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KMID : 0368820100490030332
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Journal of the Korean Neuropsychiatr Association
2010 Volume.49 No. 3 p.332 ~ p.338
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Eight Years of Follow-Up Study with Regard to Defense Mechanisms in Medical Students
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Shin Eun-Young
Jung Han-Yong
Lee So-Young
Kim Shin-Gyeom
Park Joon-Ho
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Abstract
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Objectives: The purpose of this study was to evaluate the changes in defense mechanisms in medical students as they progress towards becoming a doctor.
Methods: Ninety premedical students were enrolled from Soonchunhyang University. All subjects were evaluated at baseline, during their 6th year of medical school, during their 4th year as a practicing doctor by the Ewha defense Mechanisms Test which contained 20 defense mechanisms and 4 factors (unstable, narcissistic, self-negative, and avoidant). In the end, 60 subjects were included in the analysis.
Results: During the period from premedical student to medical doctor, the use of passive-aggressive, acting-out, displacement, somatization, dissociation, projection, denial, regression, and distortion decreased significantly. Also, there was a significant difference in the use of defense mechanisms from the time as a premedical student to a medical student. However, there was no significant difference in the period from medical student to medical doctor.
Conclusion: We concluded that the use of unstable and avoidant defense scales decreased in the course of becoming a doctor from a premedical student, compared to mature or stable defense scales.
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KEYWORD
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Self, Defense, Mechanism
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