Model Evaluation of Feeling Shame and Guilty according to the Defense Mechanisms with the Mediation of Self-Compassion in Physically Disabled Patients

Document Type : Research Paper

Authors

1 Ma in clinical psychology, Islamic Azad University, Roudhan Branch, Tehran, Iran.

2 Assistant Professor, Psychology Education Department, Islamic Azad University, Roudhan Branch, Tehran, Iran.

Abstract

The aim of the present study was to find a structural model for feeling shame and guilty according to the defense mechanisms with the mediation of self-compassion in physically disabled patients. The present study was applicative and the research method was correlation through structural equation modeling method. The statistical population included physically disabled patients hospitalized in specialized centers in zones 17 and 18 in the city of Tehran in the spring of 2020. The patients’ disability resulted from dystrophy, cerebral paralysis, Multiple Sclerosis and spinal cord injury. The sample size in the present study was 250 patients who were selected via convenient sampling method. The research instruments included Defense Mechanisms Questionnaire (Andrews, Singh, Bond, 1993), Self-Compassion Questionnaire (Neff, 2003) and Test of Self-Conscious Affect (TOSCA) (Tangeni, 1992). The data analysis was conducted via structural equation modeling through SPSS and Amos software version 23. The results showed that mature defense mechanism, immature defense mechanism, neurotic defense mechanism and self-compassion have had significant direct effect on feeling shame and guilty in physically-disabled patients (p<0.001). Moreover, the results showed that self-compassion has significant mediation role in the relationship of mature defense mechanism, immature defense mechanism and neurotic defense mechanism with feeling shame and guilty besides its direct effect on this feeling in physically disabled patients. Taking the significant mediation role of self-compassion, the clinical therapists are suggested to apply efficient psychological therapy methods such as compassion-based treatment to decrease their feeling shame and guilty through influencing physically-disabled patients’ defense mechanisms.

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medical journal of mashhad university of medical sciences
Volume 67, Issue 1
March and April 2024

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