91B Therapy

Question 1

what are the mature defenses

Answer 1

Sublimation
Altruism
Suppression
Humor

Question 2

Sublimation - Type, Description and Example

Answer 2

Mature Defense
Rerouting unacceptable drive in a socially acceptable way
Man whose kid was killed by a drunk driver teaches students about drinking and driving

Question 3

Altruism - Type, Description and Example

Answer 3

Mature Defense
Guilty feelings alleviated by unsolicited
generosity toward others.
Mafia boss makes large donation to charity.

Question 4

Suppresion - Type, Description and Example

Answer 4

Mature Defense
Voluntary withholding of an idea or feeling
from conscious awareness (vs. repression).
Choosing not to think about the USMLE until
the week of the exam.

Question 5

Humor - Type, Description and Example

Answer 5

Mature Defense
Appreciating the amusing nature of an anxietyprovoking
or adverse situation.
Nervous medical student jokes about the boards.

Question 6

Acting Out - Type, Description and Example

Answer 6

Immature Defense
Unacceptable feelings and thoughts are
expressed through actions.
Tantrums.

Question 7

Denial -Type, Description and Example

Answer 7

Immature Defense
Avoidance of awareness of some painful reality.
MI patient doing pushups while in hospital because they don’t want to fall behind working out

Question 8

Displacement - Type, Description and Example

Answer 8

Immature Defense
Process whereby avoided ideas and feelings are
transferred to some neutral person or object
(vs. projection).
Mother yells at her child, because her husband
yelled at her.

Question 9

Dissociation - Type, Description and Example

Answer 9

Immature Defense
Temporary, drastic change in personality,
memory, consciousness, or motor behavior to
avoid emotional stress.
Extreme forms can result in dissociative identity
disorder (multiple personality disorder).

Question 10

Identification - Type, Description and Example

Answer 10

Immature
Modeling behavior after another person who
is more powerful (though not necessarily
admired).
Abused child identifies himself/herself with an
abuser.

Question 11

Intellectualization - Type, Description and Example

Answer 11

Immature Defense
Using mind’s higher functions to avoid bad emotions.
Doctor with cancer won’t stay fixating on cancer stats

Question 12

Isolation - Type, Description and Example

Answer 12

Immature
Separation of feelings from events
Describing murder in graphic detail with no
emotional response.

Question 13

Projection - Type, Description and Example

Answer 13

Immature
An unacceptable internal impulse is attributed
to an external source (vs. displacement).
A man who wants another woman thinks his
wife is cheating on him.

Question 14

Rationalization - Type, Description and Example

Answer 14

Immature
Proclaiming logical reasons for actions actually
performed for other reasons, usually to avoid
self-blame.
Nitin fails his OSCE and then states that it wasn’t important

Question 15

Reaction Formation - Type, Description and Example

Answer 15

Immature
Process whereby a warded-off idea or feeling
is replaced by an (unconsciously derived)
emphasis on its opposite (vs. sublimation).
A patient with libidinous thoughts enters a
monastery.

Question 16

Regression - Type, Description and Example

Answer 16

Immature
Turning back the maturational clock and going
back to earlier modes of dealing with the world.
Seen in children under stress such as illness,
punishment, or birth of a new sibling (e.g.,
bedwetting in a previously toilet-trained child
when hospitalized).

Question 17

Somatization - Type, Description and Example

Answer 17

Immature
Turning a feeling into a symptom.
Anxious man gets a headache.

Question 18

Splitting - Type, Description and Example

Answer 18

Immature
Belief that people are either all good or all
bad at different times due to intolerance of
ambiguity. Seen in borderline personality
disorder.
A patient says that all the nurses are cold and
insensitive but that the doctors are warm and
friendly.

Question 19

Undoing - Type, Description and Example

Answer 19

Immature
Superstitious behavior/atonement
Chick is robbed leaving the right side of a building so only goes out left side in the future

Question 20

Psychodynamic psychotherapy

Answer 20

relies on developing patient insight’
childhood experiences, past unresolved conflicts, and previous relationships significantly influence an individual’s current situation in life.

Question 21

List disorders that one can use psycotherapy exclusively

Answer 21

Anxiety
OCD
Panic
Phobia
PTSD

Question 22

What can ECT treat?

Answer 22

severe, treatment-resistant depression
bipolar
schizophrenia
Catatonia