Defense Mech

Question 1

Hand washing rituals are most related to what defense mechanism? (4x)

Answer 1

UNDOING

Question 2

A defense mechanism characterized by a self of object representation that is disavowed by placing it into someone else, and inducing the latter to unconsciously identify with the self/object representation: (4x)

Answer 2

PROJECTIVE IDENTIFICATION

Question 3

Young man recounts how his father kicked his puppy to death, no emotion when telling the therapist this despite therapist’s upset response. Defense mech? (3x)

Answer 3

ISOLATION OF AFFECT

Question 4

Semiconsciously diverting attention from a conflict in order to minimize discomfort is an example of what defense mechanism? (3x)

Answer 4

SUPPRESSION

Question 5

Which defense mechanism most relevant to etiology of delusional disorders (like paranoia) according to psychodynamic theory: (2x)

Answer 5

PROJECTION

Question 6

A parent who just learned that her child has been injured and taken to the hospital, arranges for a neighbor to care for her other children and then rushed to the hospital. What defense mechanism did the parent use to handle her own fear? (2x)

Answer 6

SUPPRESSION

Question 7

Defense mechanism: a transient return to earlier behaviors characteristic of earlier stage of development in response to stress/conflict, despite overall maturation (2x)

Answer 7

REGRESSION

Question 8

According to psychoanalytic theory, feelings of persecution are most reflective of which of the following defense mechanisms?

Answer 8

PROJECTION

Question 9

Defense mechanism that involves internalizing the qualities of an object?

Answer 9

INTROJECTION

Question 10

Patient with murderous impulses towards a neighbor gives the neighbor a bouquet of flowers. This is an example of:

Answer 10

REACTION FORMATION

Question 11

Couple in therapy review argument at family reunion, husband told his sister-in-law that his wife was superior to her in every way, the wife expressed disapproval, husband became quiet and later fell down a flight of stairs. What defense mechanism is this?

Answer 11

TURNING AGAINST SELF

Question 12

Management of patient in denial immediately after MI:

Answer 12

SUPPORTING THE PATIENT, UNLESS DENIAL INTERFERES WITH CARE

Question 13

Per psychoanalytic theory, unacceptable affects and impulses are commonly gratified in socially acceptable ways through:

Answer 13

SUBLIMATION

Question 14

30 y/o in therapy struggles with feelings of ambivalence about mom. Mom now has metastatic BrCA. If the patient uses anticipation as a defense mechanism, she might:

Answer 14

SET ASIDE A NIGHT OF THE WEEK TO HAVE DINNER WITH MOM TO DISCUSS MOM’S RXN TO DIAGNOSIS

Question 15

Major psychological defense mechanism that determines the form and quality of OC symptom is

Answer 15

REACTION FORMATION

Question 16

One group member alternates between being the “scapegoat” for the group or the “spokesman” for the group. These events are a group version of what?

Answer 16

PROJECTIVE IDENTIFICATION

Question 17

When asked about a coworker after a recent conflict, a patient states “I harbor no ill feelings toward him, but he truly hates me.” The is example of which defense mechanism?

Answer 17

PROJECTION

Question 18

Disassociation is what type of defense mechanism?

Answer 18

NEUROTIC DEFENSE

Question 19

Pt is annoyed by family’s expression of concern for his condition, saying, “what they are saying is all in the talk.” What defense mechanism is this?

Answer 19

DEVALUING

Question 20

7 y/o states he knows Dad died, but why didn’t he come to the birthday party? Defense mechanism:

Answer 20

DENIAL

Question 21

In Vaillant’s model of life span development, what is classified as a mature defense mechanism:

Answer 21

HUMOR

Question 22

Pt’s wife states he drinks almost every night. Pt states he never drinks to excess, never drinks outside the home, never needs an eye opener, and drinking does not affect his work performance. This is an example of which defense mechanism?

Answer 22

DENIAL

Question 23

A child is jealous of the older sibling’s accomplishment and becomes less jealous when he (the patient) accomplishes something. Which defense mechanism is this?

Answer 23

SUBLIMATION

Question 24

Couples therapy, husband complains that MD wife works too long hours, she says she stays late to make sure everything is “right” checking and rechecking her work. Notes that once in high school she wished her straight-A brother dead and later he died on hunting trip. Her checking behavior is an example of: (2x)

Answer 24

UNDOING

Question 25

In a session, a couple seems blissfully content when happy but enraged when frustrated by the other. They alternate between over-idealizing and devaluing the other. This is an example of?

Answer 25

SPLITTING

Question 26

Obsessive-compulsive symptoms are characterized by which defense mechanism?

Answer 26

ISOLATION AND UNDOING