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<p>Brief dynamic interpersonal therapy (DIT) is a&#xa0;16‑h manualized psychotherapy procedure with a&#xa0;psychodynamic background. The focus is on working through the patient’s recursive and maladaptive relationship pattern that is the cause of the symptoms. The extent to which changes in the functional level of psychological defense plays a&#xa0;role in this has not yet been investigated and was the aim of this single case study. To this end, 11&#xa0;sessions from different phases of therapy were analyzed using the defense mechanism rating scales Q‑sort. The symptom burden, the therapeutic relationship and the mentalizing abilities were assessed before each session. The patient showed a&#xa0;stable and adaptive pattern of defense with unsystematic fluctuations. The outcome instruments indicate a&#xa0;successful course of the treatment. It remains to be studied whether adaptive functional levels of defense are a&#xa0;treatment goal or more a&#xa0;treatment prerequisite for DIT.</p>

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Abwehrmechanismen in der Brief Dynamic Interpersonal Therapy

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月31日

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  • Pauline Leonie Herrmann,
  • Lotta Hüwe,
  • Sylke Andreas

摘要

Brief dynamic interpersonal therapy (DIT) is a 16‑h manualized psychotherapy procedure with a psychodynamic background. The focus is on working through the patient’s recursive and maladaptive relationship pattern that is the cause of the symptoms. The extent to which changes in the functional level of psychological defense plays a role in this has not yet been investigated and was the aim of this single case study. To this end, 11 sessions from different phases of therapy were analyzed using the defense mechanism rating scales Q‑sort. The symptom burden, the therapeutic relationship and the mentalizing abilities were assessed before each session. The patient showed a stable and adaptive pattern of defense with unsystematic fluctuations. The outcome instruments indicate a successful course of the treatment. It remains to be studied whether adaptive functional levels of defense are a treatment goal or more a treatment prerequisite for DIT.