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首页> 外文期刊>Psychotherapy >Changes in Defensive Functioning in a Case of Avoidant Personality Disorder
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Changes in Defensive Functioning in a Case of Avoidant Personality Disorder

机译：避免性人格障碍时防御功能的变化

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This case study is based upon data from a male patient with Avoidant Personality Disorder who was in psychoanalytic treatment for 5 years. Defense mechanism use was assessed by 3 coders using the Defense Mechanisms Rating Scales. Session transcripts from intake, each year of therapy, and 1-year follow-up were used for the ratings. Over the course of psychoanalysis and follow-up, the patient's Overall Defensive Functioning and High-Adaptive defense level use increased and his use of the Disavowal defense level and Fantasy decreased. The pattern of change throughout treatment was also assessed. The patient's Overall Defensive Functioning decreased initially, followed by an increase through year 4. Overall Defensive Functioning decreased again prior to termination before increasing to its highest level at follow-up. The results demonstrated changes consistent with hypotheses and theory, including overall improvement in defensive functioning, an initial regression of defensive functioning, decline in functioning immediately prior to termination, and continued improvement posttermination. This pattern of defense change highlights the importance of assessing defenses in treatment research.
机译：本案例研究基于一名患有回避型人格障碍的男性患者的数据，该患者接受了5年的精神分析治疗。 3名编码人员使用“防御机制评级量表”评估了防御机制的使用。来自摄入量，每年治疗和一年随访的会议成绩单用于评估。在心理分析和随访过程中，患者的总体防御功能和高度适应性防御水平的使用增加了，而对拒绝防御水平和幻想的使用则减少了。还评估了整个治疗过程中的变化模式。病人的总体防御功能开始下降，然后一直持续到第4年。总体防御功能在终止之前再次下降，随后上升至随访的最高水平。结果表明，与假设和理论相符的变化包括防御功能的总体改善，防御功能的初始回归，终止前的功能下降以及终止后的持续改进。这种防御变化的模式突显了在治疗研究中评估防御的重要性。

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