Defensive projection, superimposed on simplistic object relations, erodes patient-provider relationships in high-risk pregnancy: an empirical investigation.

Abstract:

:In an attempt to illustrate the relevance of psychoanalytic theory and research to behavior medicine, an empirical investigation was conducted of females treated at a high-risk pregnancy specialty clinic (N = 58). Drawing from psychoanalytic object relations theory, it was hypothesized and confirmed that use of projection as a defense mechanism during pregnancy, superimposed on simplistic object relations, predicted an erosion of patient-provider relationships during the pregnancy/postdelivery period. Findings are interpreted through the perspective of mentalization, pertaining to individuals' ability to understand the mental states of self and others, specifically under significant stress. Implications for psychoanalytically oriented assessment and treatment, and for the rift between psychoanalysis and research, are discussed.

journal_name

J Am Psychoanal Assoc

authors

Shahar G,Porcerelli JH,Kamoo R,Epperson CN,Czarkowski KA,Magriples U,Mayes LC

doi

10.1177/0003065110392228

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

953-74

issue

5

eissn

0003-0651

issn

1941-2460

pii

0003065110392228

journal_volume

58

pub_type

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