlines the way in which this perspective has been integrated into a configural approach to personality assessment. The six-group typology based on the Weinberger Adjustment Inventory (WAI) identifies higher-order personality organization through the intersection of self-reported high/low distress and high/moderate/low self-restraint. The framework incorporates a developmental perspective by assessing affect regulation in conjunction with the internalization of self-regulatory controls. The primary defenses of prototypic members of each of the six groups are highlighted, and hypothesized links to personality traits, stages of ego development, attachment styles, and proneness to specific personality disorders are discussed.     

The Relationship Between Defenses and Symptoms in Adolescent Psychopathology

The relationship between defense mechanisms and symptoms was assessed in a group of 196 psychiatrically hospitalized adolescents. Defense mechanisms were measured through the use of the Defense Mechanisms inventory (DMI); symptoms and problem behaviors were measured with the Youth Self-Report. Univariate and multivariate analyses indicated that externalizing symptoms are associated with defenses that locate the conflict outside of the self, whereas internalizing symptoms are associated with defenses that locate the conflict within the self. In contrast to previous reports, no gender differences, were found in defense preference, though gender differences were found in the relation of defenses to symptoms. The findings are consistent with clinical theory of defense processes and support the distinction between internalizing/externalizing behaviors and personality dimensions for both symptoms and defenses. The study supports the validity of the adolescent form of the DML.     

A Critical Appraisal of Self-Report Defense Mechanism Measures

Defense mechanisms have been a source of both fascination and frustration for most personality researchers because they are conceptually intriguing but their assessment is often problematic. To aid personality researchers in integrating defense mechanism theory into personality research, we review and critique the major existing self-report defense mechanism measures: the Coping and Defending Scales (Joffe & Naditch, 1977); the Defense Mechanisms Inventory (Gleser & Ihilevich, 1969); the Life-Style Index (Plutchik, Kellerman, & Conte, 1979); and the Defense Style Questionnaire (Bond, Gardner, Christian, & Sigal, 1983). We conclude that no self-report measure adequately assesses the defining features of defense mechanisms. We offer a number of person and situation variables that must be considered when evaluating any defense mechanism measure, and we conclude that the comprehensive assessment of defense mechanism use will likely require measures obtained from multiple sources.     

Changing Notions of Defense Within Psychoanalytic Theory

Psychoanalysis began with a focus on how the "intrapsychic" defense mechanisms of the individual helped to reduce and control conflict. More specifically, defenses were seen as helpful in managing the intensity of needs, desires, and affects that inevitably lead to conflict as the individual encounters the needs and desires of others around him. While the earliest theory of defenses focused more on maintaining internal equilibrium, contemporary theories of defense are seen as part of a set of relational and cognitive patterns that develop in the context of close relationships with important others. In the more contemporary psychodynamic approach to defense, many defenses are seen as protecting the self-esteem of an individual rather than axiomatically protecting an individual from becoming conscious of thoughts or ideas that would cause anxiety were they to be remembered or recognized. The shift to more object relational and interpersonal approaches for the understanding of defense has had major implications for clinical treatment, which are examined in this article.     

A preliminary report on defenses and conflicts associated with borderline personality disorder

The authors present preliminary psychodynamic findings from a naturalistic study of borderline personality disorder compared to antisocial personality disorder and bipolar type II (depression with hypomania) affective disorder. An independent psychodynamic interview of each subject was videotaped from which ratings were made of the presence of 22 defense mechanisms and 11 psychodynamic conflicts. A factor analysis of ratings from 81 subjects supported the separation of borderline (splitting, projective identification) from narcissistic defenses (devaluation, omnipotence, idealization, mood-incongruent denial). While certain groups of defenses were associated with each diagnosis, defense ratings did not significantly discriminate the three diagnostic groups, suggesting a limit to their diagnostic value. Among 27 subjects rated, borderline personality was strongly associated with two conflicts: separation-abandonment, and a global conflict over the experience and expression of emotional needs and anger. Antisocial personality was psychodynamically distinct and more heterogeneous. Bipolar type II was associated with two hypothesized depressive conflicts: dominant other and dominant goal. Chronic depression, which was more common in both personality disorder groups than in bipolar type II, was associated with a third depressive conflict, overall gratification inhibition. Overall, conflicts were powerful discriminators of the three diagnostic groups. The heuristic value of these findings is discussed.     

Adaptive midlife defense mechanisms and late-life health

A growing body of research suggests that personality characteristics relate to physical health; however, this relationship has primarily been tested in cross-sectional studies that have not followed the participants into old age. The present study utilizes data from a 70-year longitudinal study to prospectively examine the relationship between the adaptive defense mechanisms in midlife and objectively assessed physical health in late life. In addition to examining the direct effect, we test whether social support mediates this relationship. The sample consisted of 90 men who were followed for over seven decades beginning in late adolescence. Health ratings from medical records were made at three time points (ages 70, 75, and 80). Defense mechanisms were coded from narratives by trained independent raters (Vaillant, Bond, & Vaillant, 1986). Independent raters assessed social supports between ages 50 and 70. More adaptive defenses in midlife were associated with better physical health at all three time points in late life. These relationships were partially mediated by social support. Findings are consistent with the theory that defense maturity is important for building social relationships, which in turn contribute to better late-life physical health. Psychological interventions aimed at improving these domains may be beneficial for physical health.     

The relationship between defense mechanisms,trait anxiety and need for approval

The current study investigated the relationship between three personality constructs, defense mechanisms as measured by the DMI (Gleser and Ihilevich, 1969), trait anxiety, and need for approval (nApp). 92 undergraduates completed the DMI, Spielberger, Gorsuch and Lushene (1970) A-Trait scale and the Marlowe-Crowne Social Desirability [MC-SD] scale. It was found that for females, defenses that turn anger towards others or towards the self were positively related to trait anxiety while defenses such as denial, repression, rationalization and intellectualization were negatively related to trait anxiety. No relations between defenses and A-Trait were found for males. It was also found that the approval motivated subjects reported less A-Trait as compared to low-nApp individuals and preferred to use socially desirable defenses such as repression, denying or reaction formation. Those who scored low on nApp preferred to use defenses which are less socially desirable. Gender differences in the effectiveness and social desirability of the different defenses are discussed.     

Working With Sidney Blatt: Developing Interactions

This tribute to Sidney J. Blatt describes our collaboration in the study of therapy change among hospitalized patients at the Austen Riggs Center. In particular, the use of defense mechanisms by these patients, and the relation of defenses to change in personality after treatment, were examined. The unfolding of this work is described.     

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.     

Defensive Reactance of Psychologists to a Metaphysical Foundation for Integrating Different Psychologies

Psychology is fragmented and encumbered by an inordinate influence from the outdated positivistic tradition. Whereas many psychologists obdurately embrace positivism, others react strongly against it, thus producing the polarities of thinking that Kimble (1984) called the two cultures of psychology. Researchers have frequently called for more flexible epistemology, but these have not resulted in the incorporation of modernity into our science, nor have they led to metaphysical integration. This resistance on the part of many psychologists to change is attributed to cognitive defense mechanisms. The defense mechanisms are placed against feelings of inferiority. Low tolerance for ambiguity (Frenkel-Brunswik, 1949) about a subject matter that encompasses unexplainable variance in behaviors is a particular mechanism, in perceived contrast to the physical sciences. Therefore, many psychologists tend to adopt extreme views on such metaphysical issues as free will and determinism, a tendency that results in sharp divisions in the profession.     

Defense Mechanisms in Mania,Bipolar Depression and Unipolar Depression

The present study compared the use of defense mechanisms in ten bipolar manic, ten bipolar depressed and ten unipolar depressed patients. The defense mechanisms were assessed by two methods: TAT stories scored by Defense Mechanism Manual and Defense Mechanism Rating Scale ratings of psychodynamic interviews. The severity of symptoms was assessed by Beck Depression Inventory for depressed patients and Young’s Manic Rating Scale for manic patients. Both bipolar manic and depressed groups used the defense mechanism of denial, borderline level defenses and immature defenses significantly more than the unipolar depression group. The manic group showed greater dependence on narcissistic level defenses as compared to the other two groups. Positive relationships were found between severity of manic symptoms and the defense mechanisms of denial as well as the narcissistic level defenses. The bipolar depression group also used more action level defenses as compared to the unipolar depression group. The unipolar depression group scored higher on the defense mechanism of identification and adaptive level defenses as compared to the manic group. A negative correlation was found between the severity of depressive symptoms for unipolar depression group and the defense mechanism of identification. The neurotic level defenses were used most frequently by unipolar depression group, followed by the bipolar depression group and manic group. Some of these findings are in consonance with the psychoanalytic understanding of mania and depression.     

Use of the TAT to measure change in defense mechanisms following intensive psychotherapy

Changes in the use of defense mechanisms (denial, projection, and identification) were examined over a period of approximately 15 months of intensive treatment of 90 seriously disturbed young adults who were hospitalized in an intensive, open, long-term treatment setting. Patients independently judged to have primarily an anaclitic or an introjective personality configuration (Blatt, 1974; Blatt & Shichman, 1983) were assessed for psychiatric symptoms and aspects of interpersonal behavior both on admission and after an average of 15 months of treatment. Findings based on an independent assessment of TAT protocols at these two times indicated a significant (p less than .05) decline in total use of defenses for the entire sample, but especially for introjective patients. Further, this decline in total use of defenses in the TAT was significantly associated with a reduction in psychiatric symptoms. Also, sex-incongruent patients (anaclitic men and introjective women) were found to use different defenses and to change in ways different from sex-congruent patients (anaclitic women and introjective men).     

Use of the TAT to Measure Change in Defense Mechanisms Following Intensive Psychotherapy

Changes in the use of defense mechanisms (denial, projection, and identification) were examined over a period of approximately 15 months of intensive treatment of 90 seriously disturbed young adults who were hospitalized in an intensive, open, long-term treatment setting. Patients independently judged to have primarily an anaclitic or an introjective personality configuration (Blatt, 1974, Blatt & Shichman, 1983) were assessed for psychiatric symptoms and aspects of interpersonal behavior both on admission and after an average of 15 months of treatment. Findings based on an independent assessment of TAT protocols at these two times indicated a significant (p < .05) decline in total use of defenses for the entire sample, but especially for introjective patients. Further, this decline in total use of defenses in the TAT was significantly associated with a reduction in psychiatric symptoms. Also, sex-incongruent patients (anaclitic men and introjective women) were found to rise different defenses and to change in ways different from sex-congruent patients (anaclitic women and introjective men).     

Relationship of obsessive-compulsive personality to obsessive-compulsive disorder: a review of the literature

The nature of the relationship between obsessive-compulsive personality and obsessive-compulsive disorder has been the subject of considerable debate. The present article dealt with clinical opinion and reviewed empirical data bearing on this issue. It was concluded that, although the two clinical entities bear a surface similarity in terms of shared behavioral features and defenses, obsessive-compulsive personality is neither a necessary nor sufficient factor in the development of obsessive-compulsive disorder, though the latter appears to be more frequently associated with premorbid obsessive-compulsive personality patterns than with other personality patterns. Suggestions for future research study are made.     

Contextualizing personality psychology

The issue of how to contextualize personality psychology constructively has been a longstanding dilemma. This special issue brings together personality, social, self, clinical, and cultural psychologists who have attempted to contextualize the self, personality, attachment, and cultural constructs in an integrative fashion, with a focus on broader situations, such as social roles. In this introductory essay, I describe the potential advantages of integrating traditional concepts in personality psychology with social roles and provide an overview of the contributions made to the special issue.