"Defense Mechanisms as Diagnostic Criteria for Personality Disorders: A" by Marcel Rashyde

Defense Mechanisms as Diagnostic Criteria for Personality Disorders: A Review

Date of Award

Winter 2025

Document Type

Doctoral Research Paper

Degree Name

Psy.D.

Organizational Unit

Graduate School of Professional Psychology

First Advisor

Laura Meyer

Second Advisor

Shelly Smith-Acuna

Third Advisor

Joshua Burg

Copyright Statement / License for Reuse

All Rights Reserved
All Rights Reserved.

Keywords

Defense mechanisms, Levels of personality pathology, Personality disorders

Abstract

Defense mechanisms are psychological processes that individuals automatically and unconsciously employ to protect themselves from awareness of anxiety, internal stress, and external stress. Defense mechanisms play an integral role in psychoanalytic understanding of personality, though they are not currently included in the diagnostic criteria for personality disorders as defined by the current Diagnostic and Statistics Manual, the DSM-5-TR. The purpose of this literature review is to address several questions in attempts to determine if the DSM should devote a task group to evaluate the inclusion of defense mechanisms as a diagnostic addition for personality disorders. This review found important connections between specific personality disorders and defense mechanisms; however, current shifts towards a dimensional paradigm of diagnosing personality disorders presents challenges in drawing direct links between defenses and specific personality disorders, and for this reason defense mechanisms may initially be better utilized as informing levels of personality organization. In this regard, there are clear connections between immature defense use and levels of personality pathology. The inclusion of a hierarchy of defenses in the AMPD would allow for further facilitation of research on the relationship between defensive adaptiveness and levels of personality pathology.

Copyright Date

11-5-2024

Publication Statement

Copyright is held by the author. Permanently suppressed.

Rights Holder

Marcel Rashyde

Provenance

Received from author

File Format

application/pdf

Language

English (eng)

Extent

45 pgs

File Size

326 KB

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