Psychological Defences Flashcards

1
Q

What are the types of psychological defences and what is their purpose?

A

Psychotic, neurotic and mature defences
Psychotic - denial of reality e.g. denial, conversion, splitting
Neurotic - temporary relief but ultimate disability e.g. dissociation, repression, undoing (magical)
Mature - adequate transformation of stressful ego e.g. altruism, sublimation

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2
Q

What is derealisation as a psychological defence? In what conditions might this occur?

A

the subjective sense that the world and others appear to be fake and unreal

in anxiety, in functional psychosis (BPD), also organic states (epilepsy)

IMMATURE

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3
Q

What is regression as a psychological defence?

A

Uncovering of usually hidden component of the patient’s personality during treatment

IMMATURE

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4
Q

What is repression as a psychological defence?

A

a patient’s reduced ability to access some issues or emotions

IMMATURE

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5
Q

Transference resistance is?

A

when a patient unconsciously wishes to mirror past relationships within the therapeutic relationship

IMMATURE

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6
Q

What is conversion as a psychological defence?

A

unconscious conflict that would otherwise arouse anxiety is expressed symbolically. the repressed emotion is transformed into a physical symptoms
IMMATURE - PATHOLOGICAL

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7
Q

What is undoing as a psychological defence?

A

defence mechanism whereby an emotional conflict associated with an action is dealt with by negative the actions or attempting to ‘magically’ cause it to not have occur by substituting it will an approximately opposed action

common in OCD with compulsions to avoid anxiety

IMMATURE

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8
Q

What is isolation as a psychological defence?

A

involving the act or process of separating or placing apart emotions or feelings (e.g. isolation of affect)

IMMATURE

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9
Q

What is ambivalence as a psychological defence?

A

an apparent inability to make decisions, or the development of conflicting attitudes towards others and one’s self

IMMATURE

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10
Q

What is PERSECUTATORY SPIRAL as a psychological defence?

A

usually occuring due to misinterpretation or the therapist being mean or authoritarian

escalating, destructive interaction in which both patient and therapist feel persecuted

IMMATURE

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11
Q

What is ‘anger turned inwards’ as a psychological defence?

A

IMMATURE, said by Freud

When anger is repressed and turned inward, it can become a psychological defence mechanism that can lead to depression. This can happen when someone fears being rejected or abandoned if they express their anger directly

IMMATURE

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12
Q

What is projective identification as a psychological defence?

A

individuals unwanted/uncomfortable feelings are projected onto the therapist - the therapist then identified with these feelings
- erotic countertransference is an example

IMMATURE

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13
Q

What is projection as a psychological defence?

A

IMMATURE

One owns negative feelings are attributed to another person

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14
Q

What is acting out as a psychological defence?

A

instead of remembering difficult past experiences, a person will enact them e.g. anger, SH, rejection

IMMATURE

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15
Q

What is splitting as a psychological defence?

A

typically, in people with BPD - they divide parts of themselves into good and bad (good breast, bad breast) and project this onto others

IMMATURE

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16
Q

What is idealisation and denigration as a psychological defence?

A

attempts to avoid ambivalence about themselves or other people - black and white, good and bad

IMMATURE

17
Q

What is dissociation as a psychological defence?

A

removes self from reality in order to not be in contact with painful feelings or thoughts, emotional and cognitive aspects splitting

IMMATURE

18
Q

What is reaction formation as a psychological defence?

A

adopting beliefs, attitudes and feelings contrary to what you really believe

e.g. have internally negative impression of gay people, who might take on opposite effect of being empathetic towards them

IMMATURE

19
Q

What is ‘IDENTIFICATION WITH THE ABUSER as a psychological defence?

A

A person may take on abusive aspects of their own abuser e.g. childhood bullying

IMMATURE

20
Q

What is displacement as a psychological defence?

A

channelling a feeling or thought from its actual source to something or someone more acceptable e.g angry with boss, this displaces to partner

IMMATURE

21
Q

What is the difference between the psychological defences of projection and displacement?

A

With projection, you are conscious that the fault lies with you, although you shift this/project, to avoid blame
e.g. struggling at new IT job, and when sturggling with working the computer, you call it stupid (you feel stupid inside)
- projection helps us to get true desires into hte open in one form or another, releasing some of the energy required to repress them. Just as important though, the desire emerges in such a way that the ego and superego DO NOT recognise it as belonging to you.

With displacement, the fault lies outside of you, but is still shifted by you to displace the blame

22
Q

What is rationalisation as a psychological defence?

A

justifying thoughts, feelings and actions using logically plausible explanations, even if unrelated

23
Q

What is sublimation as a psychological defence?

A

redirecting unacceptable instinctual drives into personally and socially acceptable channels

e.g. someone with violent tendencies does kickboxing

MATURE

24
Q

What is altruism as a psychological defence?

A

selflessly acting for others and thereby avoiding the difficulty of attending to ones own needs
MATURE

25
What is denial as a psychological defence?
behaving as if an aspect of reality does not exist. the ego protects itself from unacceptable feelings by disavowing the existence of a painful reality IMMATURE
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What is PASSIVE -AGGRESSIVE as a psychological defence?
avoiding conflict by expressing hostility covertly IMMATURE
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What is intellectualisation as a psychological defence?
using facts and logic to avoid uncomfortable feelings. Using excessive thinking to replace these thoughts IMMATURE
28
What is somatization as a psychological defence?
transforming emotional conflicts into physical symptoms. Here a thought or affect is depressed and experienced as a bodily sensation IMMATURE
29
What is IDENTIFICATION as a psychological defence?
feelings such as jealousy are dealt with by internalizing aspects of the other person. This can be adaptive (e.g. working in productive ways to emulate mentor) but can be abnormal normal in development
30
What is excessive emotionality as a psychological defence?
thought content is repressed with affect remains present. This is a defense that is the opposite of intellectualisation and isolation of affect. Sometimes the high affect (emotion) substitutes for a repressed thought, while at other times, it substitutes for another, even more anxiety provoking emotion e.g. instead of telling her husband that she was fired from her job, she cried for hours uncontrollably
31
What is sexualisation as a psychological defence?
an individual takes issues that are not sexual and makes them sexual to avoid deeper uncomfortable feelings
32
What is externalization as a psychological defence?
people perceive internal conflicts as if they were external conflicts e.g. jane debates with her therapist whether she should stay with her current boyfriend, after an ex-boyfriend texts her. several months latera, she realises she was ambivalent about getting married to her BF in the first place
33
What are the 4 mature psychological defences?
remember SASH Suppression - putting unwanted feelings aside to cope with reality Altruism - avoid negative feelings by helping others Sublimation - channelling impulses and emotions into more socially acceptable behaviours Humour - use humour to avoid uncomfortable feelings
34