Ch. 4: Stress and Defense Mechanisms Flashcards

1
Q

What causes anxiety?

A

Stress

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2
Q

Why do individuals use defense mechanisms?

A

As a way to manage conflict in response to anxiety

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3
Q

Are defense mechanisms reversible?

A

Yes, can also be adaptive or maladaptive

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4
Q

T/F: it is important that the defense mechanism used is appropriate to the situation, and that an individual uses a variety of defense mechanisms, rather than having the same reaction to every situation.

A

True

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5
Q

What are defense mechanisms that are always healthy? What about the other defense mechanisms?

A

Altruism and sublimation; they may be healthy, but they can become maladaptive

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6
Q

What is altruism?

A

Dealing with anxiety by reaching out to others

EX: A nurse who lost a family member in a fire becomes a volunteer fire fighter

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7
Q

What is sublimation?

A

Dealing with unacceptable feelings or impulses by unconsciously substituting acceptable forms of expression

EX: A person who has feelings of anger and hostility toward his work supervisor sublimates those feelings by working out vigorously at the gym during his lunch

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8
Q

What is suppression?

A

Voluntarily denying unpleasant thoughts and feelings

EX: A person lost his job and says “next week I’ll worry about paying my bills. Not this week.”

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9
Q

What is repression?

A

Putting unacceptable ideas, thoughts, and emotions out of conscious awareness

EX: A person who has a fear of the dentist’s drill continually “forgets” his dental appointments

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10
Q

What is displacement?

A

Shifting feelings r/t an object, person, or situation to another less threatening object, person, or situation

EX: A person loses his job and is angry so destroys his childs favorite toys

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11
Q

What is reaction formation?

A

Overcompensating or demonstrating the OPPOSITE behavior of what is felt

EX: A person who dislikes her sister’s daughter offers to babysit so that her sister can go out of town

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12
Q

What is undoing?

A

Performing an act to MAKE UP for prior behavior

EX: An adolescent completes his chores without being prompted AFTER having an argument with his parents

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13
Q

What is rationalization?

A

Creating reasonable and acceptable explanations for unacceptable behavior

EX: A young adult explains he had to drive home from a party after drinking alcohol bc he had to feed his dog

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14
Q

What is dissociation?

A

Temporarily blocking memories and perceptions from consciousness

EX: An adolescent witnesses a shooting and is unable to recall any details of the event

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15
Q

What is splitting?

A

Demonstrating an inability to reconcile negative and positive attributes of self or others

EX: A client tells a nurse that she is the only one who cares about her, yet the following day, the same client refuses to talk to the nurse

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16
Q

What is projection?

A

Blaming others for unacceptable thoughts and feelings

EX: A young adult blames his substance abuse disorder on his parent’ refusal to buy him a new car

17
Q

What is denial?

A

Pretending the trust is not reality to manage the anxiety of acknowledging what is real

EX: A parent who is informed that his son was killed in combat tells everyone he is coming home for the holidays

18
Q

What is regression?

A

Demonstrating behavior from an earlier developmental level
*Often exhibited as childlike or immature behavior

EX: A school age child begins wetting the bed and sucking his thumb after learning that his parents are separating

19
Q

What does normal anxiety motivate people to do?

A

Take action

EX: A nurse on a mental health floor hears a violent situation is occurring–the anxiety experienced by the nurse helps her to react quickly

20
Q

What is acute (state) anxiety?

A

Level of anxiety precipitated by an imminent loss or change that threatens ones sense of security

EX: Sudden death of a loved one

21
Q

What is chronic (trait) anxiety? When does this start? How does the adult experience this?

A

One that develops over time
Develops during childhood
Adult experiences anxiety and physical symptoms