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[Self concept and object relations in patients with monopolar and neurotic depression: a clinical study with the Giessen Test].

A psychodynamic concept of depression is presented which refers to object-relation-theory. It is hypothesized that there is a dynamic interrelationship between the narcissistic homeostasis and interpersonal mechanisms of defence and compensation. The perception of the self and objects of patients with unipolar and neurotic depression and their partners was compared by means of the Giessen-Test. Both clinical groups differ according to the complement of roles and to projective mechanisms of defence. The depression of male patients collides with gender role stereotypes, which are stressed by the self images of depressive women. With regard to therapeutical interventions it is recommended to take into consideration the psychodynamic and interpersonal dimension of depression as well as the conflict resulting from the social-psychological dimension of depression, especially those of depressive male patients.

Defense Mechanisms↗

[Significance of membership in new religious movements for regulation of self concept exemplified by the Hare Krischna movement].

222 members of the Hare-Krishna-Movement were investigated with the Narcissism Inventory by Deneke and Hilgenstock (1989). The results show that life in the Hare-Krishna-Movement makes certain defensive functions possible. The Hare Krishnas seem to reach a stabilization of their self experience through idealizing transferences and overemphasizing their value-system. High scores on the scale derealisation/depersonalisation hint at an ego-weakness of the members.

Adult↗

Variation in the self-concept of young adult chronic patients: chronicity reconsidered.

A group of 65 young adult chronic patients were asked to assess themselves and to describe a typical community resident and a typical mental patient; they used a semantic differential instrument consisting of adjective pairs arranged in a 7-point bipolar rating scale. The self-assessments of 96 percent of the patients corresponded to their descriptions of either the community resident or the mental patient. Compared with the two-thirds of the sample who described themselves as community residents, subjects who described themselves as patients were more likely to be older and single, to report psychological distress, and to rely on homogeneous support networks. They were also more likely to be taking medications and to be pessimistic about their prognoses, but less likely to have been hospitalized. Such perceptual patterns may lock some young adult patients into patienthood.

Activities of Daily Living↗