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PMHNP Boards > Defense Mechanisms > Flashcards

Defense Mechanisms Flashcards

1
Q

Denial

A

Avoidance of unpleasant realities by unconsciously ignoring their existence
Refusal to admit or recognize that something has occurred or is currently occurring

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2
Q

Projection

A

Unconscious rejection of emotionally unacceptable personal attributes, beliefs, or actions by attributing them to other people, situations, or events
Taking one’s own unacceptable qualities or feelings and attributing them to another

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3
Q

Regression

A

Return to more comfortable thoughts, behaviors, or feelings used in earlier stages of development in response to current conflict, stress, or threat
Reverting to patterns of behavior from an earlier stage of development in order to cope with stressful events

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4
Q

Repression

A 
Unconscious exclusion of unwanted, disturbing emotions, thoughts, or impulses from conscious awareness
Keeps information (negative) out of conscious awareness
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5
Q

Reaction Formation

A

Often called overcompensation; unacceptable feelings, thoughts, or behaviors are pushed from conscious awareness by displaying and acting on the opposite feeling, thought, or behavior
Taking up the opposite feeling, impulse or behavior in order to reduce anxiety

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6
Q

Rationalization

A

Justification of illogical, unreasonable ideas, feelings, or actions by developing an acceptable explanation that satisfies the person
Explaining an unacceptable behavior or feeling in a rational or logical manner

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7
Q

Undoing

A

Behaviors that attempt to make up for or undo an unacceptable action, feeling, or impulse

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8
Q

Intellectualization

A

Attempts to master current stressor or conflict by expansion of knowledge, explanation, or understanding
Focusing on the intellectual component to avoid thinking about a stressful or emotional aspect

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9
Q

Suppression

A

Conscious analog of repression; conscious denial of a disturbing situation, feeling, or event
The conscious removal of unwanted information out of awareness

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10
Q

Sublimation

A

Unconscious process of substitution of socially acceptable, constructive activity for strong unacceptable impulse
Converts unacceptable impulses into more acceptable behaviors

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11
Q

Altruism

A

Meeting the needs of others in order to discharge drives, conflicts, or stressors

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12
Q

Splitting

A

Aspects of a person or self are seen only in extremes and not able to be integrated

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13
Q

Humor

A

Pointing out funny or ironic aspects of a situation to express feelings

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14
Q

A student does poorly on a test and blames the professor for a “bad” test

A

Rationalization

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15
Q

A woman views her husband as either all good or all bad; cannot integrate negative and positive

A

Splitting

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16
Q

Making a joke at one’s own expense

A

Humor

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17
Q

A person with extreme anger goes to the gym to box.

A

Sublimation

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18
Q

The woman decided to put aside and not think about her negative test results until after her daughter’s wedding

A

Suppression

19
Q

Primitive or narcissistic defense mechanism

A

Seen in adolescents, non-psychotic patients
Splitting
Denial
Projection

20
Q

Immature defense mechanism

A

Regression

Passive-aggression

21
Q

Neurotic defense mechaism

A 
Rationalization
Reaction formation
Intellectualization
Repression
Displacement
22
Q

Mature defense mechanisms

A

Helpful, flexible, and healthy
Humor
Sublimation
Suppression

23
Q

Passive Aggression

A

Indirectly expressing anger

24
Q

“The pie scene” in the movie The Help

A

Passive-aggression

25
Q

Treating someone you dislike in a friendly manner in order to hide your true feeling

A

Reaction formation

26
Q

A person with a terminal illness spends hours learning about the disease and treatment to distance him/her form reality

A

Intellectualization

27
Q

Child cannot remember abuse from parent

A

Repression

28
Q

Angry at boss and instead of arguing with them, go home and pick a fight with spouse

A

Displacement

29
Q

Alcoholic who denies they have a problem in the face of job loss or divorce

A

Denial

30
Q

Taking a strong dislike for someone, when the fear or belief is that he/she does not like you

A

Projection

31
Q

A child begins wetting the bed after his parents’ divorce

A

Regression

32
Q

Displacement

A

Taking out frustrations, feelings and impulses on people or objects less threatening

33
Q

ODD prevalence

A

2-16%

34
Q

ODD age of onset

A

Can be as early as 3 years, typically before 8 years

Seldom adolescence

35
Q

ODD Gender

A

Boys>girls, = ratio after puberty

36
Q

ODD familial aspects

A

No distinct family patterns

Parents may be overly concerned with power, control, or autonomy

37
Q

ODD Etiology

A

Persistent controlling and overreation by parents to displays of autonomy may contribute to chronic problems with authority

38
Q

ODD Clinical features

A

Pattern of negativistic, hostile and defiant behavior x 6 months
4 or more are present
the person often: argues with adults, loses temper, refuses to comply with rules, blames others for their own mistakes, deliberately annoys people, “touch” or easily annoyed by others, angry and resentful, spiteful or vindictive

39
Q

CD prevalence

A

6-16%

40
Q

CD age onset

A

Boys = 10-12
Girls = 14-16
Childhood onset - prior to age 10
Adolescent onset - no criteria before age 10

41
Q

CD gender

A

Boys>girls (4:1)

42
Q

CD familial aspects

A

Occurs more frequently in children whose parents have antisocial personality disorder and alcohol dependence

43
Q

CD Etiology

A

multifactorial risk factors:
Parenting: characterized as chaotic, hostile, physical and verbal aggressiveness; substance abuse, bitter divorce - all contribute to child’s maladaptive behavior
Social factors: lack of social involvement and social support, chronic exposure to violence
Psychologic: Poorly-developed sense of empathy
Neurobiology and Neurology: Select chemical changes and brain wave changes are noted

44
Q

CD Clinical Features

A 
Repetitive pattern of behavior where basic rights of others or major age-appropriate rules are violated within the past 12 months, one criterion present in the past 6 months
4 major categories of criteria
1- Aggression to people and animals
2-Destruction of property
3-Deceitfulness or theft
4-Serious violation of rules

PMHNP Boards (5 decks)

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