Genetic Counseling

Question 1

Confrontative

Answer 1

Coping style

Patient tries to change the opinions of the person who is in charge

Question 2

Distancing

Answer 2

Coping style

Patient acts as if nothing has happened

Question 3

Self-controlling

Answer 3

Coping style

Patient keeps feelings to themself

Question 4

Seeking social support

Answer 4

Coping style

Patient talks with others in the hope of learning more

Question 5

Accepts responsibility

Answer 5

Coping style

Patient criticizes or blames themself

Question 6

Plan

Answer 6

Coping style

Patient identifies next steps and follows through

Question 7

Positive reappraisal

Answer 7

Coping style

Patient tries to see any possible positive results or outcome

Question 8

Denial

Answer 8

Defense mechanism

Rejecting the possibility an event has happened

Question 9

Displacement

Answer 9

Defense mechanism (unconscious psychological defense) 
Shifting response from original aim to a vulnerable target (angry at spouse, but expressing it towards staff at medical center)

Question 10

Identification

Answer 10

Defense mechanism (unconscious psychological defense)
Assuming the attitude or behavior of an idealized person or group
Ex: “my sister said testing was unnecessary” or “my neighbor said this was nothing to worry about”

Question 11

Intellectualization

Answer 11

Defense mechanism (unconscious psychological defense) 
Avoiding intolerable feelings through abstract, precise thinking with little or no feeling (focusing on technical aspects of testing, probabilities, etc.)

Question 12

Projection

Answer 12

Defense mechanism (unconscious psychological defense)
Blaming other people or situations for difficulties the client experiences
Ex: “my wife is upset about these results” when he really is; “I know you think my decisions are foolish” when she is the one feeling unsure about her decisions

Question 13

Rationalization

Answer 13

Defense mechanism

Justifying objectionable information with plausible statements

Question 14

Regression

Answer 14

Defense mechanism (unconscious psychological defense)
Reverting to developmentally less mature behavior
Ex: articulate client suddenly unable to speak coherently

Question 15

Repression

Answer 15

Defense mechanism (unconscious psychological defense) 
Putting intolerable thoughts and feelings out of one's mind ("I only had old sister" when in reality, she had two, but one died at birth)

Question 16

Undoing

Answer 16

Defense mechanism (unconscious psychological defense) 
Canceling-out a distressing experience through a reverse action
Ex: The patient doesn't like the doctor because they gave the family bad news, but they try to cancel out that feeling by buying him a present.

Question 17

Associative countertransference

Answer 17

counselee’s experiences cause the counselor to become introspective, remember emotions, review mental images, recall conversations

Question 18

Projective countertransference

Answer 18

Counselor makes assumptions about the counselee based on past experiences
Often assume the emotions belongs to the patient

Question 19

Sublimation

Answer 19

Unconscious psychological defense-
Unacceptable emotions are redirected into socially acceptable activities (throwing yourself into volunteering, exercise, art, writing)

Question 20

Reaction-formation

Answer 20

Unconscious psychological defense- Use of opposite reaction to replace unacceptable emotion
Ex: Patient is very angry with husband but thinks that is unacceptable to feel that way, so tells everyone how great he is.