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KMID : 0870520040080010034
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Journal of Korean Academy of Addiction Psychiatry
2004 Volume.8 No. 1 p.34 ~ p.39
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Ego Defense Mechanism in the Alcoholics
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Park Jong-Sub
Lee Jae-Won
Ku Mi-Ryrang
Park Sung-Guk
Hwang Sang-Jong
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Abstract
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Objectives：To understand substance abuse, deficiencies in internal self-regulation should be considered as an important
aspect, which are largely due to inadequate ego defense mechanisms. We examined characteristic ego defense mechanisms, and the relationships between alcohol dependence and ego defense mechanisms in alcoholics.
Methods：111 alcoholics meeting DSM-IV criteria for alcohol dependence and 88 healthy nonalcoholics were evaluated by using Ehwa Defense Mechanisms Test (EDMT). 20 scales scores of EDMT were analysed by student t-test in both total groups and individuals with high education. These results were compared with those of factor analysis of EDMT.
Results：The scales scores of 9 defense mechanisms were significantly higher in alcoholics than non-alcoholics. Acting out was a most prominent defense mechanism in alcoholics. These results were similar after correction of education level. 5 major defense mechanisms of alcoholics were affiliated with insecure-sensitivity factor.
Conclusion：These findings indicate that inadequate ego defense mechanisms may be the important cause of self-regulatory deficiencies in patients with alcohol dependence. We suggest that multiple therapeutic approaches to strengthen healthy ego functions of self-regulation should be provided in alcohol treatment program.
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KEYWORD
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Alcohol dependence, Ego defense mechanisms
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