title: [Defenses in rating scales and therapy success].
abstract: Evaluation of psychotherapeutic or psychopharmacological treatment frequently uses rating scales without regard for patient's defensiveness. This study demonstrates on 309 psychotherapy patients treated with inpatient client-centered therapy and followed-up 1 year after treatment that defensiveness, measured with validity scales of personality inventories MMPI-K, FPI-R and Giessen-Test, influences ratings (scales CGI, HAMA, HAMD, BRMES) before and after therapy. Patients who deny psychopathology on admission do so at discharge and to some extent at follow-up. The extent of effect is significantly diminished with an increase in frankness in these patients, indicated by the significant improvement in validity scales. Inpatient client-centered psychotherapy improved defensiveness in the case of initial self-criticism and diminished it in the case of initial retentiveness.
authors.affiliation: Klinik für Allgemeine Psychiatrie, Rheinische Landes-und Hochschulklinik Essen.
authors.forename: H
authors.initials: H
authors.lastname: Böhme
authors.forename: L
authors.initials: L
authors.lastname: Teusch
mesh_terms: D000328:Adult; D003674:Defense Mechanisms; D003717:Denial, Psychological; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D009629:Person-Centered Psychotherapy; D010555:Personality Inventory / Q000706:statistics & numerical data*; D011594:Psychometrics; D016896:Treatment Outcome