Defense Mechanisms Flashcards

1
Q

What is the purpose of defense mechanisms?

A

To preserve self-cohesion, self-esteem/self-image, & relational ties (manage relational conflicts).
Help reduce or avoid conscious or unconscious stress.
Meant to be protective.
Keep emotions w/i bearable limits in the midst of emotional crises.
Postpone or channel surges in biological drives (aggressive or sexual).

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2
Q

What are defense mechanisms?

A

Patterned thoughts, feelings, or behaviors that arise in response to external (unacceptable realities) or internal threats.

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3
Q

Which defense mechanism is almost never adaptive?

A

Projection

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4
Q

Which defense mechanism is almost always adaptive?

A

Sublimation

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5
Q

Which DM category does regression, fixation, identification, projection, splitting & dissociation fall into?

A

Immature.

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6
Q

Which DM category does repression, rationalization, isolation, intellectualization, displacement, somatization fall into?

A

Neurotic

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7
Q

Which DM category do ppl w/ personality disorders employ?

A

Immature.

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8
Q

Which DM category do humor, altruism, sublimation, and suppression fall into?

A

Mature

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9
Q

Which DM category does suppression fall into?

A

Mature

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10
Q

Which DM category does somatization fall into?

A

Neurotic

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11
Q

Which DM category does displacement fall into?

A

Neurotic

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12
Q

Which DM categories do repression & regression fall into?

A

Repression–Neurotic

Regression–Immature

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13
Q

What are you doing to a patient if you deny or disparage their projection?

A

You are denying a part of them.

You are attacking them.

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14
Q

Which DM deals with internal realities? External realities?

A

Internal–repression

External–denial

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15
Q

When a child throws a temper tantrum–that is ______?

When a sociopath murders someone–that is _______?

A

Acting Up

Acting Out

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16
Q

What is splitting? Which DM is this?

A

Where you oscillate b/w idealizing somone & hating them.

Immature.

17
Q

What is usu the most effective way to breach immature DMs?

A

Not invitation, but CONFRONTATION. And group help.

18
Q

When is regression healthy?

A

When you have a terminal illness–it is a part of the process of letting go.

19
Q

What DM is this? Note: sometimes associated w/ chronic pain.

Coping by going back to a previous level of development.

A

Regression

20
Q

What is Donald Trump an example of? Which DM category?

A

Fixation.
Tries to meet their need for recognition, attention & affirmation.
Requires empathy.
Immature DM.

21
Q

What DM is Stockholm’s Syndrome an example of? What are other examples of this DM? Which DM category?

A

Identification. Immature DM.
Wearing dead dad’s watch.
Feeling dead spouse’s disease symptoms.

22
Q

Which DM is common in PTSD or when getting a diagnosis of a terminal illness? Which DM category?

A

Dissociation.
Total change in perception.
Immature.

23
Q

What is it called when a man suddenly wakes up one day & realizes that he resents his wife?
Which DM category?

A

Repression

Intermediate/Neurotic

24
Q

What is it called when you go over a social misstep over & over in your head w/ a different outcome? It is associated w/ OCD. Which DM category?

A

Undoing

Intermediate or Neurotic.

25
Q

What is it called when you disconnect from the gravity of an emergency situation while you are administering CPR only to have a flood of adrenaline afterwards? Which DM category?

A

Isolation

Intermediate/Neurotic

26
Q

What is it called when a kid who is abused by his father bullies at school? Which DM category?

A

Displacement

Intermediate/Neurotic

27
Q

What is it called when your assumptive world is shattered & you start to hate yourself? Maybe with a diagnosis of lung cancer when you have never smoked? Which DM category?

A

Turning against the self
A form of displacement onto yourself.
Intermediate/Neurotic

28
Q

The lady doth protesteth too much. Which DM is this? Category?

A

Reaction Formation.

Intermediate/Neurotic

29
Q

Which DM does this show…better a surgeon than a sadist. Which category?

A

Sublimation

Mature

30
Q

Which DM do all medical students practice? Also seen in eating disorders…Which Category?

A

Asceticism.
Mature
Note: med students also employ the mature Anticipation DM

31
Q

When you get to a party & realize you have a flat tire…and consciously decide to fix it after the party…which DM are you employing? Which category?

A

Suppression

Mature

32
Q

What is transference?

A

Making assumptions about a person based off of people from your past that they remind you of.
Remember: we are born to attach, not relate.

33
Q

What is countertransference?

A

When a doctor assumes something about the pt & let’s that sorta alter the way they interact.
Objective: lean back from a menacing person.
Subjective: don’t want to discuss sexual issues w/ someone that reminds you of your mom.