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Patient defense/therapist interventions

Author(s): Winston B, Winston A, Samstag LW, Muran JC

Abstract

Studied patient defensive behavior and therapist addressing defense (TAD) in short-term dynamic psychotherapy and brief adaptive psychotherapy in 28 adult patients with personality disorders. Three levels of patient defense (immature, intermediate, and mature) were coded. Only intermediate defensive behavior such as intellectualization and rationalization decreased. The greater the frequency of Ss' intermediate and immature defenses early in treatment, the better the outcome. Ss' defensive behavior was significantly correlated with the therapist addressing this behavior and with a decrease in immature and intermediate defenses. The frequency of TAD was significantly correlated with patient outcome.

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