Professional Documents
Culture Documents
time. I wanted to just be there for her instead of me in the act. It was really a selfless act. You know,
going off and trying to settle my own problems ‘cause for me a dollar here, and a dollar there is
[ends]. not going to change my life [ends] (Perry and
Presniak 2012).
In this excerpt, the therapist (T) confronts a
patient (P) about missing a session to go purchase In the following excerpt, the interviewer
a new phone. The patient becomes angry and (I) inquires about a past break-up. The patient
accuses the therapist of not being authentic before (P) rationalizes his understanding of his
rationalizing that the missed session was not a ex-girlfriend’s extended time spent away prior to
function of his feelings toward the therapist. their separation. It functions to prevent him from
looking at other reasons that relate to himself.
I: You’re saying that the relationship is less
important than going and buying a phone. P: [Rationalization beings] I think she was just more
P: [Rationalization begins] No. That’s not what I’m focused on her career and her own personal
saying. I’m saying that I see you twice a week and goals and the relationship, which is
I have no phone in my apartment and that I can understandable, just took a back seat. You know,
see you at any other time of the week or, you the relationship was good but she was not going
know, I’m going to see you next week or the week to change any plans she had to accommodate it
after. [ends].
I: I’m, I’m not on call. We set up appointments.
P: Yeah, so, I’m here now. It doesn’t say anything.
Correlation with Health In a recent study com-
I: Well, it does to me.
P: But it doesn’t to me and that’s, that’s more paring women with breast cancer to healthy con-
important because I am the one that did it [ends]. trols, rationalization was used by 77% of healthy
mothers. It also contributed to a relatively high
In this excerpt, the interviewer (I) and the sub- proportion (8.6%) of their overall defensive func-
ject (S) are discussing the tips the subject makes tioning (Perry et al. 2015).
while working as a server. Earlier, the subject When considering clinical populations, a study
described a scenario where he gave customers conducted among adults with borderline person-
free coffee in an effort to be repaid in tip money. ality disorder, antisocial personality disorder, or
bipolar type II affective disorder examined the
S: I don’t care if I make fifteen cents on a dollar, relationship between the use of defenses and psy-
I make fifteen percent. That’s all I think about. I’m chosocial symptomology and behaviors (Perry
not worried about anything else. And those are
good points, man. Waiters make good points and Cooper 1989). The use of disavowal defenses
[. . .]. (rationalization, denial, or projection) was associ-
ated with observer-rated symptoms of depression,
anxiety, hypomania, alcohol abuse, and antisocial
I: That’s why when you got sort of the possible behavior over a one- and two-year follow-up.
conflict of interest with the coffee, because the When considering self-reported symptomology,
likelihood is what you’ve done is you’ve knocked
this group of defenses was only associated with
five dollars off the bill. . ..
S: Hoping to get five dollars in my pocket. measures of anger and hostility. This finding sug-
I: Well, the chances they will appreciate the service gests that while disavowal defenses may protect
and. . .. the individual from awareness of most of their
S: So what would it be, it would be about seventy-
symptoms and problematic behaviors, they do
five more cents for me, an extra dollar. That’s
what it would work out to. Actually, yeah, not effectively hide them from others. In addition,
seventy-five cents. You’re right. [Rationalization the study found associations between the use of
begins] But you know what, when I was doing it, disavowal defenses and poor psychosocial and
I mean, I know that. I wasn’t even thinking
global functioning (Perry and Cooper 1989);
about – I won’t say – I was thinking about let’s
serve them, you know and if that meant, yeah, a again suggesting that while these defenses may
better tip, it also meant a better name for the protect the individual from awareness of poor
house. Okay, it wasn’t just for me. I wasn’t selfish
4 Rationalization (Defense Mechanism)
functioning, they do not actually translate to true reasons for thoughts, actions, or feelings. As
healthful functioning. an individual becomes more willing to tolerate the
When relating rationalization to specific diag- anxiety of not distorting the facts, they may divert
noses, one study compared the defense use to detaching themselves from the affective com-
between individuals with dysthymia and individ- ponent of the conflict via the excessive use of
uals with panic disorder (Bloch et al. 1993). Those abstract thinking. Thus, while now acknowledg-
with dysthymia demonstrated higher use of dis- ing reality, they still protect themselves from the
avowal defenses when compared to those with uncomfortable associated feelings.
panic disorder. No associations were identified
when looking at rationalization as an individual Future Directions Considering the associations
defense, however. Another study examined the between the use of disavowal defenses and health
potential role of defenses in personality disorders and adaptiveness (Perry and Cooper 1989), future
(Perry et al. 2013). Rationalization was found to research should continue to explore these relation-
be among the most prevalent defenses present in ships, looking at associations with individual
all examined personality disorders (schizotypal, defenses such as rationalization. Direction of cau-
borderline, antisocial, and narcissistic). Other sality, potential interventions, and associations
researchers have theorized that rationalization among community and nonclinical populations
may be the major defense operating among indi- should all be explored. Additionally, more
viduals with hypochondriasis. For example, research may be needed to better understand dis-
Holmes (1981) suggested that physical symptoms avowal defenses resistance to psychotherapy
and complaints typical of those with hypochon- treatment, especially given the documented rela-
driasis are rationalizations of their experienced tionship between the decreased use of disavowal
anxiety; in this way they are able to acknowledge defenses and improved functioning and
their anxiety while disavowing the psychological symptomology (Perry and Bond 2012).
cause.