알코올 의존 환자의 병식수준과 방어기제의 관계

The Relationship between Insight Level and Defense Mechanisms in Alcoholic Patients

Objectives：The purpose of this study estimate level of insight and defense mechanisms in alcoholic patients and investigate the relationship between insight level and defense mechanisms in them. Method：The subjects participated in this study were 94 alcoholic patients who were diagnosed as alcohol dependence by DSM-IV and admitted to Incheon Christian Hospital and EunHei Hospital between November, 2003 and February, 2004. The subjects were surveyed by questionnaire about the sociodemographic data, HAIS, Ewha Defense Mechanism Test and Ways of Coping checklist. Results：First, we compared the defense mechanisms between the fair insight group and the poor insight group the fair insight group had significant higher scores than poor insight group in projection, identification, somatization, actingout, regression, controlling, rationalization, dissociation. Second, we evaluated the average scores of each defense mechanisms acting-out had the highest average score among the defense mechanisms. Second was denial, third was show-off. And then, we grouped the defense mechanisms by maturity level, fair insight group had significant higher scores than poor insight group in immature and neurotic level. In the Ways of Coping Checklist, fair insight group had higher scores than poor insight group in emotion-focused coping rather than problem-focused coping. Conclusion：The fair insight group had relatively higher scores using projection, identification, somatization, acting-out, regression, controlling, rationalization, dissociation and emotionfocused coping than poor insight group. These results may reflect the characteristics of fair insight group which they show some reality as they begin to have insight but at the same time, they have difficulty in admitting the reality when they are confronted with it.