Propadeutic to creating an empirical scale for measuring psychotic defenses, the psychoanalytic and empirical literature on psychotic defenses is reviewed, after which the concept of psychotic defenses as measured by the P-DMRS Psychotic-Defense Mechanism Rating Scales —which can be used independently or in combination with the current DMRS Defense Mechanism Rating Scales —is operationalized. Finally, current research directions applying the P-DMRS to the clinical setting are presented, as well as its implications for guiding current clinical practice.
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Journal of the American Psychoanalytic Association. Prometheas Constantinides and Stephen M.
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Vol 58, Issue 6, pp. Download Citation If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Via Email All fields are required. Send me a copy Cancel. Request Permissions View permissions information for this article. Article first published online: March 1, ; Issue published: Remember me Forgotten your password? Sign in here using your membership username and password. Subscribe to this journal.
Vol 58, Issue 6, Identifying Psychotic Defenses in a Clinical Interview. Tips on citation download. Ego defense patterns in manic-depressive illness. American Journal of Psychiatry Its Origins and Need-Adapted Treatment. A Practical Guide for Families and Therapists. Cognitive Theory, Research, and Therapy. Karnac Books , An empirical approach to the study of defense mechanisms: Reliability and preliminary validity of the Rorshach defense scales. Journal of Personality Assessment Contribution of patient defense mechanisms and therapist interventions to the development of early therapeutic alliance in a brief psychodynamic investigation.
Toward Developing a Scale to Empirically Measure Psychotic Defense Mechanisms
Google Scholar , Medline. Early attachment experience and recovery from psychosis. British Journal of Clinical Psychology The Psychoanalytic Theory of Neurosis. The Ego and the Mechanisms of Defense. International Universities Press , Psycho-analytic notes upon an autobiographical account of a case of paranoia dementia paranoides. Psychoanalytic Essays on Psychosis.
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Psychological Approaches and Their Effectiveness. Recovery style from mental illness and long-term outcome. This book explores the effects of the psychotic patient's suffering on carers and the culture of psychiatric services. Suffering Insanity is arranged as three essays. The first concerns staff stress in psychiatric services, exploring how the impact of madness demands a personal resilience as well as careful professional support, which may not be forthcoming.
The second essay attempts a systematic review of the nature of psychosis and the intolerable psychotic experience, which the patient attempts to evade, and which the carer must confront in the course of daily work. The third essay returns to the impact of psychosis on the psychiatric services, which frequently configure in ways which can have serious and harmful effects on the provision of care. In particular, service may succumb to an unfortunate schismatic process resulting in sterile conflict, and to an assertively scientific culture, which leads to an unwitting depersonalisation of patients.
Suffering Insanity makes a powerful argument for considering care in the psychiatric services as a whole system that includes staff as well as patients; all need attention and understanding in order to deliver care in as humane a way as possible. All those working in the psychiatric services, both in large and small agencies and institutions, will appreciate that closer examination of the actual psychology and interrelations of staff, as well as patients, is essential and urgent.