The relation between defense use and adaptive behavior |
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| Institution: | 1. Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia;2. Informed Medical Decisions Program, Massachusetts General Hospital, Boston, Massachusetts;3. Center for Evidence and Practice Improvement (CEPI), Agency for Healthcare Research and Quality, Rockville, Maryland;4. VA Palo Alto Health Care System, Palo Alto, California;5. Department of Medicine, Stanford University, Stanford, California;6. Center for Personalized Health, Feinstein Institutes of Medical Research, Northwell Health, Manhasset, New York;7. Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra University/Northwell Health, Manhasset, New York;1. Department of Psychology, Northwestern University, Evanston, IL, USA;2. Department of Psychiatry, Northwestern University, Chicago, IL, USA;3. Medical Social Sciences, Northwestern University, Chicago, IL, USA;4. Institute for Policy Research (IPR), Northwestern University, Chicago, IL, USA;5. Institute for Innovations in Developmental Sciences (DevSci), Northwestern University, Evanston and Chicago, IL, USA;1. Department of Psychiatry, Weill Institute for Neurosciences, University of California, San Francisco, (UCSF), San Francisco, USA;2. University of Basel Psychiatric Hospital, Center for Gender Research and Early Detection, Basel, Switzerland;3. Neuropsychopharmacology and Brain Imaging Research Unit, Department of Psychiatry, Psychotherapy and Psychosomatics, Hospital of Psychiatry, University of Zurich, Switzerland;4. Department of Psychology and Brain Research Centre, University of British Columbia, Vancouver, BC, Canada;1. Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada;2. Centre for Addiction and Mental Health, Toronto, Ontario, Canada;3. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada;4. Department of Psychology, University of Toronto, Toronto, Ontario, Canada;5. Rotman Research Institute, Baycrest Health Sciences, Toronto, Ontario, Canada |
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| Abstract: | In two studies we examine the association between a person’s pattern of defense use, assessed by a new measure called the Defense-Q, and their adaptive behavior. We compare each person’s Defense-Q profile to a theoretical Adaptive Defense Profile (ADP) to obtain an ADP similarity score. In Study 1 we show in a student sample that ADP similarity scores are positively related to observed empathy and competence and negatively to hostility. In Study 2 we demonstrate in a population-based community sample that ADP similarity scores are positively related to nurse’s ratings of competence and nutritional based weight control programs and negatively related to hostility, depression, alcohol use, and weight control through the use of pills. These results suggest that defense use is related to adaptive behavior in a theoretically consistent manner, and that the Defense-Q shows promise as an observer-based instrument to assess defenses. |
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