Predicting Defense Mechanisms

A Comprehensive Analysis of Personality Traits and Values in Adult Behavioral Health

Authors

  • Jonathan S. Ciampi
  • Helena Rouhe

DOI:

https://doi.org/10.67945/jfa.v17i1.11

Keywords:

defense mechanisms, personality traits, behavioral health, predictive modeling

Abstract

Objective

This paper reviews defense mechanisms and the ability to predict them from personality traits and values. Defense mechanisms operate subconsciously in responses to anxiety-producing thoughts and feelings (Schauenburg et al., 2007). Defense mechanism alters perception by distorting or dissociating information (Pitil & Ghazali, 2021). Similar to values, defense mechanisms are core to the personality, shape the information perceived, and may cause issues in communication, behavior, and overall well-being (Evren et al., 2012; Giovazolias et al., 2017; Kazemi & Khosravi, 2016; Thienemann et al., 1998). While adaptive defense mechanisms are good, maladapted defenses create issues. Thus, defense mechanisms should be well-understood and considered vital to all axiologists.

Method and Results

This study aimed to identify the most accurate predictive model for each defense mechanism using personality traits and values in an adult behavioral health population. A total of 278 respondents from a tele-behavioral health clinic were analyzed. The analysis utilized six different predictive models—three linear and three non-linear—to identify the most meaningful relationships. The findings indicate that personality traits and values predict defense mechanisms with varying degrees of predictive strength ranging from 3.9% to 39.3%.

Conclusions

Defense mechanisms are often unknown until they emerge. Yet, this study demonstrates that defense mechanisms are predictable and could be used to aid communication and attenuate their effects. Additionally, maladapted defense mechanisms often give rise to conflict, mistrust, and miscommunication, which can have adverse effects. While the sample was a behavioral health population, and miscommunication in health care can be deleterious, the implications are much broader. Thus, this paper provides a framework for predicting defense styles before they emerge that can aid any interpersonal relationship.

References

Akoglu, H. (2018). User’s guide to correlation coefficients. Turkish Journal of Emergency Medicine, 18(3), 91–93. https://doi.org/10.1016/j.tjem.2018.08.001

Andrews, G., Singh, M., & Bond, M. (1993). The defense style questionnaire. The Journal of Nervous and Mental Disease, 181(4), 246–256. https://doi.org/10.1097/00005053-199304000-00006

Aronson, E., Wilson, T., & Sommers, S. (2019). Social Psychology, 10th Edition (10th ed.). Pearson.

Babl, A., grosse Holtforth, M., Perry, J., Schneider, N., Dommann, E., Heer, S., Stähli, A., Aeschbacher, N., Eggel, M., Eggenberg, J., Sonntag, M., Berger, T., & Caspar, F. (2019). Comparison and change of defense mechanisms over the course of psychotherapy in patients with depression or anxiety disorder: Evidence from a randomized controlled trial. Journal of Affective Disorders, 252, 212–220. https://doi.org/10.1016/j.jad.2019.04.021

Bailey, R., Pico, J., (n.d.). Defense mechanisms. National Library of Medicine. StatPearls Publishing

Boag, S. (2017). Splitting (defense mechanism). In Encyclopedia of Personality and Individual Differences (pp. 1–4). Springer International Publishing. https://doi.org/10.1007/978-3-319- 28099-8_1427-1

Bond, M. (2004). Empirical studies of defense style: Relationships with psychopathology and change. Harvard Review of Psychiatry, 12(5), 263–278. https://doi.org/10.1080/10673220490886167

Bowins, B. (2004). Psychological defense mechanisms: A new perspective. The American Journal of Psychoanalysis, 64(1), 1–26. https://doi.org/10.1023/b:tajp.0000017989.72521.26

Bukstein, D. A. (2016). Patient adherence and effective communication. Annals of Allergy, Asthma & Immunology, 117(6), 613–619. https://doi.org/10.1016/j.anai.2016.08.029

Carpendale, J. I., Muller, U., & Bibok, M. B. (2008). Piaget’s theory of cognitive development. In N. J. Salkind (Ed.), Encyclopedia of Educational Psychology (pp. 799–804). SAGE Publications, Inc.

Cialdini, R. B. (1983). Influence: The Psychology of Persuasion (2nd ed.). The Business Library.

Clapper, T. C., & Ching, K. (2019). Debunking the myth that the majority of medical errors are attributed to communication. Medical Education, 54(1), 74–81. https://doi.org/10.1111/medu.13821

Costa, R. (2017). Undoing (defense mechanism). In Encyclopedia of Personality and Individual Differences (pp. 1–2). Springer International Publishing. https://doi.org/10.1007/978-3-319- 28099-8_1434-1

Costa, R. (2019). Denial (defense mechanism). In Encyclopedia of Personality and Individual Differences (pp. 1–3). Springer International Publishing. https://doi.org/10.1007/978-3-319- 28099-8_1373-1

Cramer, P. (2014). Defense mechanisms: 40 years of empirical research. Journal of Personality Assessment, 97(2), 114–122. https://doi.org/10.1080/00223891.2014.947997

DeWolfe, T. E. (2013). Jean Piaget’s theory of cognitive development. In Salem Press Encyclopedia of Health. Grey House Publishing.

DeYoung, C. G., Quilty, L. C., & Peterson, J. B. (2007). Between facets and domains: 10 aspects of the big five. Journal of Personality and Social Psychology, 93(5), 880–896. https://doi.org/10.1037/0022-3514.93.5.880

Di Giuseppe, M., & Perry, J. (2021). The hierarchy of defense mechanisms: Assessing defensive functioning with the defense mechanisms rating scales q-sort. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.718440

Edelson, S. R. (1981). Pseudo-altruism. Psychiatric Quarterly, 53(2), 106–109. https://doi.org/10.1007/bf01064894

Edwards, R. B. (2010). The essentials of formal axiology. UPA.

Elliott, B. C. (1969). Factor and cluster analyses of the Hartman inventory: A study of item homogeneity and factorial invariance for normative and ipsative scales (302468767) [Doctoral dissertation, University of Tennessee]. ProQuest Dissertations and Thesis Global. https://www.proquest.com/pqdtglobal1/dissertations-theses/factor-cluster-analyses-hartman- inventory-study/docview/302468767/sem-2?accountid=14872

Evren, C., Cagil, D., Ulku, M., Ozcetinkaya, S., Gokalp, P., Cetin, T., & Yigiter, S. (2012). Relationship between defense styles, alexithymia, and personality in alcohol-dependent inpatients. Comprehensive Psychiatry, 53(6), 860–867. https://doi.org/10.1016/j.comppsych.2012.01.002

Firke, S., Denney, B., Haid, C., Knight, R., Grosser, M., & Zadra, J. (n.d.). Janitor: Simple tools for examining and cleaning dirty data. r-project.org. https://doi.org/10.32614/CRAN.package.janitor

Fisher, R. (1986). Getting to Yes (New Ed ed.). Random House UK.

Fischer, R., & Boer, D. (2014). Motivational basis of personality traits: A meta‐analysis of value‐ personality correlations. Journal of Personality, 83(5), 491–510. https://doi.org/10.1111/jopy.12125

Giovazolias, T., Karagiannopoulou, E., & Mitsopoulou, E. (2017). Can the factor structure of defense style questionnaire (dsq-40) contribute to our understanding of parental acceptance/rejection, bullying, victimization and perceived well-being in Greek early adolescents? Europe’s Journal of Psychology, 13(2), 269–285. https://doi.org/10.5964/ejop.v13i2.1090

Gori, A., Topino, E., Palazzeschi, L., & Di Fabio, A. (2021). Which personality traits can mitigate the impact of the pandemic? Assessment of the relationship between personality traits and traumatic events in the covid-19 pandemic as mediated by defense mechanisms. PLOS ONE, 16(5), e0251984. https://doi.org/10.1371/journal.pone.0251984

Greenwell, B., & Boehmke, B. (2020). Variable importance plots—an introduction to the vip package. The R Journal, 12(1), 343. https://doi.org/10.32614/rj-2020-013

Griggs, R. A., & Jackson, S. L. (2019). Psychology: A concise introduction (Sixth ed.). Worth Publishers.

Hartig, F. (n.d.). DHARMa: Residual diagnostics for hierarchical (multi-level/mixed) regression models. r-project.org. https://cran.r-project.org/web/packages/DHARMa/index.html

Hartman, R. S. (2006). The Hartman Value Profile Manual of Interpretation (Second Edition) [e- book]. Robert S Hartman Institute.

Hartman, R. S. (2011). The Structure of Value (1st ed.). Wipf and Stock Publishers.

Hayes, S. C., & Hofmann, S. G. (2021). “Third‐wave” cognitive and behavioral therapies and the emergence of a process‐based approach to intervention in psychiatry. World Psychiatry, 20(3), 363–375. https://doi.org/10.1002/wps.20884

Henderson, S. (2023). Defense mechanisms: A guide to brain functioning? Neuropsychoanalysis, 25(2), 191–202. https://doi.org/10.1080/15294145.2023.2261458

Hock, R. R. (2009). You’re getting defensive again. In Forty Studies That Changed Psychology, Global Edition [paperback] (6th ed., pp. 194–199). Prentice Hall.

Hurwitz, T. A. (2004). Somatization and conversion disorder. The Canadian Journal of Psychiatry, 49(3), 172–178. https://doi.org/10.1177/070674370404900304

Jafari, S., Rafiepour, A., Taheri, A., & Sabet, M. (2022). The mediating role of psychological wellbeing in the relationship between defense mechanisms and therapeutic alliance among therapists and psychiatric nurses. Journal of Client-centered Nursing Care, 8(1), 33–40. https://doi.org/10.32598/jccnc.8.1.399.1

Kassambara, A. (n.d.). Cran: Package rstatix. r-project.org. https://CRAN.R- project.org/package=rstatix

Kazemi, S., & Khosravi, S. (2016). Predicting the defense mechanisms based on personality traits in university employees. International Journal of Pharmaceutical Research & Allied Sciences, 5(1), 273–279. https://ijpras.com/article/predicting-the-defense-mechanisms-based-on-personality- traits-in-university-employees

Kent, M. (2007). Oxford Dictionary of Sports Science and Medicine (3rd ed.). Oxford University Press.

Kuhn, M., & Wickham, H. (n.d.). Tidymodels. tinymodels. https://www.tidymodels.org

Laczkovics, C., Fonzo, G., Bendixsen, B., Shpigel, E., Lee, I., Skala, K., Prunas, A., Gross, J., Steiner, H., & Huemer, J. (2018). Defense mechanism is predicted by attachment and mediates the maladaptive influence of insecure attachment on adolescent mental health. Current Psychology, 39(4), 1388–1396. https://doi.org/10.1007/s12144-018-9839-1

Lee, K., & Ashton, M. C. (2019). Not much h in the big five aspect scales: Relations between bfas and hexaco-pi-r scales. Personality and Individual Differences, 144, 164–167. https://doi.org/10.1016/j.paid.2019.03.010

Maheshwari K. & Chadha Y. (2021). Correlation study between personality traits and cognitive distortions. International Journal of Indian Psychology, 9(1), 421–441.

McCrae, R. R., & Costa, P. T. (1986). Personality, coping, and coping effectiveness in an adult sample. Journal of Personality, 54(2), 385–404. https://doi.org/10.1111/j.1467-6494.1986.tb00401.x

McCrae, R. R., & John, O. P. (1992). An introduction to the five‐factor model and its applications. Journal of Personality, 60(2), 175–215. https://doi.org/10.1111/j.1467-6494.1992.tb00970.x

McGee, P. (2013). How to Succeed with People: Remarkably Easy Ways to Engage, Influence and Motivate Almost Anyone (1st ed.). Capstone.

Mefford, D. (2011). Expanded axiological diagnostics for the HVP. The Journal of Formal Axiology: Theory and Practice, 4, 155–173. https://www.hartmaninstitute.org/journal-of-formal-axiology

Metzger, J. A. (2014). Adaptive defense mechanisms: Function and transcendence. Journal of Clinical Psychology, 70(5), 478–488. https://doi.org/10.1002/jclp.22091

Mostowik, J., Mielimąka, M., Rutkowski, K., & Ostrowski, T. (2020). Time in the mental health context: Neurotic symptomatology, defense mechanisms and the perception of time perspective among patients diagnosed with neurotic and personality disorders—a clinical study. Psychological Reports, 125(1), 232–255. https://doi.org/10.1177/0033294120978164

Murphy, T. F. (2023, December 19). Lost in a world of their own: Exploring autistic fantasy. Psychology Fanatic. https://psychologyfanatic.com/autistic-fantasy-a-defense-mechanism/

Ozili, P. K. (2023). The acceptable r-square in empirical modelling for social science research. In Advances in knowledge acquisition, transfer, and management (pp. 134–143). IGI Global. https://doi.org/10.4018/978-1-6684-6859-3.ch009

Parinello, A. (1999). Selling to VITO (The Very Important Top Officer) (Second ed.). Adams Media.

Pitil, P. P., & Ghazali, S. R. B. (2021). Psychometric Evaluation of the Defense Styles Questionnaire 40 (DSQ-40) In A Sample of University Students. Global Business & Management Research, 13(2).

Pomeroy, L. (2005). The New Science of Axiological Psychology (Value Inquiry Book 169) (Hartman Institute Axiology Studies). Rodopi.

R-project. (n.d.). R: The r project for statistical computing. https://www.R-project.org/

Rackham, N. (1988). Spin Selling (1st ed.). McGraw-Hill.

Ribadier, A., Dorard, G., & Varescon, I. (2016). Personality and defense styles: Clinical specificities and predictive factors of alcohol use disorder in women. Journal of Psychoactive Drugs, 48(5), 384–392. https://doi.org/10.1080/02791072.2016.1234089

Roccas, S., Sagiv, L., Schwartz, S. H., & Knafo, A. (2002). The big five personality factors and personal values. Personality and Social Psychology Bulletin, 28(6), 789–801. https://doi.org/10.1177/0146167202289008

Rokeach, M. (1973). The Nature of Human Values. Free Pr.

Sagiv, L., & Schwartz, S. H. (2022). Personal values across cultures. Annual Review of Psychology, 73(1), 517–546. https://doi.org/10.1146/annurev-psych-020821-125100

Schauenburg, H., Willenborg, V., Sammet, I., & Ehrenthal, J. C. (2007). Self‐reported defence mechanisms as an outcome measure in psychotherapy: A study on the German version of the Defence Style Questionnaire DSQ 40. Psychology and Psychotherapy: Theory, Research and Practice, 80(3), 355–366. https://doi.org/10.1348/147608306x146068

Schwartz, S. H. (2012). An Overview of the Schwartz Theory of Basic Values. Online Readings in Psychology and Culture, 2(1). https://doi.org/10.9707/2307-0919.1116

Shitu, Z., Hassan, I., Thwe Aung, M., Tuan Kamaruzaman, T., & Musa, R. (2018). Avoiding medication errors through effective communication in healthcare environment. MoHE, 7(1). https://doi.org/10.15282/mohe.v7i1.202

Shmueli, G. (2010). To explain or to predict? Statistical Science, 25(3). https://doi.org/10.1214/10- sts330

Simpson, S. D., & Bedwell, J. S. (2022). Big five aspect personality scales and social anxiety severity in a nonpsychiatric sample. Personality and Individual Differences, 199, 111840. https://doi.org/10.1016/j.paid.2022.111840

Sissons, C. (2020, July 31). Defense mechanisms: 8 types and examples. MedicalNews Today. https://www.medicalnewstoday.com/articles/defense-mechanisms

Smith, R. K. (2006). Validation studies for the Hartman Value Profile (and the Hartman-Kinsel Profile) (A compendium that summarizes twenty validation studies conducted on groups of people who took the Hartman Value Profile.) [PDF]. ClearDirection, Inc. http://www.cleardirection.com/docs/validation/validation.asp

Soldz, S., Budman, S., Demby, A., & Merry, J. (1995). The relation of defensive style to personality pathology and the big five personality factors. Journal of Personality Disorders, 9(4), 356–370. https://doi.org/10.1521/pedi.1995.9.4.356

Swinscow, T. D. V. (1997). 11. correlation and regression. Statistics at square one. https://www.bmj.com/about-bmj/resources-readers/publications/statistics-square-one/11- correlation-and-regression

Sun, Y., Peng, D., Ding, G., Qi, T., Desroches, A. S., & Liu, L. (2015). The dynamic nature of assimilation and accommodation procedures in the brains of Chinese–English and English–Chinese bilinguals. Human Brain Mapping, 36(10), 4144–4157. https://doi.org/10.1002/hbm.22904

Therneau, T., Atkinson, B., & Ripley, B. (n.d.). Rpart: Recursive partitioning and regression trees. r- project. https://CRAN.R-project.org/package=rpart

Thienemann, M., Shaw, R. J., & Steiner, H. (1998). Child Psychiatry and Human Development, 28(3), 189–198. https://doi.org/10.1023/a:1022837911156

Thompson, L., & McCabe, R. (2012). The effect of clinician-patient alliance and communication on treatment adherence in mental health care: A systematic review. BMC Psychiatry, 12(1). https://doi.org/10.1186/1471-244x-12-87

Tierney, N., Cook, D., McBain, M., Fay, C., O’Hara-Wild, M., Hester, J., Smith, L., & Heiss, A. (n.d.). Naniar: Data Structures, Summaries, and Visualisations for Missing Data. R-Project.Org. https://cran.r-project.org/web/packages/naniar/index.html

Vaillant, G. E. (1992). Ego Mechanisms of Defense: A Guide for Clinicians and Researchers (1st ed.). American Psychiatric Association Publishing.

Vaillant, G. E. (2004). Defense mechanisms. In Encyclopedia of Psychology, vol. 2 (pp. 454–457). American Psychological Association. https://doi.org/10.1037/10517-166

Warner, R. M. (2012). Applied Statistics: From Bivariate Through Multivariate Techniques (2nd ed.). SAGE Publications, Inc. (US).

Wickham, H., Averick, M., Bryan, J., Chang, W., McGowan, L., François, R., Grolemund, G., Hayes, A., Henry, L., Hester, J., Kuhn, M., Pedersen, T., Miller, E., Bache, S., Müller, K., Ooms, J., Robinson, D., Seidel, D., Spinu, V.,...Yutani, H. (2019). Welcome to the tidyverse. Journal of Open Source Software, 4(43), 1686. https://doi.org/10.21105/joss.01686

Willoughby, E. A., Kim, Y., Lee, J. J., & DeYoung, C. G. (2023). The construct validity of intellect and openness as distinct aspects of personality through differential associations with reaction time. Journal of Intelligence, 11(2), 30. https://doi.org/10.3390/jintelligence11020030

Wright, M. N., & Ziegler, A. (2017). Ranger: A fast implementation of random forests for high dimensional data in c++ and r. Journal of Statistical Software, 77(1). https://doi.org/10.18637/jss.v077.i01

Published

2024-07-01

How to Cite

Ciampi, J. S., & Rouhe, H. (2024). Predicting Defense Mechanisms: A Comprehensive Analysis of Personality Traits and Values in Adult Behavioral Health. Journal of Formal Axiology: Theory and Practice, 17(1), 63–95. https://doi.org/10.67945/jfa.v17i1.11

Issue

Section

Articles

Categories