Twenty-nine successive admissions to an acute psychiatric ward of a VA
hospital and 40 college undergraduates were given group administratio
ns of six Thematic Apperception Test (TAT; Murray, 1943) cards. The wr
itten responses were coded according to Cramer's defense mechanism man
ual (1990), which codes three types of defense: Denial, Projection, an
d Identification. Denial is supposed to be the most ''primitive,'' and
Identification is supposed to be the least primitive of these. Each i
s codable on seven levels, which also range from more primitive to mor
e mature types of defense. The psychiatric patients both used more pri
mitive types of defense (more Denial and Projection, less Identificati
on) and within types, used a higher percentage of lower level (primiti
ve) defenses. The results are viewed as providing validity for Cramer'
s manual from a research team unaffiliated with her lab. Reliability i
ssues are also discussed.