Document Detail

Two primary configurations of psychopathology and change in thought disorder in long-term intensive inpatient treatment of seriously disturbed young adults.
MedLine Citation:
PMID:  17898348     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Change in three types of thought disorder as measured by Rorschach responses (contaminations, confabulations, and fabulized combinations) were assessed during intensive, long-term, psychodynamically oriented inpatient treatment. METHOD: Rorschach protocols for 90 seriously disturbed, treatment-resistant patients, 42 of whom were primarily preoccupied with primitive issues of interpersonal relatedness and used avoidant defenses (anaclitic patients) and 48 primarily preoccupied with primitive issues of self-definition and self-worth and used counteractive defenses (introjective patients), were evaluated at the beginning of treatment and, on average, 15 months into treatment. RESULTS: Change in anaclitic patients occurred primarily in more pathological forms of thought disorder (contaminations and confabulations) that express boundary disturbances; change in introjective patients occurred primarily in the less disturbed thought disorder (fabulized combinations) that expresses tendencies toward referential thinking. CONCLUSIONS: Seriously disturbed anaclitic and introjective patients expressed therapeutic progress in different but theoretically consistent ways.
Sidney J Blatt; Avi Besser; Richard Q Ford
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of psychiatry     Volume:  164     ISSN:  0002-953X     ISO Abbreviation:  Am J Psychiatry     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-27     Completed Date:  2007-11-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370512     Medline TA:  Am J Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1561-7     Citation Subset:  AIM; IM    
Department of Psychiatry, Yale University School of Medicine, Suite 901, 300 George St., New Haven, CT 06511, USA.
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MeSH Terms
Age Factors
Cognition Disorders / diagnosis*,  psychology,  therapy
Defense Mechanisms*
Interpersonal Relations
Long-Term Care*
Longitudinal Studies
Mental Disorders / diagnosis*,  psychology,  therapy*
Models, Psychological
Personality Disorders / diagnosis,  psychology,  therapy
Psychoanalytic Therapy / methods*
Reality Testing
Rorschach Test
Schizophrenia / diagnosis,  therapy
Schizophrenic Psychology
Self Concept
Severity of Illness Index
Treatment Outcome
Comment In:
Am J Psychiatry. 2007 Oct;164(10):1465-7   [PMID:  17898332 ]

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