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Maturity of Ego Defenses in Relation to DSM-III Axis II Personality Disorder
George E. Vaillant, MD;
Robert E. Drake, MD, PhD
Arch Gen Psychiatry. 1985;42(6):597-601.
Abstract
• Independent raters assessed a cohort of 307 inner-city men on three dimensions of psychosocial dysfunction: the Health-Sickness Rating Scale (HSRS), axis II of DSM-III, and dominant choice of ego mechanisms of defense. Two thirds of the 74 men with personality disorders and three fourths of the 55 men with the low scores (0 to 65) on the HSRS primarily used immature defense mechanisms (ie, projection, schizoid fantasy, passive aggression, dissociation, hypochondriasis, and acting out). Only 10% of men without personality disorders and only 10% of men with HSRS scores of over 70 were noted to favor such defenses.
Author Affiliations
From the Departments of Psychiatry, Dartmouth Medical School, Hanover, NH (Drs Vaillant and Drake), and Harvard Medical School, Boston (Dr Vaillant), and the Harvard University Health Services, Cambridge, Mass (Dr Vaillant).
Footnotes
Accepted for publication April 19, 1984.
Read at the American Psychiatry Association Conference, New York City, May 12, 1983.
Reprint requests to Department of Psychiatry, Dartmouth Medical School, Hanover, NH 03756 (Dr Vaillant).
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