What is the scientific status and the "truth value" of the concept of defense mechanisms? Among contemporary psychologists, three types of answers to this question may be expected. Some would wholeheartedly endorse the theoretical, clinical, and research value of this notion; others would reject it outright. Between these two extremes, a large number of observers, perhaps the majority, would suspend their judgment. Their attitude, compounded of hope and doubt, would capitalize on defense as an interesting and promising concept. At the same time, these psy chologists would express skepticism and disappointment over its clinical limitations, theoretical ambiguity, and research failures. The present volume is primarily addressed to the audience of hopeful skeptics-those who have not given up on the notion of defense, yet have been frustrated by the difficulties of incorporating it into the modern, streamlined structure of psychology. To this end, we have brought together theoretical and empirical contributions germane to defense together with reports about their applications to clinical and personality assessment, especially in relation to psychopathology, psychosomatics, and psycho therapeutic intervention.

Integrating theory, research, and applications, this book examines the defense mechanisms and their role in both normal development and psychopathology. It describes how children and adults mobilize specific kinds of defenses to maintain their psychological equilibrium and preserve self-esteem, particularly in situations of trauma or stress.

Now completely revised (over 90% new), this is the authoritative diagnostic manual grounded in psychodynamic clinical models and theories. Explicitly oriented toward case formulation and treatment planning, PDM-2 offers practitioners an empirically based, clinically useful alternative or supplement to DSM and ICD categorical diagnoses. Leading international authorities systematically address personality functioning and psychological problems of infancy, childhood, adolescence, adulthood, and old age, including clear conceptualizations and illustrative case examples. Purchasers get access to a companion website where they can find additional case illustrations and download and print five reproducible PDM-derived rating scales in a convenient 8 1/2" x 11" size. New to This Edition *Significant revisions to all chapters, reflecting a decade of clinical, empirical, and methodological advances. *Chapter with extended case illustrations, including complete PDM profiles. *Separate section on older adults (the first classification system with a geriatric section). *Extensive treatment of psychotic conditions and the psychotic level of personality organization. *Greater attention to issues of culture and diversity, and to both the clinician's and patient's subjectivity. *Chapter on recommended assessment instruments, plus reproducible/downloadable diagnostic tools. *In-depth comparisons to DSM-5 and ICD-10-CM throughout. Sponsoring associations include the International Psychoanalytical Association, Division 39 of the American Psychological Association, the American Psychoanalytic Association, the International Association for Relational Psychoanalysis & Psychotherapy, the American Association for Psychoanalysis in Clinical Social Work, and five other organizations. Winner--American Board and Academy of Psychoanalysis Book Prize (Clinical Category)

Not since Anna Freud's 1937 book, The Ego and the Mechanisms of Defense, has any one volume explored this topic as fully as Ego Mechanisms of Defense by George E. Vaillant. By summarizing the latest empirical studies, proposing a universal language of defense mechanisms, and demonstrating how various assessment methods can be used in diagnosis, case formulation, and treatment, Dr. Vaillant and an interdisciplinary group of contributors provide the groundwork for clinical practice as well as future research in the field.

The idea that the human mind-that faculty of the intellect which we use to define and discern the truth-might also be used to deceive itself is not new. The classic orator Demosthenes warned of this possibility in 349 B.C. when he wrote that "Nothing is more easy than to deceive one's self; what a man wishes he generally believes to be true." 1 Even Jean Jacques Rousseau, who suggested the possibility of man as "noble savage," alerts us to this paradox, when he writes "Jamais fa nature ne nous trompe; c'est toujours nous qui nous trompons" ("Nature never deceives us; it is always we who deceive ourselves). 2 But it was Sigmund Freud who placed this idea firmly into the field of psychopathology and then, later, into a general psychological theory. According to Freud, understanding the function of a defense mechanism means not only fathoming the origin of pathological symptoms but also comprehending a model of the mind that includes both conscious and unconscious mental processes. From this initial focus on the general process of defense, Freud and his followers went on to identify various forms this process might take, with the result that today we have a list of 3 more than 37 defense mechanisms described in the literature.

`[The client material]... stimulated thought and reflection... Clark presented a large number of very tricky case studies and illustrated all manner of different and interesting ways of responding to clients who find it difficult to engage with the process of counselling. Furthermore, this is done in the framework of a model of counselling which integrates humanistic, psychodynamic and cognitive-behavioural theories in a most interesting and convincing way. In the end, I learned quite a lot and found myself pondering the case histories days later' - Counselling, The Journal of the British Association for Counselling The understanding of defence mechanisms is vital to counsellors and psychotherapists, particula