Defensive high-anxious individuals with chronic back pain demonstrate different treatment choices and patient persistence

The aim of this study is to determine whether the experience of, and response to chronic back pain was different for defensive high-anxious individuals than other personality types (defensive high-anxious, high-anxious, repressor and low-anxious). Participants (n = 111) were recruited from a heterogeneous sample of individuals who had reported back pain within the last 6 months. Self-report measures of trait anxiety and defensiveness were used to determine personality type. In addition, pain, treatment history, disability, depression and satisfaction with treatment were recorded. Despite reporting similar levels of pain to other personality groups, defensive high-anxious individuals reported significantly greater disability and depression (p < 0.01). Of the defensive high-anxious individuals, 92% sought more than one intervention. In comparison, repressors predominantly self-managed their pain with only 10% utilising more than one intervention. Surprisingly, there were no differences in treatment satisfaction between the four groups. The present study suggests that personality type is an important factor influencing patients’ treatment options, with defensive high anxious individuals substantially more likely to seek multiple interventions and remain within the care system. The present study provides a basis for future research into the role of personality type in the management of chronic pain.     

Psychotic functioning in adolescence: The perverse solution to survive

A psychotic breakdown in adolescence marks the emergence of a manifest aspect of a more complex process that has its origins in the patient's family pre‐history and in the patient's childhood story. This period of life is characterized by a sensorial explosion and adolescents will react differently according to the different resources they have at their disposal. Adolescents will attempt to create defensive solutions in order to face this decompensation on their own. In particular, polymorphously perverse behaviours can be utilized because of their specific characteristics in order to create a potent defence used to arrest a still more severe regression and at the same time providing the time necessary to safely navigate through a difficult and dangerous developmental phase. These solutions can be transitory or transform themselves into lasting defensive adaptations. These defensive modalities are very complex and articulated and can become fossilized in time, as, for example, in the case of a use of perverse defences against a breakdown. An analyst finding him/herself in these situations will find it difficult to differentiate in the diagnosis between a condition that is due to a perverse functioning used as a defence against decompensation, and a truly perverse structure that is beginning to emerge after puberty.     

Narcissism,identification, and longitudinal change in psychological health: Dynamic predictions

The narcissist has been described as “dependent on others to provide confirmation of the grandiose ego ideal” (American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.). The present study shows how the combination of dependent identification and unhealthy narcissism leads to decreasing psychological health across 42 years of adulthood. Change in psychological health is studied in 156 participants of the Intergenerational Studies, Institute of Human Development, University of California, Berkeley. We predicted that longitudinal decline in psychological health, as assessed by longitudinal hierarchical linear modeling analyses of the California Personality Inventory v3 scale [Gough, H. G., & Bradley, P. (1996). California Psychological Inventory. Palo Alto, CA: Consulting Psychologists Press], would be predicted by the joint presence in early adulthood of maladaptive narcissism [Wink, P. (1992). Three narcissism scales for the California Q-set. Journal of Personality Assessment, 58, 51–66] and defensive identification [Cramer, P. (1991a). The development of defense mechanisms: Theory, research and assessment. New York: Springer-Verlag]. In contrast, we predicted healthy narcissism would be positively related to psychological health throughout adulthood. Predictions were confirmed via regression analyses including interaction terms, and are explained by the insoluble conflict that occurs when narcissistic gratification is dependent on the admiration of others, but the tie to others interferes with independent growth and accomplishment.     

Working with prisoners in a transitional space

In this paper I talk about the potential benefits for offenders of working within the transitional space provided by a discussion group. Through ‘play’ these men have an opportunity to interact and learn to be potent without resorting to omnipotent defences of violence to get their own way. In considering the discussion group within the context of the prison as a whole, I focus on the relationship between staff and prisoners and how this relationship can be managed in such a way as to create more opportunities for thinking, leading to an enhanced focus on rehabilitation.     

Are individual differences in appetitive and defensive motivation related? A psychophysiological examination in two samples

Appetitive and defensive motivation account for a good deal of variance in personality and mental health, but whether individual differences in these systems are correlated or orthogonal has not been conclusively established. Previous investigations have generally relied on self-report and have yielded conflicting results. We therefore assessed the relation between psychophysiological indices of appetitive and defensive motivation during elicitation of these motivational states: specifically, frontal electroencephalogram asymmetry during reward anticipation and startle response during anticipation of predictable or unpredictable threat of shock. Results in a sample of psychopathology-free community members (n=63), an independent sample of undergraduates with a range of internalising symptoms (n=64), and the combination of these samples (n=127) revealed that differences in responding to the two tasks were not significantly correlated. Average coefficients approached zero in all three samples (community: .04, undergraduate: ?.01, combined: .06). Implications of these findings for research on normal and abnormal personality are discussed.     

An affirmed self and an open mind: Self-affirmation and sensitivity to argument strength

Self-affirmation seems to enable an individual to objectively evaluate information that would otherwise evoke a defensive reaction. If this objectivity reflects freedom from self-evaluative concerns, affirmation should sensitize people to central cues of a persuasive message, like argument strength. If affirmation simply induces agreeableness or trivializes the issue, affirmed participants should not particularly heed argument strength. Affirmed and non-affirmed participants rated the persuasiveness of pro- and counterattitudinal arguments that varied in strength. Among participants who rated their attitudes as personally important, self-affirmation decreased bias and increased sensitivity to argument strength, as predicted by self-affirmation theory.     

The effect of self-affirmation on perception of racism

Two studies tested the hypothesis that a self-affirmation manipulation can eliminate group differences in perception of racism. Latino and White students completed a questionnaire manipulation of self-affirmation followed by a survey measuring perception of racism against stigmatized groups. Results in both studies revealed a predicted main effect such that Latino participants perceived greater racism than did White participants. However, this difference was qualified in both studies by a hypothesized interaction. The group difference in perception of racism was true only of participants in the no-affirmation condition; it was reduced (Study 1) or eliminated (Study 2) among participants who received a self-affirmation treatment. Additional analyses challenge prevailing discourse about motivational sources of ethnic differences in racism perception. Although results provide tentative evidence that the affirmation treatment attenuated perception of racism among Latino participants, they provide stronger evidence that the affirmation treatment facilitated perception of racism among White participants.     

Adaptive behaviours of attacking futsal teams to opposition defensive formations

This study evaluated tendencies towards flexibility/stability of coordinated behaviours in international futsal teams, considered as complex collective systems, according to changes in opposition defensive formations. Six games of two international futsal teams (Spain and Portugal) were selected for Social Network Analysis to capture the coordination tendencies that emerge in the tactical behaviours of players when performing against different defensive formations. Ball trajectories in each offensive pattern of play were notated in an adjacency matrix where each entry accounted for the linkages between 12 spatial field areas. Each offensive play was coded according to the defensive formation of an opposing team (i.e. conservative or risky formation). Results revealed similar network properties between teams when competing against more risky defensive formations, while notable differences were observed against conservative defences. Effect of defensive formation of opponents on macro network properties was observed in both the Portuguese and Spanish teams. At a meso-level, only the Spanish national team exhibited notable changes, suggesting a greater level of adaptability to unfolding performance events. The observed flexibility in tactical behaviours of the Spanish team appeared to express their greater expertise levels.     

If you plan,then you can: How reflection helps defensive pessimists pursue their goals

This research examines how the two propensities that underlie defensive pessimism (pessimism and reflection) operate independently to influence the defensive pessimistic process. It investigates the hypothesis that the propensity to reflect, or plan, counteracts the detrimental effects of pessimism by encouraging not only planning, but also the pursuit of those plans. Consistent with these predictions, two studies revealed that the propensity to reflect helped defensive pessimists pursue their plans by (a) increasing goal importance, (b) promoting effort, (c) raising initial expectations, and (d) buffering the anticipated sting of failure. Pessimism hindered performance by increasing anxiety and lowering expectations. Thus, the propensity to reflect counteracts pessimism by not only promoting planning, but also processes that help the pursuit of those plans.