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).     

Comparing three new MMPI-2 randomness indices in a novel procedure for random profile derivation

This study compared three new validity indices; /F-Fb/, VRIN+/F-Fb/, and F+Fb+/F-Fb/; to the F, back-F, and VRIN according to their effectiveness in detecting degrees of profile randomness. Participants completed the Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, and Kaemmer, 1989) according to standardized instructions. All profiles starting at Items 142, 284, or 426 were substituted with computer-generated random responses to produce 75%, 50%, and 25% random profiles, respectively. Twenty-five profiles were derived using 100% computer-generated items. Finally, one unaltered set of profiles was designated as 0% random. This generated five groups of MMPI-2 profiles, differing according to the degree of profile randomness (i.e., 0%, 25%, 50%, 75%, and 100%). Results showed that the F and /F-Fb/ indices were unable to distinguish authentic from all degrees of randomness, whereas the F+Fb+F-Fb scale could reliably distinguish all levels of randomness. The actuarial analysis found back-F and F+Fb+/F-Fb/ misclassified the least number of profiles, suggesting the latter index should be included in the evaluation of MMPI-2 profile randomness.     

Specialist counsellors in primary care: The experience and preferences of general practitioners

This paper reports the results of a postal questionnaire, pre-coded by practice, which was sent to all 484 Leicestershire general practitioners. Practitioners who could and who could not refer to an in-house counsellor were compared in terms of their views about counselling provision, both within the practice and by agencies outside, such as mental health teams and specialist counselling services. General practitioners having access to a counsellor belonged to practices which were larger and had fundholding status. No signijicant dafference was found between rural and urban practices in their employment of an in-house counsellor, although those doctors working in rural areas were less likely to see this service as having a high priority. General practitioners without in-house counsellors estimated a referral rate (for counselling) in excess of twice that of the actual rate reported by those with practice counsellors. Those having an in-house counsellor were more likely to agree with statements that emphasized the benefits of this form of provision as against that offered by either mental health teams or specialist counselling services.     

Correlates of self-worth in preschoolers: The role of gender-stereotyped styles of behavior

It was hypothesized that gender-stereotyped styles of social interaction are apparent as early as the preschool years, and that the use of these gender-stereotyped behaviors is associated with the child's perceived competence and social support. Using a story-completion method with 47 white middle-class preschoolers, the results of the study confirmed the hypotheses. Boys were more likely to use the male-stereotyped styles of domination and intrusion, while girls were more likely to use the female-stereotyped styles of affiliation and inclusion. In addition, the use of male gender-stereotyped behaviors among boys was significantly related to perceived physical competence and peer acceptance. For girls, use of the female gender-stereotyped behavior of Affiliation was related to perceived cognitive competence and, weakly, to perceived maternal acceptance. For both sexes, use of the feminine-stereotyped behavior of Inclusion was negatively related to competence and acceptance variables.     

Smoking Behavior Development and Modification: An Empirical Application of Three Social Psychological Theories1

Three major social psychological theories were applied to data obtained in interviews with a random sample of 50 exsmokers and 50 smokers. The objective was to test the utility of these theories with respect to smoking behavior development and change. The results provided strong support for the hypotheses derived from reference group theory and partial support for the cognitive dissonance and psychoanalytic hypotheses.     

Learning pictures and words: The role of implicit verbal labeling

In two experiments (Ns = 144 and 192), second, fourth, and sixth graders learned pairs of pictures or of words, and were tested for both item learning (either with pictures or words) and associative learning. By analysis of false recognition errors, it was determined that implicit verbal labeling occurred only among the older two groups. However, there was no evidence that this labeling affected paired-associate learning.     

Homonym understanding and conservation

It is proposed that a common cognitive capacity underlies both homonym understanding and conservation ability—namely, the capacity to shift attention from one dimension (domain) to another. This hypothesis is tested in a longitudinal study of kindergarten (mean age 6-0) and first-grade (mean age 6-6) children. The results indicate that conservation status is significantly related to homonym understanding, over and above the age or general vocabulary level of the child.     

Sex Differences in Loneliness: The Role of Masculinity and Femininity

The present study assessed the magnitude of sexdifferences in loneliness after accounting for theinfluence of two covariates: masculinity and femininity.The 256 participants (principally White, somewhat affluent, and middle-class university students)completed both the UCLA Loneliness Scale and the Bem SexRole Inventory. Whereas sex differences were originallynonsignificant (males tended to be lonelier than females), this difference was significantafter accounting for masculinity (not femininity)embedded in participants' loneliness scores. Similarresults emerged when the covariates were partialled out of both loneliness (criterion) and sex(predictor). These findings support the hypothesis thatmales appear reluctant to admit feelings of loneliness.Male reluctance to personally admit social deficits such as loneliness is suggested for futureresearch.     

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.