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Results for “PERSONALITY, IMMATURE”

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PubMed1976

[Problems of anesthesia and recovery in neonatal surgery. Personal experience during ther period 1970-1975].

On the basis of personal experience during the past five years, the anaesthesiological and resuscitatory problems of neonatal surgery are considered, with special regard to the following pathological conditions: oesophageal atresia, diaphragmatic hernia, omphalocele and gastroschisis, neonatal peritonitis, anal atresia, intestinal atresia and stenosis. It is stated that the new post-operative care tecniques have not only improved survival percentages, but, in the case of oesophageal atresia, have made it possible to operate (radically) even in seriously immature babies with ongoing complications.

Anesthesia↗

PubMed1988

Breaking the cycle of abuse.

The aim of this study was to identify variables that distinguish mothers who broke the cycle of abuse from mothers who were abused as children and who also abused their own children. Based on maternal interviews and questionnaires completed over a 64-month period, measures of mothers' past and current relationship experiences, stressful life events, and personality characteristics were obtained. Abused mothers who were able to break the abusive cycle were significantly more likely to have received emotional support from a nonabusive adult during childhood, participated in therapy during any period of their lives, and to have had a nonabusive and more stable, emotionally supportive, and satisfying relationship with a mate. Abused mothers who reenacted their maltreatment with their own children experienced significantly more life stress and were more anxious, dependent, immature, and depressed.

Adolescent↗

PubMed1984

Anorexia tardive--late onset marital anorexia nervosa.

Most cases of anorexia nervosa start in adolescence but a sizeable number can develop the condition at any late age. The term Anorexia Tardive is reintroduced to describe woman who develop anorexia nervosa at or after the time of their marriages. The paper reports the study of the background and personalities of 50 such women, together with their husbands in 45 cases, and the parts played by both in the condition. The women were divided into 4 groups; those who developed Anorexia Tardive (1) in the engaged period, (2) after marriage and before pregnancy, (3) after childbirth and (4) at or after the menopause. In the first three groups Anorexia Tardive developed as a maladaptive solution to a growing marital crisis. Many of the husbands were immature men who readily accepted a sick dependent wife. Group 4 women differed in a number of respects and their loss of weight ultimately came to express a desire to die. Outcome and prognosis are described.

Adult↗

PubMed1989

An empirical study of defense mechanisms. I. Clinical interview and life vignette ratings.

The Defense Mechanism Rating Scales (DMRS) measure the use of defense mechanisms based on clinical interview or life vignette data. Using nonprofessional raters observing videotaped psychodynamic interviews of individuals with personality and affective disorders, the median intraclass interrater reliability (IR) of the defense scales was .36 but was .57 for group consensus ratings and .74 when related defenses were grouped into defense summary scales. When follow-up data on life vignettes were rated, the median interrater IR was .55 for those defenses occurring at least 5% of the time and .66 for the defense summary scales. In relation to follow-up data, so-called immature defenses (denial, projection, acting out, hypochondriasis, passive-aggression) were associated with higher levels of symptoms, poorer global functioning, and higher proportion of time impaired in psychosocial role functioning. Borderline defenses (splitting, projective identification) displayed a similar pattern. Among narcissistic and neurotic defenses, only devaluation was associated with poorer functioning, whereas intellectualization was associated with higher functioning. Finally, action and borderline defenses demonstrated significant correlations across methods and across time (video vs life vignettes), whereas obsessional, disavowal, and narcissistic defenses showed nonsignificant trends. Overall, these results support the model of a hierarchy of defenses.

Adolescent↗

PubMed2004

Forensic entomology.

Necrophagous insects are important in the decomposition of cadavers. The close association between insects and corpses and the use of insects in medicocriminal investigations is the subject of forensic entomology. The present paper reviews the historical background of this discipline, important postmortem processes, and discusses the scientific basis underlying attempts to determine the time interval since death. Using medical techniques, such as the measurement of body temperature or analysing livor and rigor mortis, time since death can only be accurately measured for the first two or three days after death. In contrast, by calculating the age of immature insect stages feeding on a corpse and analysing the necrophagous species present, postmortem intervals from the first day to several weeks can be estimated. These entomological methods may be hampered by difficulties associated with species identification, but modern DNA techniques are contributing to the rapid and authoritative identification of necrophagous insects. Other uses of entomological data include the toxicological examination of necrophagous larvae from a corpse to identify and estimate drugs and toxicants ingested by the person when alive and the proof of possible postmortem manipulations. Forensic entomology may even help in investigations dealing with people who are alive but in need of care, by revealing information about cases of neglect.

Animals↗

PubMed1997

Defense reactions and coping strategies in normal adolescents.

In exploring the relationship between defense reactions and coping strategies in a non-clinic sample of adolescents (N = 81), we assessed: defense structure by the Bond Defense Style Questionnaire (DSQ); coping behaviors by the Coping Responses Inventory-Youth Form (CRI-Youth); and general adjustment by Global Assessment of Functioning (GAF) ratings. Defense reactions and coping strategies were modestly associated and made independent contributions in predicting the GAF. Mature and immature defenses and avoidance coping comprised the optimal combination in predicting the GAF, accounting for 20% of GAF variance. It is therefore important to assess both unconscious and conscious processes when assessing general functioning in normal adolescents.

Adaptation, Psychological↗

PubMed2004

Brazilian patients with panic disorder: the use of defense mechanisms and their association with severity.

This study aims to evaluate the defense mechanisms most frequently used by Brazilian patients with panic disorder when compared with a control group. The study also examines the association between severity of disease and comorbidity and the use of specific defense mechanisms. Sixty panic-disordered patients and 31 controls participated in the study. The Mini International Neuropsychiatric Interview was used to confirm the panic disorder diagnosis and to establish the comorbid diagnosis. The Clinical Global Impression (CGI) was used to assess severity and the Defensive Style Questionnaire (DSQ-40) was used to evaluate the defense mechanisms. Panic patients used more neurotic (mean = 4.9 versus 3.6; p < 0.001) and immature (mean = 3.9 versus 2.8; p < 0.001) defenses as compared with controls. Panic patients with severe disease (n = 37; CGI>4) had more depression comorbidity and used more immature defenses than patients with CGI<or=4 (n = 23; mean = 4.2 versus 3.5; p < 0.001). It was concluded that the panic severity and depression comorbidity found in Brazilian panic-disordered patients are associated with the use of maladaptive mechanisms, namely immature defenses.

Adult↗

PubMed1991

Ego defensive styles and alexithymia: a discriminant validation study.

Fifty-six mildly depressed psychiatric outpatients were evaluated for alexithymia measured by the Toronto Alexithymia Scale. Each subject also completed a Defensive Style Questionnaire that assessed the maturity of their ego defenses. Alexithymia was strongly associated with immature ego defenses, but not with depression. The data suggests that alexithymia and such primitive defensive operations are separate phenomena. These findings empirically support earlier observations regarding the nature of alexithymia.

Adult↗

PubMed2005

Cognitive performance differentiates selected aspects of psychosocial maturity in adolescence.

This study examined relations between adolescents' cognitive performance and psychosocial maturity. Forty-eight adolescents in Grades 9 and 12 were measured on intelligence (composite, crystallized, fluid), executive functioning (backward digit span, Color Trails 2 (CT2), Stroop, everyday problem solving), and psychosocial maturity (subjective age, problem behavior, psychological maturity). Significant relations between aspects of cognitive performance and psychosocial maturity emerged. Problem behavior was related to lower crystallized intelligence, whereas psychological maturity was related to higher crystallized intelligence and better performance on the CT2. Psychosocially mature adolescents had significantly higher composite IQ scores than did pseudomature adolescents. Mature adolescents also showed advantages in crystallized and fluid intelligence, and in performance on the CT2, compared to their less mature counterparts (the combined group of immature and pseudomature adolescents). The results suggest that cognitive abilities are related to psychosocial maturity.

Activities of Daily Living↗

PubMed2003

Defense mechanisms in a community-based sample of female adolescents with partial eating disorders.

OBJECTIVES: The purpose of this study is to assess whether female adolescents diagnosed with partial eating disorders (EDs) will show less adaptive defense mechanisms compared to female controls with no-ED. METHODS: The following questionnaires were administered to 423 female high-school students: The Eating Attitudes Test (EAT-26), the Defense Style Questionnaire (DSQ), and Life Style Index (LSI) (both tapping defense mechanisms), and a structured questionnaire assessing eating-related issues. Weight and height were also recorded. Partial anorexia nervosa (AN) and bulimia nervosa (BN) were defined with the combination of a maladaptive EAT score and fulfillment of adapted DSM-IV criteria. RESULTS: Compared to non-ED controls, participants with partial AN and partial BN used more immature defenses, including the DSQ-immature defense style (only those with partial BN) and LSI-regression, as well as more neurotic defenses, namely the DSQ-neurotic defense style, and LSI-compensation and displacement. CONCLUSIONS: The combined use of immature and neurotic defenses may be associated with a greater risk to develop a partial ED in adolescent females.

Adolescent↗

PubMed1985

Automated cytochemical differential leucocyte count in patients hospitalized with acute bacterial infections.

Absolute blood levels of various leucocyte types were measured by an automated cytochemical differential count (Hemalog D/90) in 84 adult patients hospitalised with an acute bacterial infection. The neutrophil granulocyte levels varied widely in all patient categories ranging from a normal value to a high count. Neutrophilic granulocytosis defined by a count exceeding 6.0 X 10(9)/l was detected in 47 patients (56%). An increased level of neutrophils with a high myeloperoxidase activity (Hpx cells) representing leucocytes recruited from the bone marrow was found in 51 patients (61%). Monocytosis was found in 25 (30%) and lymphocytopenia in 23 patients (27%). A high number of large unstained cells indicating an increase in atypical lymphocytes was detected in only 3 persons. Entirely normal cytochemical parameters were recorded in 13 patients (15%). The relationship between various leucocyte types was investigated in 26 patients with erysipelas. A negative association (r = -0.59) was observed between the neutrophil and the monocyte count. There was no correlation between the neutrophil and the lymphocyte count, nor between the levels of monocytes and lymphocytes. A positive correlation (r = 0.76) was established between the neutrophil count and the level of Hpx cells indicating that recruitment of immature cells from the bone marrow reserve pool is a feature of patients with erysipelas. The high precision and reproducibility of the cytochemical differential count indicate that the variability noted in the disease categories studied is a biological one, being the result of the complex interaction of invading microorganisms with the host defence system.

Adolescent↗

PubMed1998

Concurrent validity of the MMPI-A in a counseling program for juvenile offenders.

This study was conducted to examine the concurrent validity of the MMPI-A (Minnesota Multiphasic Personality Inventory-Adolescent) in an adolescent offender setting. From a sample of 50 court-adjudicated youths participating in an outpatient counseling program, 42 valid MMPI-A profiles were obtained, 33 of which were accompanied by counselor ratings of behavior problems. The highest mean elevations on the MMPI-A were on scales MAC-R (MacAndrew Alcoholism Scale-Revised), A-Con (Adolescent Conduct Problems), A-Sch (Adolescent School Problems), Pd (Psychopathic Deviate), and IMM (Adolescent Immaturity). Counselor ratings of behavior problems correlated highly with scales ACK (Alcohol and Drug Acknowledgment Scale), A-Sch, A-Ang (Adolescent Anger Problems), Ma (Hypomania), and PRO (Alcohol/Drug Problem Proneness). This pattern of results supports the concurrent validity of the MMPI-A for use in this setting.

Adolescent↗

PubMed1993

Intelligence, behaviour and psychosocial development in Turner syndrome. A cross-sectional study of 50 pre-adolescent and adolescent girls (4-20 years).

In this paper we report the findings and data on a cross-sectional study of 50 pre-adolescent and adolescent girls with Turner syndrome. We confirm the presence of a typical cognitive profile in the different age groups with normal verbal intelligence contrasting with lower results on performal IQ subtests, related to relative weaknesses on visuospatial subtests i.e. "Block Design" and "Object Assembly". 5% of the girls with a "classical" Turner syndrome karyotype (i.e. 2/40) were mentally retarded versus 30% (i.e. 3/10) in the group with "rare" karyotypic anomalies. We noted a positive influence of hormonal therapy on the visuospatial functioning. No evidence was found for a high risk for behavioural problems. Hyperactive behaviour was seen in the youngest patients contrasting with a tendency to hypoactivity around the age of normal puberty. Problems in social development were noted from the age of primary school on resulting in social immaturity and even isolation. A proposal for guidance of Turner girls during the different developmental periods is given.

Adolescent↗

PubMed1984

Children in classes for the severely emotionally handicapped.

This report will describe the clinical findings of a collaborative program to provide appropriate neuropsychiatric skills for 60 children ages 8 to 14 (grade 3 to 8) and their teachers, comprising the entire population of two self-contained units (eight classes) for the treatment of children designated as severely emotionally handicapped but not autistic. Of the 60 children, 36 (60%) were suffering from learning disabilities. Eighteen of these had neurological signs suggestive of organic defect of the central nervous system; the remaining 18 children with learning disabilities had specific or development learning disabilities characterized by perceptual immaturity in spatial orientation and/or temporal organization, but the classical neurological examination administered to them was within normal limits. Ten additional children were classified as having an attentional deficit disorder, and 11 additional children were functioning at a borderline level of cognitive ability. Fifty-nine of the 60 children were suffering from diagnosable psychiatric disorders: 21 (35%) severely anxious, 13 (22%) clinically depressed, 12 (20%) conduct disorders, 6 (10%) oppositional, 3 (5%) schizophrenic, 2 (3%) obsessive-compulsive disorder, and 2 (3%) personality disorder. Applications of these findings are suggested.

Adolescent↗

PubMed1996

Rapid improvement in the defense style of depressed women and men.

The purpose of this study was to determine whether the defense style of hospitalized depressed adults improved over the course of treatment. Thirty-one inpatients (24 women and 7 men) with an admitting diagnosis of major depression completed the 40-item Defense Style Questionnaire and the 20-item Center for Epidemiologic Studies-Depression Scale. Participants completed the Defense Style Questionnaire and the Center for Epidemiologic Studies-Depression Scale within 48 hours after admission and within 24 hours before or after discharge. The average admission and discharge Center for Epidemiologic Studies-Depression Scale ratings (+/-SD) were 41.93+/-9.93 and 26.45+/-12.19, respectively. The average hospital length of stay was 7.1+/-2.8 days. Two-tailed t-test comparisons of the Defense Style Questionnaire admission and discharge ratings showed significantly higher discharge mature ratings, significantly lower discharge immature ratings, and stable neurotic ratings. We concluded that for some depressed women and men, improvement in defense style can occur within days after the initiation of standard inpatient treatment.

Adult↗

PubMed1991

Syndromes derived from the Child Behavior Checklist for clinically referred Israeli boys aged 6-11: a research note.

Child Behavior Checklists (CBCL) were completed by parents of 450 clinically referred Israeli boys aged 6-11. Principal components analyses with varimax rotation yielded 10 syndromes: aggressive, uncommunicative/social withdrawal, depressed, delinquent, hyperactive, somatic complaints, anxious, immature, unpopular, and odd. The first seven syndromes were highly correlated with American and Dutch syndromes derived from the CBCL providing further evidence of their cross-cultural robustness.

Aggression↗

PubMed1975

A psychiatric-psychological study of XYY males found in a general male population.

The psychological test results of five XYY males from in a population study showed an intellectual level within the normal range but with a mean full scale IQ and educational level lower than expected. The cognitive as well as emotional function was characterized by immaturity, manifested in passivity, unreflectiveness and emotional liability, in three resulting in uncontrolled aggressive outbursts. Conflict material also appeared immaturely resolved, centering around unfulfilled needs of contact and insecure masculine identification. The defense mechanisms used were generally rather weak, but only in one subject did the anxiety level seem to be excessively low. All five males differed to a certain extent from their siblings; three of them were hyperactive, restless, hot-tempered and impulsive at school and four of them had difficulties at school. Three learned a trade, but only one stayed in his trade, and one was applying for disablement pension on account of personality deviation. Two of the five had a criminal record. It is concluded that the presence and degree of the above-mentioned characteristics of XYY males varied. It is evident that environmental factors play as great a role for the development of personality and behaviour in males with karyotype 47, XYY as in males with a normal chromosome constitution.

Adult↗

PubMed2002

Students' perceptions of being graded as a group in the college classroom: relations among students' age, employment, and perceived group satisfaction.

This investigation compared and measured for different age groups of students, hours of employment, and previous grading experiences of one student cohort in relation to their perceived overall satisfaction with being graded as a group. A cohort of 230 students from a large southern metropolitan university enrolled in sections of two undergraduate classes. Group Interaction and Decision Making and Conflict Management, participated. Analysis indicated that (a) older students (28-47 years) were more likely to be dissatisfied with a group grade experience than middle (23-27 years) and younger (18-22 years) students. (b) Older students working part time were significantly more dissatisfied with the overall group experience than the younger part-time working students. (c) Older part-time working students were significantly more dissatisfied with the overall experience of working and being graded as a group than the middle part-time and middle full-time working students. Differences were noted between the older and younger students, which supported older students' overall dissatisfaction with their experience of being graded as a group. Common complaints by older students were that younger students were immature, irresponsible, lacked "real-life" experience, and had misplaced priorities. Common complaints by younger students were that older students were too serious and rigid. It is recommended that this work be extended to include other comparison groups, graduate students, and other disciplines.

Adolescent↗