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48 Cards in this Set

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George E Vaillant's categorization of defense mechanisms
Level I - pathological defences (i.e. psychotic denial, delusional projection)
Level II - immature defences (i.e. fantasy, projection, passive aggression, acting out)
Level III - neurotic defences (i.e. intellectualization, reaction formation, dissociation, displacement, repression)
Level IV - mature defences (i.e. humour, sublimation, suppression, altruism, anticipation)
Level 1 - Pathological
On this level, when predominating, almost always are severely pathological. These six defences, in conjunction, permit one to effectively rearrange external experiences to eliminate the need to cope with reality. The pathological users frequently appear irrational or insane to others. These are the "psychotic" defences, common in overt psychosis. However, they are found in dreams and throughout childhood as well.
Level 1 - Pathological - Delusional Projection
Delusions about external reality, usually of a persecutory nature.
Level 1 - Pathological - Conversion
The expression of an intrapsychic conflict as a physical symptom; some examples include blindness, deafness, paralysis, or numbness. This phenomena is sometimes called hysteria.[18]
Level 1 - Pathological - Denial
Refusal to accept external reality because it is too threatening; arguing against an anxiety-provoking stimulus by stating it doesn't exist; resolution of emotional conflict and reduction of anxiety by refusing to perceive or consciously acknowledge the more unpleasant aspects of external reality.
Level 1 - Pathological - Distortion
A gross reshaping of external reality to meet internal needs.
Level 1 - Pathological - Splitting
A primitive defence. Negative and positive impulses are split off and unintegrated.
Level 1 - Pathological - Extreme projection
The blatant denial of a moral or psychological deficiency, which is perceived as a deficiency in another individual or group.
Level 1 - Pathological - Superiority Complex
A psychological defence mechanism in which a person's feelings of superiority counter or conceal his or her feelings of inferiority.
Level 1 - Pathological - Inferiority Complex
A behaviour that is displayed through a lack of self-worth, an increase of doubt and uncertainty, and feeling of not measuring up to society's standards.
Level 2 - Immature
These mechanisms are often present in adults. These mechanisms lessen distress and anxiety provoked by threatening people or by uncomfortable reality. Excessive use of such defences is seen as socially undesirable in that they are immature, difficult to deal with and seriously out of touch with reality. These are the so-called "immature" defences and overuse almost always leads to serious problems in a person's ability to cope effectively. These defences are often seen in major depression and personality disorders.
Level 2 - Immature - Acting out
Direct expression of an unconscious wish or impulse in action, without conscious awareness of the emotion that drives that expressive behaviour.
Level 2 - Immature - Fantasy
Tendency to retreat into fantasy in order to resolve inner and outer conflicts.
Level 2 - Immature - Wishful thinking
Making decisions according to what might be pleasing to imagine instead of by appealing to evidence, rationality, or reality
Level 2 - Immature - Idealization
Unconsciously choosing to perceive another individual as having more positive qualities than he or she may actually have.[19]
Level 2 - Immature - Passive aggression
Aggression towards others expressed indirectly or passively such as using procrastination.
Level 2 - Immature - Projection
Projection is a primitive form of paranoia. Projection also reduces anxiety by allowing the expression of the undesirable impulses or desires without becoming consciously aware of them; attributing one's own unacknowledged unacceptable/unwanted thoughts and emotions to another; includes severe prejudice, severe jealousy, hypervigilance to external danger, and "injustice collecting". It is shifting one's unacceptable thoughts, feelings and impulses within oneself onto someone else, such that those same thoughts, feelings, beliefs and motivations are perceived as being possessed by the other.
Level 2 - Immature - Projective identification
The object of projection invokes in that person precisely the thoughts, feelings or behaviours projected.
Level 2 - Immature - Somatization
The transformation of negative feelings towards others into negative feelings toward self, pain, illness, and anxiety.
Level 3 - Neurotic
These mechanisms are considered neurotic, but fairly common in adults. Such defences have short-term advantages in coping, but can often cause long-term problems in relationships, work and in enjoying life when used as one's primary style of coping with the world.
Level 3 - Neurotic - Displacement
Defence mechanism that shifts sexual or aggressive impulses to a more acceptable or less threatening target; redirecting emotion to a safer outlet; separation of emotion from its real object and redirection of the intense emotion toward someone or something that is less offensive or threatening in order to avoid dealing directly with what is frightening or threatening. For example, a mother may yell at her child because she is angry with her husband.
Level 3 - Neurotic - Dissociation
Temporary drastic modification of one's personal identity or character to avoid emotional distress; separation or postponement of a feeling that normally would accompany a situation or thought.
Level 3 - Neurotic - Hypochondriasis
An excessive preoccupation or worry about having a serious illness.
Level 3 - Neurotic - Intellectualization
A form of isolation; concentrating on the intellectual components of a situation so as to distance oneself from the associated anxiety-provoking emotions; separation of emotion from ideas; thinking about wishes in formal, affectively bland terms and not acting on them; avoiding unacceptable emotions by focusing on the intellectual aspects (e.g. isolation, rationalization, ritual, undoing, compensation, magical thinking).
Level 3 - Neurotic - Isolation
Separation of feelings from ideas and events, for example, describing a murder with graphic details with no emotional response.
Level 3 - Neurotic - Rationalization (making excuses)
Where a person convinces him or herself that no wrong was done and that all is or was all right through faulty and false reasoning. An indicator of this defence mechanism can be seen socially as the formulation of convenient excuses - making excuses.
Level 3 - Neurotic - Reaction formation
Converting unconscious wishes or impulses that are perceived to be dangerous or unacceptable into their opposites; behaviour that is completely the opposite of what one really wants or feels; taking the opposite belief because the true belief causes anxiety. This defence can work effectively for coping in the short term, but will eventually break down.
Level 3 - Neurotic - Regression
Temporary reversion of the ego to an earlier stage of development rather than handling unacceptable impulses in a more adult way. (ex. Using whining as a method of communicating despite already having acquired the ability to speak with appropriate grammar)[20]
Level 3 - Neurotic - Repression
The process of attempting to repel desires towards pleasurable instincts, caused by a threat of suffering if the desire is satisfied; the desire is moved to the unconscious in the attempt to prevent it from entering consciousness;[21] seemingly unexplainable naivety, memory lapse or lack of awareness of one's own situation and condition; the emotion is conscious, but the idea behind it is absent.[citation needed]
Level 3 - Neurotic - Undoing
A person tries to 'undo' an unhealthy, destructive or otherwise threatening thought by acting out the reverse of unacceptable. Involves symbolically nullifying an unacceptable or guilt provoking thought, idea, or feeling by confession or atonement.
Level 3 - Neurotic - Withdrawal
Withdrawal is a more severe form of defence. It entails removing oneself from events, stimuli, interactions, etc. under the fear of being reminded of painful thoughts and feelings.
Level 3 - Neurotic - Upward and downward social comparisons
A defensive tendency that people use as a means of self-evaluation. These individuals will look to another individual or comparison group who are considered to be worse off in order to dissociate themselves from perceived similarities and to make themselves feel better about their self or personal situation.
Level 4 - Mature
These are commonly found among emotionally healthy adults and are considered mature, even though many have their origins in an immature stage of development. They have been adapted through the years in order to optimise success in human society and relationships. The use of these defences enhances pleasure and feelings of control. These defences help us to integrate conflicting emotions and thoughts, whilst still remaining effective. Those who use these mechanisms are usually considered virtuous.
Level 4 - Mature - Humility
A quality by which a person considering his own defects, has a humble opinion of himself. Humility is intelligent self-respect which keeps us from thinking too highly or too meanly of ourselves.
Level 4 - Mature - Mindfulness
Adopting a particular orientation toward one’s experiences in the present moment, an orientation that is characterised by curiosity, openness, and acceptance.
Level 4 - Mature - Acceptance
A person's assent to the reality of a situation, recognizing a process or condition (often a negative or uncomfortable situation) without attempting to change it, protest, or exit. Religions and psychological treatments often suggest the path of acceptance when a situation is both disliked and unchangeable, or when change may be possible only at great cost or risk.
Level 4 - Mature - Gratitude
A feeling of thankfulness or appreciation, involves appreciation of a wider range of people and events. People who feel more gratitude are much more likely to have higher levels of happiness, and lower levels of depression and stress. Throughout history, gratitude has been given a central position in religious and philosophical theories.
Level 4 - Mature - Altruism
Constructive service to others that brings pleasure and personal satisfaction.
Level 4 - Mature - Tolerance
The practice of deliberately allowing or permitting a thing of which one disapproves.
Level 4 - Mature - Mercy
Compassionate behavior on the part of those in power.
Level 4 - Mature - Forgiveness
Cessation of resentment, indignation or anger as a result of a perceived offence, disagreement, or mistake, or ceasing to demand punishment or restitution.
Level 4 - Mature - Anticipation
Realistic planning for future discomfort.
Level 4 - Mature - Humour
Overt expression of ideas and feelings (especially those that are unpleasant to focus on or too terrible to talk about) that gives pleasure to others. The thoughts retain a portion of their innate distress, but they are "skirted round" by witticism, for example Self-deprecation.
Identification
The unconscious modelling of one's self upon another person's character and behaviour.
Level 4 - Mature - Introjection
Identifying with some idea or object so deeply that it becomes a part of that person.
Level 4 - Mature - Sublimation
Transformation of negative emotions or instincts into positive actions, behaviour, or emotion (e.g., playing a heavy contact sport such as football or rugby can transform aggression into a game).[20]
Level 4 - Mature - Thought suppression
The conscious process of pushing thoughts into the preconscious; the conscious decision to delay paying attention to an emotion or need in order to cope with the present reality; making it possible to later access uncomfortable or distressing emotions whilst accepting them.
Level 4 - Mature - Emotional self-regulation
The ability to respond to the ongoing demands of experience with the range of emotions in a manner that is socially tolerable.