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한국판 베일런트 방어기제 평정 척도의 타당화

Validation of the Korean Version of the Vaillant Defense Mechanism Rating Scale

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초록

본 연구의 목적은 한국판 베일런트 방어기제 평정 척도(K-VDMRS)를 타당화하는 것이다. 이를 위해 대학생 90명(남자 39명, 여자 51명)을대상으로 한국판 베일런트 방어기제 평정을 위한 면담을 실시하였다. 그리고 준거타당도를 조사하기 위해 자기보고식 검사인 한국판 방어유형척도, 이화방어기제 검사, 대처방식 척도, 긍정적 정신건강 척도, 우울증상 척도, 명백 불안 척도 그리고 신체 건강 관련 질문지를 실시하였다. 이러한 자기보고식 검사 이외에도 본 연구 참여자가 추천한 가까운 지인 3인을 대상으로 지인평가를 진행하였다. 본 연구 결과는다음과 같다. 첫째, 정신건강 유형을 번영, 쇠약, 분투 및 부적응 집단으로 분류하고서 베일런트 방어기제 평정 척도 점수에서의 차이를 조사했을 때, 미성숙한 방어 수준에서만 집단 간 차이가 나타났다. 쇠약집단은 번영집단, 분투집단 그리고 부적응집단보다 미성숙한 방어기제를 더 많이 사용하였다. 둘째, 우울 수준이 높은 집단이 우울 수준이 낮은 집단에 비해 미성숙한 방어기제를 더 많이 사용하는 것으로나타났다. 셋째, 베일런트 방어기제 평정과 지인평가 간 관계를 살펴보았을 때, 미성숙한 방어를 많이 사용할수록 지인평가에서도 미성숙한 사람으로 평가되는 반면, 성숙한 방어를 많이 사용할수록 지인평가에서 대인관계가 원만하고 행복한 사람으로 평가되었다. 마지막으로, K-VDMRS로 평가한 방어의 성숙도가 자기보고식 방어기제 검사 및 대처방식 검사보다 정신건강 및 신체건강 변인과의 상관에서 상대적으로 더 높은 수준의 준거타당도 및 변별타당도를 보이는 것으로 나타났다. 이러한 결과를 바탕으로 본 연구의 시사점과 제한점에 대해논하였다.

Abstract

The purpose of this study is to validate the Korean version of the Vaillant Defense Mechanism Rating Scale (K-VDMRS). For this purpose, 90 college students (39 men and 51 women) were interviewed for the K-VDMRS. In order to determine criterion-related validity, we administered seven self-report measures: the Korea-Defense Style Questionnaire, the Ewha Defense Mechanisms Test, the Ways of Coping Questionnaire, the Positive Mental Health Scale, the Center for Epidemiologic Studies Depression Scale (CES-D), the Taylor Manifest Anxiety Scale (TMAS), and physical health questionnaires. In addition to these self-report measures, close acquaintances recommended by the participants rated the subjects’ psychological maturity. The results of this study are as follows. First, when we divided the positive mental health types into flourishing, languishing, struggling, and maladaptation groups, there were group differences only at the level of immature defenses. The languishing group used more immature defenses than the other groups. Second, those with high level of depression used more immature defenses than those with low level of depression. Third, according to the correlation analysis results of K-VDMRS and acquaintance rating, the more mature the defenses used by the participants, the more mature they were rated in the acquaintance evaluation. Finally, the defense maturity rated by the K-VDMRS showed higher criterion-related validity and discriminant validity for mental health variables, physical health, and acquaintance evaluation than the self-report measures of defense mechanisms and coping style. Based on these findings, we discussed the implications and limitations of this study.

참고문헌 (71)

  1. American Psychiatric Association, "DSM-IV. Sourcebook (Vol. 1)" (1994), American Psychiatric Pub
  2. Andrews, G., "The defense style questionnaire", The Journal of Nervous and Mental Disease, 181, pp.246~256 (1993)
  3. Bauer, S. F., "Ego defenses: Theory and measurement", pp.300~314 (1995), John Wiley & Sons
  4. Bendig, A. W., "The development of a short form of the manifest anxiety scale", Journal of Consulting Psychology, 20, pp.384~395 (1956)
  5. Bond, M., "Empirical study of self-rated defense styles", Archives of General Psychiatry, 40, pp.333~338 (1983)
  6. Cho, S. H., "A validation study of Korean version of defense style questionnaire", The Korean Journal of Counseling and Psychotherapy, 11, pp.115~137 (1999)
  7. Cho, S. H., "Factor structure of the Korean version of schema questionnaire", Journal of Counseling and Psychotherapy, 13, pp.177~192 (2001)
  8. Cho, M. J., "Use of the center for epidemiologic studies depression(CES-D)scale in Korea", The Journal of Nervous and Mental Disease, 186, pp.304~310 (1998)
  9. Chon, K. K., "Integrated adaptation of CES-D in Korea", Korean Journal of Health Psychology, 6, pp.59~76 (2001)
  10. Cramer, P., "Coping and defense mechanisms: What's the difference?", Journal of Personality, 66, pp.919~946 (1998)
  11. Cramer, P., "Defense mechanisms in psychology today : Further processes for adaptation", American Psychologist, 55, pp.637~646 (2000)
  12. Cramer, P., "Defense mechanisms in the anaclitic and introjective personality configuration", Journal of Consulting and Clinical Psychology, 56, pp.610~616 (1988)
  13. Diener, E., "The personality structure of affect", Journal of Personality and Social Psychology, 69, pp.130~141 (1995)
  14. Drapeau, M., "A study of stability and change in defense mechanisms during a brief psychodynamic investigation", The Journal of Nervous and Mental Disease, 191, pp.496~502 (2003)
  15. "Praxis der Psychotherapie und Psychosomatik", 1984, 129~138
  16. First, M. B., "User’s guide for the structured clinical interview for DSM-IV axis I Disorders" (1996), Biometrics Research Department, New York State Psychiatric Institute
  17. Fleiss, J. L., "Statistical methods for rates and proportions" (2013), John Wiley & Sons
  18. Freud, S., "Minute teoriche per Wilhelm Fliess (1892-1897)" (1897), Bollati Boringhieri
  19. Gleser, G. C., "An objective instrument for measuring defense mechanisms", Journal of Consulting and Clinical Psychology, 33, pp.51~60 (1969)
  20. Haan, N., "Coping and defending" (1977), Academic Press
  21. Hart, D., "Influence of defense mechanisms on moral judgment development: A longitudinal study", Developmental Psychology, 28, pp.722~730 (1992)
  22. Høglend, P., "Defensive functioning predicts improvement in major depressive episodes", The Journal of Nervous and Mental Disease, 186, pp.238~243 (1998)
  23. Hurley, A., "Exploratory and confirmatory factor analysis: Guidelines, issues, and alternatives", Journal of Organizational Behavior, 18, pp.667~683 (1997)
  24. Jacobson, A. M., "Evaluating ego defense mechanisms using clinical interviews : An empirical study of adolescent diabetic and psychiatric patients", Journal of Adolescence, 9, pp.303~319 (1986)
  25. Joffe, P., "Coping and defending:Processes of self-environment organization" (1977), Academic Press
  26. Johansen, P. Ø., "Change in defense mechanisms during short-term dynamic and cognitive therapy in patients with cluster C personality disorders", The Journal of Nervous and Mental Disease, 199, pp.712~715 (2011)
  27. Keyes, C. L., "Social well-being", Social Psychology Quarterly, 61, pp.121~140 (1998)
  28. Keyes, C. L., "Promoting and protecting mental health as flourishing : A complementary strategy for improving national mental health", American Psychologist, 62, pp.95~108 (2007)
  29. Keyes, C. L., "Handbook of positive psychology", pp.45~59 (2002)
  30. Keyes, C. L., "Evaluation of the mental health continuum–short form(MHC–SF)in setswana‐speaking South Africans", Clinical Psychology and Psychotherapy, 15, pp.181~192 (2008)
  31. Kim, J. H., "Relations of perceived stress, cognitive set, and coping behaviors to depression", doctor, pp.1987
  32. 김정욱, "방어기제 성숙도 연구", 한국심리학회지: 상담 및 심리치료, 15(4), pp.747~763 (2003), 한국상담심리학회
  33. 김현정, "대학생의 정신건강유형에 따른 가치관과 자살행동의 관계 연구", 인간이해, 33(2), pp.71~89 (2012), 학생생활상담연구소
  34. Kramer, U., "Early change in defence mechanisms and coping in short‐term dynamic psychotherapy : Relations with symptoms and alliance", Clinical Psychology & Psychotherapy, 16, pp.408~417 (2009)
  35. Landis, J. R., "The measurement of observer agreement for categorical data", Biometrics, 33, pp.159~174 (1977)
  36. Lazarus, R. S., "The Handbook of Behavioral Medicine", pp.282~325 (1984), Guilford
  37. Lee, Y. S., "Ironic effects of suppression on obsessive thoughts", doctor, pp.2000
  38. Lee, G. H., "A standardization Study of EWHA defense mechanism test", Neuropsychiatry, 30, pp.582~591 (1991)
  39. Lim, Y. J., "Korean mental health", Proceedings of the Korean Psychological Association Annual Conference, pp.233~257 (2010)
  40. 임영진, "정신적 웰빙 척도(MHC-SF)의 한국어판 타당화 연구", 한국심리학회지:일반, 31(2), pp.369~386 (2012), 한국심리학회
  41. Lingiardi, V., "Defense mechanisms and personality disorders", The Journal of Nervous and Mental Disease, 187, pp.224~228 (1999)
  42. 박찬빈, "대학생의 방어기제 유형에 따른 멘탈 휘트니스 긍정심리상담 및 치료 프로그램의 효과", 한국심리학회지: 건강, 19(3), pp.673~693 (2014), 한국건강심리학회[DOI]
  43. Perry, J. C., "Defense mechanism rating scales" (1990), Harvard School of Medicine
  44. Perry, J. C., "A pilot study of defenses in adults with personality disorders entering psychotherapy", The Journal of Nervous and Mental Disease, 189, pp.651~660 (2001)
  45. Perry, J. C., "Ego mechanisms of defense: A guide for clinicians and researchers", pp.195~216 (1992), American Psychiatric Press
  46. Plutchik, R., "Contemporary approaches to psychological assessment", pp.1989, Brunner
  47. Plutchik, R., "Emotions in personality and psychopathology", pp.227~257 (1979), Springer US
  48. Radloff, L. S., "The CES-D scale : A self-report depression scale for research in the general population", Applied Psychological Measurement, 1, pp.385~401 (1977)
  49. Ryff, C. D., "Happiness is everything, or is it? Explorations on the meaning of psychological well-being", Journal of Personality and Social Psychology, 57, pp.1069~1081 (1989)
  50. Seo, L. N., "The effects of manifest anxiety and death anxiety on the symptoms of somatization", Master, pp.2012
  51. Sjoback, H., "The psychoanalytic theory of defensive processes" (1973), John Wiley & Sons
  52. Snarey, J. R., "How lower-and working-class youth become middle-class adults : The association between ego defense mechanisms and upward social mobility", Child Development, 56, pp.899~910 (1985)
  53. Snyder, M., "Self-monitoring of expressive behavior", Journal of Personality and Social Psychology, 30, pp.526~537 (1974)
  54. Snyder, M., "On the nature of self-monitoring : matters of assessment, matters of validity", Journal of Personality and Social Psychology, 51, pp.125~139 (1986)
  55. (2018)[URL]
  56. Spinhoven, P., "Defense style in depressed and anxious psychiatric outpatients : an explorative study", The Journal of Nervous and Mental disease, 185, pp.87~94 (1997)
  57. Taylor, J. A., "A personality scale of manifest anxiety", The Journal of Abnormal and Social Psychology, 48, pp.285~290 (1953)
  58. Vaillant, G. E., "Theoretical hierarchy of adaptive ego mechanisms : A 30-year follow-up of 30 men selected for psychological health", Archives of General Psychiatry, 24, pp.107~118 (1971)
  59. Vaillant, G. E., "Sociopathy as a human process : A viewpoint", Archives of General Psychiatry, 32, pp.178~183 (1975)
  60. Vaillant, G. E., "Natural history of male psychological health : V. The relation of choice of ego mechanisms of defense to adult adjustment", Archives of General Psychiatry, 33, pp.535~545 (1976)
  61. Vaillant, G. E., "Adaptation to Life" (1977), Little, Brown
  62. Vaillant, G. E., "Ego mechanisms of defense: An guide for clinicians and researchers" (1992), American Psychiatric Pub
  63. Vaillant, G. E., "The wisdom of the ego" (1993), MA : Harvard University Press
  64. Vaillant, G. E., "Ego mechanisms of defense and personality psychopathology", Journal of Abnormal Psychology, 103, pp.44~50 (1994)
  65. Vaillant, G. E., "Adaptive mental mechanisms : Their role in a positive psychology", American Psychologist, 55, pp.89~98 (2000)
  66. Vaillant, G. E., "An empirically validated hierarchy of defense mechanisms", Archives of General Psychiatry, 43, pp.786~794 (1986)
  67. Vaillant, G. E., "Maturity of ego defenses in relation to DSM-III Axis II personality disorder", Archives of General Psychiatry, 42, pp.597~601 (1985)
  68. Vaillant, G. E., "Are social supports in late midlife a cause or a result of successful physical ageing?", Psychological Medicine, 28, pp.1159~1168 (1998)
  69. Vaillant, G. E., "What is a case? : A 45-year study of psychiatric impairment within a college sample selected for mental health", Archives of General Psychiatry, 45, pp.313~319 (1988)
  70. Vaillant, G. E., "Natural history of male psychological health, XII : A 45-year study of predictors of successful aging at age 65", The American Journal of Psychiatry, 147, pp.31~37 (1990)
  71. Watson, D., "Self–other agreement in personality and affectivity : The role of acquaintanceship, trait visibility, and assumed similarity", Journal of Personality and Social Psychology, 78, pp.546~558 (2000)

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