KMID : 0385320140250010013
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Journal of Korean Psychoanalytic Society 2014 Volume.25 No. 1 p.13 ~ p.23
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Differences of Defense Mechanisms and Psychological Characteristics between the Patients with Cluster B and C Personality Disorders of DSM-IV: Implication for Theory of Borderline Personality Organization
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Kim Hye-Guem
Jeong Jin-Young Cha Young Choi Joong-Heyon Cheon Eun-Jin Lee Jun-Yeop Song Shin-Ho Kim Eung-Jo Koo Bon-Hoon
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Abstract
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Objectives: The purpose of this study was to nd out differences of defense mechanisms and psychological characteristics between personality B and C clusters by Diagnostic and Statistical Manual of Mental Disorders, fourth edition criteria.
Methods: One hundred and eighty patients with axis II personality disorder [cluster B (n=121), C (n=59)] were enrolled in this study. All subjects completed psychological test with Minnesota Multiphasic Personality Inventory (MMPI), the Symptom Checklist-90-Revised (SCL-90-R), the Personality Disorder Questionnaire (PDQ) , and the Defense Style Questionnaire (DSQ),
Results: Somatization and hostility subscale scores of SCL-90-R were signicantly increased in cluster B.Depression and social introversion of MMPI were signicantly increased in cluster C, while psychopathic deviate and hypomania were signicantly increased in cluster B. Paranoid, antisocial, borderline, histrionic,narcissistic, negativistic personality disorder of PDQ were signicantly increased in cluster B. Image distorting-defense styles of DSQ were signicantly increased in cluster B. In addition, neurotic denial, non-delusional projection, acting out, and afliation were signicantly increased in cluster B, while omnipotence was signicantly increased in cluster C.
Conclusion: It seems that hostility can be exposed more easily in cluster B. So, that causes interpersonal problems more commonly. On the other hand, it seems that hostility can be introjected in cluster C. So, that causes more tendency of depression or social introversion. In addition, patients with cluster B personality disorders have more primitive defense mechanisms, while patients with cluster C personality disorders commonly use omnipotent fantasy without expression of their conicts. The characteristics in the patients with cluster B personality disorders are more compatible
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KEYWORD
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Cluster B personality disorder, Cluster C personality disorder, Psychological characteristics, Defense mechanisms, Borderline personality organization
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