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Object relation quality, alexithymia, and defense mechanisms of drug abusers with antisocial personality disorder

Aleman, Kristian LU (2007) In Social Behavior and Personality 35(10). p.1335-1351
Abstract
The purpose was to investigate, in a sample of drug abusers, whether subscales in the KAPP (Karolinska Psychodynamic Profile, Weinryb, 1992) interview and defense mechanisms explored by the DMTm (Defense Mechanism Technique modified) could differentiate between DSM-III-R clusters and personality disorders (PDs). Forty-seven (47) subjects out of the 84 injecting drug abusers (56%) recruited from a detoxification hospital ward in Sweden had a primary antisocial PD (ASPD) with a comorbid second DSM-III-R PD diagnosis. Pathology was significant on the KAPP subscales of “Dependency and separation,” “Alexithymic traits,” “Normopathic traits,” “Coping with aggressive affects,” and “Sexual satisfaction” in relation to cluster B (dramatic). All... (More)
The purpose was to investigate, in a sample of drug abusers, whether subscales in the KAPP (Karolinska Psychodynamic Profile, Weinryb, 1992) interview and defense mechanisms explored by the DMTm (Defense Mechanism Technique modified) could differentiate between DSM-III-R clusters and personality disorders (PDs). Forty-seven (47) subjects out of the 84 injecting drug abusers (56%) recruited from a detoxification hospital ward in Sweden had a primary antisocial PD (ASPD) with a comorbid second DSM-III-R PD diagnosis. Pathology was significant on the KAPP subscales of “Dependency and separation,” “Alexithymic traits,” “Normopathic traits,” “Coping with aggressive affects,” and “Sexual satisfaction” in relation to cluster B (dramatic). All subscales were predominant in patients with ASPD/narcissistic PD, who showed the defense mechanism marked denial. The two latter subscales were related to patients with ASPD/borderline PD, who showed the defense of introaggression and the DMTm sign of disappearance of threat. Finally, some psychoanalytic constructs in KAPP and DMTm showed congruence. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Social Behavior and Personality
volume
35
issue
10
pages
1335 - 1351
publisher
Society for Personality Research (Inc.)
external identifiers
  • wos:000253098600006
  • scopus:37849004847
ISSN
0301-2212
language
English
LU publication?
yes
id
0488ae62-2a30-44b0-9bf1-b74a0ea7c538 (old id 931556)
date added to LUP
2008-01-18 15:35:47
date last changed
2017-01-01 06:52:30
@article{0488ae62-2a30-44b0-9bf1-b74a0ea7c538,
  abstract     = {The purpose was to investigate, in a sample of drug abusers, whether subscales in the KAPP (Karolinska Psychodynamic Profile, Weinryb, 1992) interview and defense mechanisms explored by the DMTm (Defense Mechanism Technique modified) could differentiate between DSM-III-R clusters and personality disorders (PDs). Forty-seven (47) subjects out of the 84 injecting drug abusers (56%) recruited from a detoxification hospital ward in Sweden had a primary antisocial PD (ASPD) with a comorbid second DSM-III-R PD diagnosis. Pathology was significant on the KAPP subscales of “Dependency and separation,” “Alexithymic traits,” “Normopathic traits,” “Coping with aggressive affects,” and “Sexual satisfaction” in relation to cluster B (dramatic). All subscales were predominant in patients with ASPD/narcissistic PD, who showed the defense mechanism marked denial. The two latter subscales were related to patients with ASPD/borderline PD, who showed the defense of introaggression and the DMTm sign of disappearance of threat. Finally, some psychoanalytic constructs in KAPP and DMTm showed congruence.},
  author       = {Aleman, Kristian},
  issn         = {0301-2212},
  language     = {eng},
  number       = {10},
  pages        = {1335--1351},
  publisher    = {Society for Personality Research (Inc.)},
  series       = {Social Behavior and Personality},
  title        = {Object relation quality, alexithymia, and defense mechanisms of drug abusers with antisocial personality disorder},
  volume       = {35},
  year         = {2007},
}