Ego Defenses Flashcards

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1
Q

Acting out

A

IMMATURE DEFENSES

Expressing unacceptable feelings and thoughts
through actions

Tantrums

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2
Q

Denial

A

IMMATURE DEFENSES

Avoiding the awareness of some painful reality

A common reaction in newly diagnosed AIDS and cancer patients.

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3
Q

Displacement*

A

IMMATURE DEFENSES

Transferring avoided ideas and feelings to a neutral person or object (vs projection)

Mother yells at her child, because her husband yelled at her

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4
Q

Dissociation*

A

IMMATURE DEFENSES

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)

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5
Q

Fixation*

A

IMMATURE DEFENSES

Partially remaining at a more childish level of development (vs regression)

Adults fixating on video games

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6
Q

Idealization*

A

IMMATURE DEFENSES

Expressing extremely positive thoughts of self and others while ignoring negative thoughts

A patient boasts about his physician and his
accomplishments while ignoring any flaws.

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7
Q

Identification

A

IMMATURE DEFENSES

Modeling behavior after another person who is more powerful (though not necessarily admired)

Abused child later becomes a child abuser.

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8
Q

Intellectualization

A

IMMATURE DEFENSES

Using facts and logic to emotionally distance oneself from a stressful situation

In a therapy session, patient diagnosed with cancer focuses only on rates of survival.

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9
Q

Isolation (of affect)

A

IMMATURE DEFENSES

Separating feelings from ideas and events

Describing murder in graphic detail with no emotional response

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10
Q

Passive aggression*

A

IMMATURE DEFENSES

Failing to meet the needs/expectations of others
as an indirect show of opposition.

Disgruntled employee is repeatedly late to work

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11
Q

Projection*

A

IMMATURE DEFENSES

Attributing an unacceptable internal impulse to an external source (vs displacement)

A man who wants to cheat on his wife accuses his wife of being unfaithful.

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12
Q

Rationalization

A

IMMATURE DEFENSES

Proclaiming logical reasons for actions actually performed for other reasons, usually to avoid self-blame.

After getting fired, claiming that the job was not important anyway.

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13
Q

Reaction formation*

A

IMMATURE DEFENSES

Replacing a warded-off idea or feeling by an (*unconsciously derived) emphasis on its opposite (vs sublimation)

A patient with libidinous thoughts enters a monastery

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14
Q

Regression

A

IMMATURE DEFENSES

Involuntarily turning back the maturational clock and going back to earlier modes of
dealing with the world (vs fixation)

Seen in children under stress such as illness, punishment, or birth of a new sibling (eg,
bedwetting in a previously toilet-trained child when hospitalized).

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15
Q

Repression*

A

IMMATURE DEFENSES

*Involuntarily withholding an idea or feeling from conscious awareness (vs suppression)

A 20-year-old does not remember going to counseling during his parents’ divorce 10 years earlier.

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16
Q

Splitting

A

IMMATURE DEFENSES

Believing that people are either all good or all bad at different times due to intolerance of ambiguity.

Commonly seen in *borderline personality disorder

A patient says that all the nurses are cold and insensitive but that the doctors are warm and friendly

17
Q

Sublimation*

A

MATURE DEFENSES

Replacing an unacceptable wish with a course of action that is similar to the wish but does not conflict with one’s value system (vs reaction formation)

Teenager’s aggression toward his father is redirected to perform well in sports.

18
Q

Altruism

A

MATURE DEFENSES

Alleviating negative feelings via unsolicited generosity

Mafia boss makes large donation to charity.

19
Q

Suppression*

A

MATURE DEFENSES

*Intentionally withholding an idea or feeling from conscious awareness (vs repression); temporary

Choosing to not worry about the big game until it is time to play.

20
Q

Humor

A

MATURE DEFENSES

Appreciating the amusing nature of an anxiety-provoking or adverse situation.

Nervous medical student jokes about the boards