Cramer (1991) - Development of Defense Mechanism
Cramer (1991) - Development of Defense Mechanism
Phebe Cramer
Williams College
Appreciation is expressed to Jane Bryson. Marcy Bush. Henry Ireys, Kevin Jones,
and Allison Young who participated in vanous aspects of the study Requests for
repnnts should be sent to Dr Phebe Cramer, Dept of Psychology. Williams Col-
lege, WiUiamston, MA 01267
Journal qf Personality 55 4. December 1987 Copynght © 1987 by Duke University
Press CCC 0022-3506/87/$! 50
598 Cramer
earned out through the use of language The fnghtemng aspect of the
stimulus IS negated (e g , the boy is "not afraid," or the doctor's shot
"doesn't hurt"), or is mentally changed into something it is not (l e ,
something less threatening), through reversal, transformation, or other
modification of reality in such a way that it becomes more pleasant
The use of Denial, beginning m infancy, continues throughout tod-
dlerhood By early childhood, social pressures from peers, as well as
increased cognitive abilities, contnbute to the reduction of this defense,
although Its use may continue on an intemal, fantasy level In fantasy,
the young child may transform weakness into strength, fear into courage,
and failure into success Although this kind of pleasurable fantasy may
continue into adolescence and adulthood in the form of occasional day-
dreaming, m normal development the importance of Denial as a defense
has largely ended by the middle years of childhood
Theoretically, Projection is a defense more mature than Denial, and
less mature than Identification Unlike Denial, Projection requires the
ability to differentiate between intemal and extemal stimuli It also de-
pends on the development of intemal standards by which certain thoughts
and feelings are judged unacceptable Projection functions by attnbuting
unacceptable mtemal psychological states to others extemal to oneself
As with Denial, Projection has a physiological precursor The young
baby who finds something in his or her mouth that is disagreeable spits
It out, m the same way that the psychological mechanism of Projection
gets nd of an unpleasant feeling by expelling it into the environment The
relationship of Projection to the existence of standards of "good" and
"bad," or "nght" and "wrong," suggests that this defense may assume
relatively greater importance in the years following the development of
an lntemalized conscience, that is, dunng middle childhood and after
In a mild form. Projection need not senously distort reality Instead
through the development of empathic responses and projective identifi-
cation (e g , "We all think alike"), its use may facilitate the cohesiveness
of peer groups Thus, Projection may continue as an important defense
throughout childhood and adolescence
Finally, Identification is theonzed to be a defense more mature than
either Demal or Projection It requires the capacity to differentiate self
from other, to differentiate among many "others," and to form endunng
mtemal mental representations of those others It functions by taking as
one's own certam qualities of others that serve to provide a sense of se-
cunty and self-esteem, while rejecting those that do not Physiological
600 Cramer
sponses Finally, some means must be available for two or more inde-
pendent observers to decide whether or not a defense was used
The method that most closely approximated these various require-
ments was the Thematic Apperception Test (TAT), for which a manual
designed to score defenses was especially developed The development
of this method in a denvation study is descnbed m the following section
METHOD
Derivation Study
The development ofthe sconng manual was based on a denvation sample
of 42 children, each of whom told stones to four Children's Appercep-
tion Test (CAT) and Thematic Apperception Test (TAT) cards
Materials and procedure Fbr Groups I, II, and III, the following stim-
ulus pictures from the CAT (Bellak, 1954) and the TAT (Murray, 1943)
were used for Groups I and II, CAT 3, 5, and 10, and TAT 8BM, and for
Group III, CAT 3, TAT 8BM, 12M, and 13MF Each subject was tested
individually in a pnvate room Standard instmctions were used (Bellak,
1949, Murray, 1943) The stones were tape-recorded and subsequently
transcnbed, with identifying data removed
The 168 stones obtained were used to develop sconng categones to
assess the use of three defenses Denial, Projection, and Identification
These categones were denved from the analysis of empincal findings of
themes and response styles which seemed to differentiate between older
and younger children, and which, at the same time, illustrated some as-
pect ofthe theoretical description of one ofthe three defenses (e g , Fen-
lchel, 1945, A Freud, 1946) and/or had been used m one of the few pre-
viously published attempts to formulate a sconng system for defenses
based on projective test data (Bellak, 1975, Haworth, 1963, Schafer
1954) ' After several preliminary attempts, a final sconng plan was de-
1 A similar approach was used by Stewart (1982) with the TAT to develop sconng
categones indicative of different stages of emotional adaptation
602 Cramer
veloped, such that, for each defense, there were seven categones, rep-
resenting different aspects of the defense Each category is scored as
many times as it occurs in each story ^
The categones for each defense are as follows
cannot be hurt and cannot die This denial is earned out through a mis-
perception, the human being is misperceived as being a statue However,
this denial is not completely successful It leads to a dismption m reality
testing, in which the statue exhibits animate behavior, by "climbing
down a rope " When the concem about falling and its consequences is
expressed ("He falls and then he breaks"), we see how the perceptual
denial allows the child to avoid and undo the anxiety-laden fear of death
Since It IS a statue, the pieces can be put back together again, and so
there is no harm, and nothing to be feared But the issue is not put to rest
completely, for the whole process is then repeated The denial mecha-
nism IS made most explicit in the child's final statement Because he is
made out of clay, he doesn't have any feelings, and so is not afraid and
IS not hurt
In terms of the formal sconng system, this story would receive four
scores for Denial in the following categories (1) Negation (l e , he
doesn't feel), (2) Denial of reahty (l e , statue climbing), (3) Reversal
(l e , broken statue is made whole), and (4) Misperception (l e , man
perceived as statue)
Another story to the same TAT picture, from a 10-year old boy, is quite
different
A man was being chased by a bunch of soldiers who wanted to kill
him He's climbing up the rope and if he doesn't make it up he'll get
chopped to death with swords So he is hanging as tight as he can and
when he gets to the top he'll be on the border—that's a secret place
underground There is this hatch that is on the border so they can't get
him
This story is resplendent m the projection of hostility, as well as in the
concem for protection from that hostility The particularly vivid image
of being chopped to death with swords is entirely contnbuted from the
storyteller, there is nothmg in the picture to suggest guards or swords
Possibly the anxiety surrounding this image contnbutes to the confusion
m thinking which occurs both m this boy's misuse ofthe word "border"
and in his spatial onentation—the man who gets to the top is now un-
derground
In terms ofthe sconng system, this story would receive four scores for
Projection, in the following categones (1) Attnbution of hostile inten-
tions (l e , the guards want to bll him), (2) Addition of ominous objects
(l e , swords), (3) Concem for protection from extemal threat (l e , a se-
604 Cramer
cret place with a hatch so they can't get him), and (4) Theme of pursuit
(l e , being chased)
Another story to TAT 17BM, from a high school boy, illustrates the
use of a vanety of Identification categones
The people are the citizens of the U S and they're all trying as hard
as they can to have a good hfe They number between 5 and 10 in pop-
ulation They have all had hard lives and they've been hardened by it
They are almost at the end of their climb to greatness They're all
thinking of the rewards they'll have for their hard work They feel as
though they have all the troubles of the world on their shoulders Most
of them reach the top, but the weak fall behind and lost [sic] out m
life
This story would receive five scores for Identification (3) Regulation
of motives, behavior (l e , mtemahzation of responsibility, troubles of
the world on their shoulders), (4) Self-esteem through affiliation (l e ,
being part of the group bnngs success), (5) Work, delay of gratification
(l e , hard work, neanng end of climb to greatness), (6) Role differentia-
tion (l e , "citizens"), and (7) Moralism (l e , the weak fell behind and
lost out m life)
While these examples illustrate the use of only one defense, many sto-
nes include instances of more than one defense Each story is scored for
the occurrence of all the categones of defense that appear, and a subject
may have scores on none, one, two, or three of the defenses under study
Using these sconng categones, it could be seen that Denial, the least
mature defense, generally was used most often by the youngest subjects
and decreased in use steadily across the next two age groups On the
other hand. Identification, the most mature defense, was used least often
by the youngest subjects and steadily increased in use across the next two
oldest age groups The use of Projection, which is theonzed to be more
mature than Denial but less mature than Identification, was found to be
midway in use between the other two defenses for all three age groups
Main StudY
METHOD
Encouraged by these findings, a second validation study was undertaken
with a new sample of subjects from a wider age range, whose stones
were not mvolved m the development ofthe sconng manual
Development of Defense Mechanisms 605
Subjects
A total of 320 subjects, representing four age groups, with an equal
number of boys and gu-ls in each age group, was studied Subjects in the
Pnmary and Intermediate groups were students at a pnvate country day
school and a public elementary school ^ The mean age for the 80 subjects
in the Pnmary group was 5 years, 8 months, with a range from 4 years,
4 months to 7 years, 8 months, and for the 80 subjects m the Intermediate
group the mean age was 9 years, 10 months and the range was 8 years, 2
months to 11 years, 9 months The Early Adolescent and Late Adolescent
subjects were all students at a local high school The majonty of students
from the two lower-level schools go on to attend this high school, thus
the high school subjects may be assumed to come from the same popu-
lation as the younger subjects The 80 subjects of the Early Adolescent
group were all ninth or tenth graders with a mean age of 14 years, 6
months The 80 subjects of the Late Adolescent group were all eleventh
or twelfth graders with a mean age of 16 years
Procedure
All subjects were shown the same two TAT pictures card 1 (a boy sitting
and looking at a violin) and card 17BM (a man clinging to a rope) Stan-
dard TAT instmctions were used, with some adaptation for the younger
subjects
Subjects m the Pnmary and Intermediate groups were tested individ-
ually in a pnvate room at the school Their stones were tape-recorded
and subsequently transcnbed, with identifying data removed Subjects
m the two high school groups were tested in small groups Each subject
was given a copy of the TAT pictures and a separate sheet of paper on
which to wnte each story Stones were subsequently copied, with iden-
tifying data removed Previous research with the TAT, using a similar
approach to assess psychodynamic themes, has found comparable results
for both oral and wntten forms ofthe test (May, 1975)
RESULTS
All of the 640 stones obtained from the 320 subjects were scored by one
rater, using the Manual developed in the denvation study Subsamples of
3 A preliminary analysis of the data mdicated that the results from these two
schools did not differ
606 Cramer
TaU«l
Mean Defense Scores (Absolute) for 4 Age-groups (Main Study)
stones from the different age groups were scored by two independent ra-
ters who were unaware of the hypotheses Each rater scored each story
for each defense (l e , Denial, Projection, and Identification) The scores
of Rater 1 were correlated with those of Rater 2, for each defense sepa-
rately and for each age group separately The mterrater reliability coef-
ficients for Denial ranged from 81 to 1 00, for Projection, from 71 to
90, and for Identification from 71 to 88
As nnay be seen m Table 1, the absolute level of defense use is higher
among the older subjects This increase is consistent with the hypothesis
that more defenses become operative as the child grows older It also re-
flects the fact that story length increased with age since, with longer sto-
nes, there are more opportunities for making defensive statements As
our interest m the present study was m the relative predominance of each
defense as a function of age, and not m the absolute amount of defense
use, each subject's defense scores were converted mto relative scores,
with the use of each individual defense expressed as a proportion of total
defense use In this way, story length does not influence the (relative)
defense scores The results appear m Figure 1
Development of Defense Mechanisms 607
50 -
40
LU
cn
I 30
UJ
20
10
Pri Int EA LA
AGE
ngure I
Relative Defense Scores of Primary Intermediate Early Adolescent and
Late Adolescent Groups
respectively, ps < 001 Identification also was used more often by Late
Adolescent than by Intermediate subjects, f(158) = 1 93, p < 06
Withm age groups, Pnmary subjects used Denial and Projection more
often than Identification, ts(79) = 4 48 and 3 41, ps < 001 Interme-
diate and Early Adolescent subjects used Projection and Identification
more often than Denial, fs(79) = 5 84-9 97, ps < 001 Late Adoles-
cent subjects used Identification more than Projection, ?(79) = 2 14, p
< 04, and Projection more than Denial, r(79) = 5 34,p< 001
The Sex x Defense interaction also was significant, F(2,624) =
3 69, p < 05 Males used Projection more than females, while females
used Denial more than males (Newman-Keuls, p < 05) Although
males used Projection more often than females in three of the four age
groups (Pnmary, Intermediate and Late Adolescent), the difference was
significant only in the Pnmary group, r(78) == 2 70, p < 01 Females'
relative preference for Denial also was significant only m the Pnmary
group, t(7S) = 2l7,p< 03, although their absolute use of Denial ex-
ceeded that of males in three of the four age groups (see Table 1) There
was one other noteworthy sex difference Late Adolescent girls used
more Identification than Projection, t(39) = 2 42, p < 02, while the
differences for Late Adolescent boys was nonsignificant, ^39) = 57
DISCUSSION
the most mature defense of Identification was used more often than the
less mature defense of Projection, which in tum was used more often
than the least mature defense of Denial The middle two age range
groups used the two more mature defenses more often than the least ma-
ture defense of Denial
Consistent with previous studies of children, adolescents, and adults,
there were significant sex differences m the use of extemal versus inter-
nal defenses (Cramer, 1979, 1983, Gleser &Ihilevich, 1969) Projection,
a defense that operates by extemalizmg the problem, was used more by
males than by females Denial, a defense that operates by changing the
intemal cognitive state ofthe individual, was used more by females As
in an earlier study (Cramer, 1983), this difference was most pronounced
m the youngest group of children Among the oldest subjects ofthe pres-
ent study. It was found that females used Identification more often than
Projection This difference did not occur for males, reflecting their
greater use of Projection and lesser use of Identification In terms of *1 e
intemal-extemal distinction. Identification is clearly an intemal defense,
with incorporation, lntrojection, and mtemahzation as its major com-
ponents (e g , Meissner, 1981)
These conclusions rest on the assumption that stones told to TAT cards
do in fact provide information about subjects' characteristic use of de-
fense mechanisms I assume this because it is known that current per-
ception IS influenced by past expenence (e g , Carmichael, Hogan &
Walter, 1932, Neely, 1977) The way m which individuals respond to a
TAT picture is based on their previous expenence m responding to sim-
ilar situations, including their charactenstic response to anxiety arousing
situations I assume that the storytelling "test," because of its novelty, is
one that creates a moderate amount of anxiety in most individuals The
situation Itself is new, the picture is unfamiliar, and the individual is
asked to tell a story to an unfamiliar person To not comply with the task
demand has the implication of failure or inadequacy Individuals respond
in order to avoid that expenence, as well as to please the examiner In
responding, individuals are protected from expenencing excessive anx-
iety through the functioning of defense mechanisms These defenses are
manifest in the subjects' immediate behavior—l e , in the stones they
tell At the same time, complying with the examiner's storytelling re-
quest has some similanties to the requirements of an ordinary social in-
teraction situation, the reaction of subjects to the storytelling task will be
an indication of their usual manner or responding to similar real life
610 Ciamer
events Fbr these reasons, I assume that subjects' responses to the TAT
tell us something about their use of defenses in real life situations
While the present study does convincingly demonstrate a develop-
mental continuum of defense, several qualifications may he noted First,
only three defenses, chosen to represent different points on the develop-
mental continuum, were studied It seems likely that sinular develop-
mental pattems might be found for other cognitive defense mechanisms,
such as rationalization or mtellectualization Also beyond the scope of
the present paper is the question of affective defenses—for example,
depression defending against anger These defensive operations, too,
may have a developmental course It should also be pointed out that not
all subjects gave evidence for using defense mechanisms in responding
to the storytelling task, just as, m real life, behavior can be conflict-free,
that IS, not defensive Given these qualifications, the present method for
assessing defense mechanisms has proven quite useful
Appendix
Scoring Categones for Defenses
Denial
(1) Statements of negation
(a) A character "does not " an action, wish, or intention, which, if ac-
knowledged, would cause displeasure, pam or humiliation
(b) The storyteller negates or denies a fact or feeling
(c) References to doubt as to what the picture is or represents
(2) Demal of reality
(a) The storyteller denies the reality of the story or situation
(b) Sleepmg, daydreaming, or fainting as a way of avoidmg something un-
pleasant
(c) Avoiding lodcmg at (hearing, thinking about) something that would be
unpleasant to see (hear, think about)
(d) Any perception, attnbution or implication that is blatantly false with re-
gard to reality
(3) Reversal
(a) Transformation, such as weakness into strength
(b) Any figure who takes on qualities previously stated conversely
(4) Misperception
Development of Defense Mechanisms 611
Projection
(1) Attribution of aggressive or hostile feelings, emotions or intentions to a
character, or of any other feelings, emotions or intentions that are norma-
tively unusual, if such attnbution is without sufficient reason
(2) Addition of people, ghosts, animals, objects, or qualities
(a) score only if the additions are of an ominous or potentially threatening
nature
(b) especially, the addition of blood, senous and uncommon illnesses, night-
mares
(c) references to people, animals or objects being decrepit, falling apart, de-
tenoratmg
(3) Concem for protection against extemal threat
(a) fear of threat or assault and the need for protection against this, as seen
in the use of disguises and the creation of protective bamers
(b) suspiciousness, spying, anticipation of kidnap, etc
(c) having seen something one shouldn t and the need to hide this, fear of
being seen, protective hiding
(d) defensive self-justification on the part ofthe storyteller
(4) Themes of pursuit, entrapment and escape
(a) one character pursuing or trapping another
(b) escape from a physical impnsonment, danger, or threat thereof
(5) Apprehensiveness of death, injury, assault
(a) physical attack, injury, or death actually occurs
(b) fear of going to sleep
(6) Magical, autistic, or circumstantial thinkmg
612 Cramer
(a) use of magical powers, including hypnosis, in which one character con-
trols another
(b) animism
(c) circumstantial reasoning with a paranoid flavor, hyperalert search for
flaws or hidden meanings
(7) Bizarre or very unusual story or theme
(a) negative themes that occur very rarely, especially if there is a peculiar
twist
(b) unusual punishment, including self-punishment
Identification
{1) Emulation of skills
(a) one character imitating, taking over, or otherwise acquinng a skill or tal-
ent of another character, or trying to do so
(2) Emulation of charactenstics
(a) imitating taking over, or otherwise acquinng a charactenstic, quality, or
attitude of another character, or trying to do so
(b) references to one character being like another, the same as another, or
merged with another
(3) Regulation of motives or behavior
(a) demands, influence, guidance, prohibitions of one character over an-
other, or the rebelling against these
(b) self-cnticism or self-reflection, on the part of the storyteller or of a char-
acter in the story
(c) justified punishment by parents or authonty
(4) Self-esteem through affiliation
(a) success or satisfaction which comes about through association with
someone else (peer), or the expressed need for this kind of affiliation
(b) being part of a special group from which some special pleasure or help
denves
(5) Work, Delay of gratification
(a) references to a character working
(b) references to delay, in order to obtain some future gratification
(6) Role differentiation
(a) mention of characters in specific adult roles (non-familial)
(7) Morahsm
(a) moralistic outcome to story
(b) justified punishment administered by authonty figure (not parents)
Development of Defense Mechanisms 613
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