title: Changes in defensiveness and in affective distress following inpatient treatment of eating disorders: Rorschach comprehensive system and self-report measures.
abstract: Conceptualizing eating disorders (EDs) as forming a coping mechanism against facing psychic pain, in this study, we examined the contribution of weight stabilization and ED behaviors to psychological outcomes of affective distress, defensiveness, and contact with inner/external reality among 2 subgroups of adolescent inpatients with (a) "restricting type" anorexia (AN-R) and (b) bingeing/purging type EDs (B/P). We administered Rorschach Comprehensive System (CS; Exner, 2003) and self-report measures at acute admission and on discharge. Data indicated that in both subgroups, stabilization of weight and disordered eating behaviors was accompanied by reduced explicit (self-reported) affective distress, yet by elevated implicit affective distress (D, SumShd). Subgroups' different Rorschach change trends indicated different dynamic processes in defensive style and contact with inner/external reality.
authors.affiliation: Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel. Lilyrot@attglobal.net
authors.forename: Lily
authors.initials: L
authors.lastname: Rothschild
authors.forename: Liza
authors.initials: L
authors.lastname: Lacoua
authors.forename: Yohanan
authors.initials: Y
authors.lastname: Eshel
authors.forename: Daniel
authors.initials: D
authors.lastname: Stein
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001068:Feeding and Eating Disorders / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D010554:Personality Disorders; D012392:Rorschach Test; D012650:Self Disclosure