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15 Cards in this Set
- Front
- Back
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DENIAL
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Infantile (psychotic) – common before age 5 and in adult dreams and fantasies
*Of external reality *Includes fantasy of others which is different from reality *Repression denies internal reality Alters both behavior and feelings Differs from lying in being real to the person and serving internal rather than external need. |
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PROJECTION
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Attribution of one’s own unacknowledged feelings to others:
*Severe prejudice *Suspicious rejection of intimacy *Marked hypervigilance *Injustice collecting Use increases isolation and refuses responsibility for one’s own feelings |
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ACTING OUT
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Direct expression of unconscious wish or impulse to avoid the accompanying feeling.
*Motor behavior *Delinquent and criminal acts *Sexual promiscuity and perversions *Accidents *Self mutilation and suicide *Use of alcohol and other drugs Results disastrous – unhappiness and pessimism |
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REPRESSION
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Inexplicable naivete, memory lapse, or failure to acknowledge sensory input. The idea is missing, but feeling may be available
*Often accompanied by symbolic behavior, eg. Weeping, anger, but not knowing why *Often associated with other defenses |
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REACTION FORMATION
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Behavior diametrically opposed to an unacceptable impulse
Characteristics: - often inflexible -usually avoids anger,sexuality, dependency -counterphobic “The child of delinquency, the parent of altruism.” Problems of rigidity and cruelty. “Excessive cleanliness is valuable in the OR, but it takes the fun out of fingerpainting.” |
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PASSIVE AGGRESSION
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When the resident missed her vein, she smiled and said,”When you’re just a medical student it must be hard to get things right.”
She watched her IV run dry. At 4am the resident had to be called to restart the IV. She cheerfully told him she hadn’t rung because she knew how busy everyone was. |
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INTELLECTUALIZATION
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Thinking about instinctual wishes in formal, bland terms – no feeling and no action
Characteristics: - undue attention to inanimate Ideas are stripped of affect Attends external reality to avoid inner feeling Includes obsessions and compulsions not acted on Includes rationalization Useful in service of delay & working through Equally frequent in best and worst outcomes |
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ALTRUISM
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A month after surgery, Mrs.A. organized a group of women who’d had similar surgery.
They visited patients undergoing gynecological surgery. They gave information, advice, and comfort from their experience to help new patients deal with their questions and fears. |
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ANTICIPATION
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During her preop visit she anxiously worried about possible complications and wept about the fact that she would never be able to have children.
Mrs.A’s doctor was surprised at how relaxed and practical she was about her postop course. She expressed regret at being cheated of children with calm frankness. |
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HUMOR
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Mrs.A. laughed hard when she read the definition of a hysterectomy: “Throwing out the baby carriage but keeping the playpen.”
She explained to a startled and curious nurse, “The whole thing is just so damned ironic.” |
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SUPPRESSION
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Mrs.A. read Marcus Aurelius and Ecclesiastes in the hospital.
She hid tear-stained tissues from her husband and did not complain when her sutures were removed. Knowing baby pictures upset her, she gave away a copy of a magazine featuring an article on child care. |
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SUBLIMATION
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Mrs.A. got great pleasure from “get well” cards from her sister’s children.
She agreed to teach a Sunday School class of preschoolers. She got a poem published on the bittersweet joys of the maiden aunt. |
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TRANSFERENCE
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Unconscious feelings toward the doctor based on previous relationships from the past
*Ubiquitous *Intense *Inappropriate *Persistent *Influenced little by behavior |
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COUNTERTRANSFERENCE
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Unconscious feelings toward the patient based on previous relationships from the doctor’s past.
*Positive – risks overinvolvement with the patient *Negative – risks inappropriate rejection or mistreatment of the patient |
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MENTAL HEALTH
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In touch with own identity and feelings.
Future oriented and invested in life. Stress resistant (psychologically oriented). Autonomous and recognizes own needs. Perceive reality without distortion and possess empathy. Master environment: work, play, love, and problem solve. |
