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Year 2 Psychiatry > Ego defenses > Flashcards

Ego defenses Flashcards

1
Q

what is freud’s topographical theory of the mind?

A
  • unconscious: contains material that the person is not aware of and cannot intentionally bring into awareness
  • conscious: contains material that the person is actively aware of and can discuss verbally
  • preconscious: contains material that the person is not currently thinking about, but can bring to awareness as needed (e.g. phone number)
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2
Q

what is freud’s structural theory of personality?

A

personality is divided into 3 parts: id, ego, superego

  • id: present at birth, psychic energy, pleasure principle, unconscious
  • ego: after birth, operates on reality principle, negotiates, requires defense mechanisms
  • superego: develops by internalizing parental and societal teachings about right and wrong, punishes self, primarily unconscious
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3
Q

which structural component of personality is present at birth?

A

id

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4
Q

which structural component of personality operates on the reality principle?

A

ego

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5
Q

which structural component of personality negotiates between the personality’s desires and drives and the outside world?

A

ego

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6
Q

which structural component of personality punishes the self for misbehaving via guilt and shame?

A

superego

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7
Q

which structural component of personality develops by internalizing parental and societal teachings about right and wrong?

A

superego

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8
Q

which structural component of personality requires defense mechanisms to manage anxiety?

A

ego

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9
Q

are defense mechanisms carried out consciously / intentionally?

A

no

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10
Q

are defense mechanisms adaptive, maladaptive, both, or neither?

A

either adaptive or maladaptive

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11
Q

ego defense: regression?

A
  • reverting to an earlier stage of development under stress in order to avoid the anxiety or difficulty involved in the more mature stage
  • ex: previously potty trained 4 year old that starts having frequent accidents when a younger sibling is born
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12
Q

ego defense: denial

A

failing to acknowledge some part of external reality that is obvious to other

  • person receiving 4th DUI insists they do not have a drinking problem
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13
Q

ego defense: displacement

A

taking an impulse or emotion that is directed at an unacceptable target and instead directing it at someone or something else

  • ex: getting extremely angry at one’s boss, saying nothing to the boss and coming home and kicking the dog who had done nothing wrong
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14
Q

ego defense: humor

A
  • involves explicitly expressing feelings without feeling personal discomfort or making other uncomfortable (MATURE DEFENSE)
  • usually involves element of truth or self-awareness
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15
Q

ego defense: intellectualization

A

engaging in excessively abstract thinking in order to avoid painful or upsetting feelings; thinking about feelings rather than experiencing them

  • ex: following a diagnosis of cancer, displaying no emotion but instead discussing Kubler-Ross’ stages of grieving and the current literature on their validity
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16
Q

ego defense: passive aggressive

A

indirectly expressing aggression through passive or masochistic means; via NOT acting

17
Q

ego defense: projection

A

taking one’s own unacceptable impulses or feelings and attributing them to someone else

  • ex: being very angry at one’s spouse / partner, but believing instead that the partner is always angry
18
Q

ego defense: isolation of affect

A

separating the thoughts from the feelings associated with an experience, then keeping the feelings unconscious
- person is aware of

19
Q

ego defense: rationalization

A

stating a logically plausible and socially acceptable (but inaccurate) explanation for a behavior driven by emotion

  • stating that you did not invite a friend to the party because you knew they were overwhelmed with social invitations and already too busy, when in reality you were angry with them for not inviting you to their party
20
Q

ego defense: reaction formation

A

when an unconscious feeling that causes anxiety is transformed such that the conscious feeling is the exact opposite; conscious feeling is typically extreme and rigid, hence the concept of “the lady doth protest too much”

  • ex: person with history of adultery and sexual indiscretions may be the most outspoken critic of “decline in morals today” and demand that divorce laws be tightened
21
Q

ego defense: repression

A

when an anxiety- or guilt- producing impulse, feeling, or memory is kept out of consciousness

  • ex: memories of abuse are not available in conscious memory, but resurface later
22
Q

ego defense: splitting

A

viewing self and others as either all good or all bad; may switch from one to the other

23
Q

ego defense: sublimation

A

special form of displacement, where an unacceptable (sexual, aggressive), impulse is redirected into some socially or culturally worthy purpose or activity

24
Q

ego defense: suppression

A

conscious or partly conscious postponement of addressing a conscious conflict or impulse (MATURE)

  • ex: when overwhelmed with stress, deciding not to think about need to quit smoking and the health risks involved (and then actually working on smoking cessation once the acute crisis has passed)
25
Q

ego defense: taking an impulse or emotion that is directed at an unacceptable target and instead directing it at someone or something else

A

displacement

26
Q

ego defense: engaging in excessively abstract thinking in order to avoid painful or upsetting feelings; thinking about feelings rather than experiencing them

A

intellectualization

27
Q

ego defense: separating the thoughts from the feelings associated with an experience, then keeping the feelings unconscious

A

isolation of affect

28
Q

ego defense: when an unconscious feeling that causes anxiety is transformed such that the conscious feeling is the exact opposite; conscious feeling is typically extreme and rigid

A

reaction formation

29
Q

ego defense: special form of displacement, where an unacceptable (sexual, aggressive), impulse is redirected into some socially or culturally worthy purpose or activity

A

sublimation

30
Q

ego defense: conscious or partly conscious postponement of addressing a conscious conflict or impulse

A

suppression

Year 2 Psychiatry (28 decks)

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