Mj. Horowitz et al., EXPRESSIVE AND DEFENSIVE BEHAVIOR DURING DISCOURSE ON UNRESOLVED TOPICS - A SINGLE-CASE STUDY OF PATHOLOGICAL GRIEF, Journal of personality, 62(4), 1994, pp. 527-563
Both psychodynamic and social-cognitive theoretical domains have contr
ol process models of behavior but with different ideas about the purpo
se and loci of control. This study examines expressive and defensive b
ehaviors associated with different topics of discourse in the time-lim
ited psychotherapy of a woman treated for pathological grief. Conceptu
ally the study is based on a model of defensive control processes that
integrates states of mind and person schemas. Theoretically derived m
easures of discourse topics, verbal and nonverbal defensive behaviors,
emotional disclosure, and states of mind were applied to transcripts
and videotapes of the entire therapy. Evidence from combined cluster a
nd factor analyses supported the existence of recurring emotionally si
gnificant states. Two of these are particularly interesting from a cli
nical perspective: One, a ''shimmering'' state of intense emotional ex
pression with concurrent signs of avoidance, was associated with topic
s identified clinically as stressful, unresolved, and conflictual. The
other, a state of more uniformly stifled emotionality, was characteri
stic of discourse thought of clinically as resistance.