Document Detail


Defensive projection, superimposed on simplistic object relations, erodes patient-provider relationships in high-risk pregnancy: an empirical investigation.
MedLine Citation:
PMID:  21156840     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In an attempt to illustrate the relevance of psychoanalytic theory and research to behavior medicine, an empirical investigation was conducted of females treated at a high-risk pregnancy specialty clinic (N = 58). Drawing from psychoanalytic object relations theory, it was hypothesized and confirmed that use of projection as a defense mechanism during pregnancy, superimposed on simplistic object relations, predicted an erosion of patient-provider relationships during the pregnancy/postdelivery period. Findings are interpreted through the perspective of mentalization, pertaining to individuals' ability to understand the mental states of self and others, specifically under significant stress. Implications for psychoanalytically oriented assessment and treatment, and for the rift between psychoanalysis and research, are discussed.
Authors:
Golan Shahar; John H Porcerelli; Ray Kamoo; C Neill Epperson; Kathryn A Czarkowski; Urania Magriples; Linda C Mayes
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-12-14
Journal Detail:
Title:  Journal of the American Psychoanalytic Association     Volume:  58     ISSN:  1941-2460     ISO Abbreviation:  J Am Psychoanal Assoc     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2011-02-08     Completed Date:  2011-07-05     Revised Date:  2014-08-21    
Medline Journal Info:
Nlm Unique ID:  7505579     Medline TA:  J Am Psychoanal Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  953-74     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Middle Aged
Object Attachment*
Pregnancy
Pregnancy, High-Risk / psychology*
Professional-Patient Relations*
Projection*
Psychoanalytic Therapy*
Grant Support
ID/Acronym/Agency:
K02 MH073090/MH/NIMH NIH HHS; K24 DA030301/DA/NIDA NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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