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Block 2 Week 3 > Defense mechanisms > Flashcards

Defense mechanisms Flashcards

1
Q

What are freud’s mechanisms for defense?

A

id, ego and super eo

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2
Q

What were the precursors of todays biospsychosocial model?

A

id, ego, superego

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3
Q

(blank) is the biological underpinnings of personality and pyschopathology.

A

the id

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4
Q

(blank) is the psychological foundation of personality and psychopathology.

A

ego

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5
Q

(blank) is the social and cultural forces impacting personality and psychopathology.

A

super ego

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6
Q

The (blank)provides a deeper appreciation of patients’ defenses and coping strategies

A

ego psychology model

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7
Q

(blank) is useful in terms of understanding the threat and impact of the real and symbolic losses of illness as well as the significance of the patients-physician relationship

A

The object relations model

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8
Q

The (blank) addresses the threat to the integrity and cohesion of the self and the need for an empathic approach to patients

A

The model of self psychology

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9
Q

All defense mechanisms are meant to be (blank) regardless of how self-defeating or self-destructive they may appear.

A

protective

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10
Q

Whether a defense mechanism is (blank) depends on the defense and its’ context.

A

adaptive

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11
Q

Under a felt threat,(blank) preserve self-cohesion, self-esteem and relational ties.

A

defense mechanisms

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12
Q

Under a felt threat, defense mechanisms preserve what?

A

self-cohesion, self-esteem and relational ties.

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13
Q

What are patterned thoughts, feelings, or behaviors that arise in response to (internal or external) threat?

A

defense mechanisms

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14
Q

What do defense mechanisms do?

A

reducing or avoiding conscious or unconscious stress, anxiety or conflict.

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15
Q

Projection is almost (blank) adaptive

A

never

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16
Q

Whether a defense mechanism is adaptive depends on the defense employed and the (blank) in which it is used.

A

context

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17
Q

Sublimation is almost (blank) adaptive

A

always

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18
Q

(blank) is usually maladaptive, except when it insulates the individual from an overwhelming stressor and helps him/her maintain psychic equilibrium.

A

Denial

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19
Q

(blank) is a mature type of defense mechanism where socially unacceptable impulses or idealizations are consciously transformed into socially acceptable actions or behavior, possibly resulting in a long-term conversion of the initial impulse.

A

sublimation

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20
Q

Why do people use defense mechanisms?

A

Keep emotions within bearable limits during crises
Postpone or channel surges in biological drives
Provide a time out to navigate changes in self image
Manage unresolvable conflicts with significant others
Survive major conflicts with conscience
Preserve self-conflicts, self esteem, self-object ties,

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21
Q

What are the four categories of defense?

A

profound, immature, neurotic, mature

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22
Q

What kind of defense category is this:

denial and distortion

A

profound

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23
Q

What kind of defense category is this: regression

fixation, acting out, fantasy, projection, identification, splitting, dissociation.

A

immature

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24
Q

What kind of defense category is this:
repression, rationalization, undoing, isolation, intellectualization, displacement, turning against the self, reaction formation, somatization.

A

neurotic

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25
Q

What kind of defense category is this:

humor, altruism, sublimation, and suppression

A

Mature

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26
Q

All defenses are “effective” at (blank) and denying, delaying or distorting psychological danger.

A

repressing conflict

27
Q

What kind of defenses are these?
These psychotic defenses are specifically “designed’ to alter an otherwise unacceptable, overwhelming and too painful reality.
They are used and understood in the degree to which they attempt transform reality, relationships, self-esteem and self-concepts and overwhelming affects.
They include:
Profound-Denial and Distortion of External Reality
Psychotics patients such as some Bi-Polar and Schizophrenic patients are unhappy people, who tend to be victims rather than perpetrators of crime and die young.

A

primitive/psychotic defenses

28
Q

What kind of defenses are these:
Projection can range from significant anxiety and fear to frank psychosis.
Through projection the individual’s own unacceptable impulses, thoughts or feelings are disavowed and projected onto another person-often the one conducting the interview…
Frequently these projections have sexual and aggressive themes, “you’re coming on to me, you think I’m a tramp, you’re trying to control me, you’re a fucking faggot.” Are some of my greatest hits.
It is very disorienting to be the target of these projections and of course it is very difficult to defend yourself because as you defend yourself you risk offending the disavowed part of the patient.

A

immature defenses

29
Q

While repression pushes away internally difficult realities, (blank) pushes away difficult or intolerable external realities. Both are unconscious.

A

denial

30
Q

What does this describe:
Denial-like projection denial has a wide range from a slight delay in processing difficult information to a massive distortion of reality.
While repression pushes away internally difficult realities, denial pushes away difficult or intolerable external realities. Both are unconscious.
Denying chest pain, breast lumps, short and long-term complications of diabetes, mental retardation of a child, addiction, the list is fascinating, endless and sometimes tragic in medical settings.

A

immature defenses

31
Q

What kind of defense?
More common than the primitive defenses, Projection, Denial, Dissociation, Acting Out, Idealization/Devaluation-(splitting)
Adolescents, immature adults, personality disorders.
Projection, like Denial can be both Immature/psychotic
Schizoid’s retreat into autistic Fantasy;
The beaten wife’s Turning Against the Self;
Sociopath’s mindless and impulsive translation of inner conflict into senseless and often brutal Acting Out;
The Somatization of the hypochondriac’s magnification of pain and help rejecting complaining.

A

immature

32
Q

(blank) externalize responsibility and are ego syntonic-PDs’ refuse help, such offers seem preposterous.

A

Immature defenses

33
Q

(blank) refers to a retreat under stress to a previous level of development or method of coping in order to avoid conflict associated with one’s present level of functioning.

A

Regression

34
Q

(blank) is less a defense than a character disturbance.Often associated with an inadequate personality. It describes a relatively low level of psychological functioning that would be associated with an earlier stage of development.

A

fixation

35
Q

(blank) is a defense, where one takes on traits or attributes of another for safety and a sense of security= resolution of Oedipal conflict, holding on while letting go deceased, can’t beat ‘em join ‘em.

A

identification

36
Q

Stockholm syndrome, taking on symptoms of dead husband are examples of what kind of defense mechanism?

A

immature identification

37
Q

What kind of immature defense is this:
-a defense where the individual see others and him/herself as all good or all bad as opposed to a more balanced and integrated perspective. This defense has individual alternating between idealization and devaluation, love and hate, grandiosity and worthlessness.

A

Splitting

38
Q

What kind of immature defense is this
-is a defense against utter and complete helplessness of sexual abuse, rape and torture, it provides escape when there is no escape as in the face of a terminal dx. Diss disrupts individual’s sense of time, identity and perception in order to maintain a sense of psychological control when all appears lost.

A

Dissociation

39
Q

What kind of immature defense is this:
often used to describe bad behavior in children and adolescents, acting out as a defense refers to the process of acting on an unconscious wish or impulse in order to avoid being aware of the emotion that accompanies it.

A

acting out

40
Q

(blank) puts emotions into action without reflection, forethought, guilt or regard for consequences. The act discharges the affect.

A

Acting out

41
Q

What kind of defenses are these:
These defenses involve the psychopathology of everyday life-repression, rationalization, intellectualization, isolation of affect, reaction formation, displacement and undoing. They are us…
Unlike immature defenses that tend to irritate others, the neurotic defenses like a pebble in a shoe create problems primarily for their owners.
These are the patients that seek help from their physicians and from psychotherapists.

A

neurotic/intermediate defenses

42
Q

What kind of intermediate defense is this:
the mother of Freudian defenses involves the unconscious exclusion from awareness of an unpleasant feeling, impulse, idea or wish. (A man being unaware that he resents his more successful wife).

A

Repression

43
Q

What kind of intermediate defense is this:
-use of plausible reasons to justify actions caused by repressed or otherwise unacceptable emotions or ideas. “I charge a lot so that therapy will be more meaningful for the patient.”

A

Rationalization

44
Q

What kind of intermediate defense is this:
involves trying to negate or undo an acceptable thought, wish or actual behavior. Strongly associated with OCD-elaboration, clarification, prayer, rumination.

A

Undoing

45
Q

(blank) both provide distance from intense affect.

A

isolation and intellectualization

46
Q

In the (blank) of affect the defense creates a firewall from the heat of emotion which allows the individual to think rather than be flooded-CPR, the Heimlich maneuver, administering first aid.

A

isolation

47
Q

(blank) is what causes many marital conflicts and patient no shows or AMA. It is the overuse of abstract thinking in the service of the thinker! Alcoholics intellectualize when they quibble over the definition of alcoholism all while explaining their third DUI.

A

Intellectualization

48
Q

(blank) is seen in marital dynamics but also in medical settings. It involves the discharge of pent up emotions onto less dangerous objects- our spouse, dog, plant or doctor.

A

displacement

49
Q

(blank) is a form of displacement where the less dangerous object is you. Highly associated with depression, it frequently follows a serious diagnosis or injury where the patient’s assumptive world is shattered. (Kushner)-just world theory. Also displacing anger or rage onto self rather than onto abusive spouse, boss, parent, instructor, etc.

A

Turning against the self

50
Q

(blank) may sound more unusual than it is in everyday life. This defense prevents the expression or the experience of unacceptable thoughts, feelings or actions by turning them inside out and turning them into their opposite. “The lady doth protest too much.” RF is often a defense against aggression, dependency or passivity.

A

Reaction formation

51
Q

(blank) if broadly defined is more common than one might think, or not. It involves converting emotional pain or stress into physical sx and subsequently focusing exclusively on the bodily concerns to the exclusion of any psycho-social difficulties. Tennis.

A

somatization

52
Q

What kind of defenses are these?
These defenses actually add to life while distracting from internal or external conflict. Not only are we not irritated or putout by them, we often appreciate and are the beneficiaries of these defenses which include humor, altruism, sublimation and suppression.
Theses defenses still distort and alter feelings, conscience, relationships and reality-but they perform these tasks gracefully and flexibly-
Writing the great American novel, laughing instead of crying, being stoic in the face of adversity, together they allow us to live closer to the Golden Mean and the Golden Rule which trend toward happiness and often old age.

A

mature defenses

53
Q

(blank) is Transforming socially objectionable or internally unacceptable aims into socially acceptable ones. Better a surgeon than a sadist… A psychotherapist than a voyeur…

A

sublimation

54
Q

(blank) is forgoing pleasurable experience because of internal conflicts produced by pleasure-celibacy, spiritual goals, practices, sacrifices. Also seen in eating disorders…

A

ascetism

55
Q

(blank)-consciously deciding not to attend to a particular feeling or circumstance. “I’ll deal with that Monday…”

A

Suppression

56
Q

(blank) is committing oneself to the needs of other rather than than self. Unlike reaction formation, this defense is actually gratifying while also meeting self-esteem and affiliation needs.

A

altruism

57
Q

(blank) is the psychology of delayed gratification which involves planning and thinking about future achievements, accomplishments and pay-offs. Medical School?

A

anticipation

58
Q

What is the key to approaching defenses?

A

empathy

59
Q

When you ask a patient to remove their protective clothing we (blank)him/her with something else. More often than not this protective covering/shield is you and your kind, understanding and respectful manner.

A

cover

60
Q

We must ask (blank) to breach a patient’s internal defenses and do so with our posture tone of voice and commitment to empathetic listening.

A

permission

61
Q

(blank) is the ideas you have about a person from past experiences with simliar people

A

transference

62
Q

(blank) is when you treat an individual a particular way due to transference.

A

countertransference

63
Q

The psychological pain of illness and death is first and foremost (blank)

A

separation and loss

64
Q

Our patients’ (blank) like our own, are full of meaning, they are purposeful, protective, goal-directed and an integral part of the individual’s emotional life.

A

defenses

Block 2 Week 3 (9 decks)

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