Why is it that dysphoric patients do not realize their dysphoric mood?

Abstract:

:In contrast to the clinical psychopathological approach to emotion, we used aspects of the cognitive emotion theories formulated by Lazarus [1966] and Folkman and Lazarus [1985]. According to these theories, emotion is a product of cognitive appraisal and coping a mechanism regulating emotion. We put into operation four coping types in a two-dimensional way (using the amount of anxiety and social desirability and the repressor-sensitizer concept of Byrne [1961] in the extended version of Krohne [1974]) in order to differentiate 30 patients labeled as 'dysphoric' (n = 15) or 'depressed' (n = 15) from a clinical point of view. It was possible to distinguish subpopulations of dysphoric patients as well as depressed patients (discriminant analysis, analysis of variance), which served as a basis for answering our questions to the effect that a clearly defined group of dysphoric patients - all diagnosed as bipolar manic depressives - predominantly employs rigid repressive coping strategies, i.e. defensively denying anxiety. Thus, rigid defensive reactions (i.e. perceptual defense) prevent a change in the direction of distressing emotions but leave the person in a state of high arousal. This psychological theory of coping disposition agrees very well with the clinical view of dysphoric state.

journal_name

Psychopathology

journal_title

Psychopathology

authors

Baldaszti E,Naske R,Opgenoorth E

doi

10.1159/000284566

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

241-53

issue

6

eissn

0254-4962

issn

1423-033X

journal_volume

21

pub_type

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