The association between self-image and defence mechanisms in a group of adolescent patients receiving psychiatric treatment

Psychiatr Pol. 2015;49(4):747-56. doi: 10.12740/PP/30017.
[Article in English, Polish]

Abstract

Objectives: The aim of the study was to explore the relationship between various areas of self-image and defence mechanisms in adolescents. The study included a division into groups according to whether or not they were receiving psychiatric treatment.

Methods: Data were obtained from two groups: a clinical group (30 persons), consisting of adolescent patients of the Adolescent Inpatient Ward of the Child and Adolescent Psychiatry Clinic and a control group (40 persons), adolescents attending upper secondary school. The Defence Style Questionnaire DSQ-40 and the Offer Self Image Questionnaire were used in the study.

Results: Results showed no differences, in the maturity levels of the defence mechanisms, between the two groups. Subjects from the clinical group had a significantly lower self-image of themselves than subjects from the control group.. In both groups, the use of mature defence mechanisms was accompanied by a positive self-image, while the use of less mature defence mechanisms was associated with a lower self-image. Comparison of the groups revealed different relationships between the aspects of self-image and used defence mechanisms, in particular the mechanism of projection. Number of significant correlations was greater in the clinical group.

Conclusions: In the context of lower self-image, the study revealed the importance of such defence mechanisms as projection, acting out, somatization or schizoid fantasies. The obtained results seem to confirm a hypothesis that the assessment of the maturity of defence mechanisms in the period of adolescence is less clear and clinically useful.

Keywords: defence mechanisms, adolescence, self-image.

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adolescent Behavior / psychology*
  • Case-Control Studies
  • Defense Mechanisms*
  • Female
  • Humans
  • Internal-External Control
  • Male
  • Mental Disorders / psychology*
  • Mental Disorders / therapy*
  • Poland
  • Self Concept*