UT Southwestern - Human Behavior - Defense Mechanisms
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| What are 5 applications of the concept of adaptive mechanisms? | 1) Normal behavior 2) Used to deal with a harsh reality 3) Development 4) Illness behavior 5) Clarify psychiatric disorders
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| Relate the concept of adaptive mechanisms to the calamities of childhood | When something happens now, it is a facsimile of calamities of childhood
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| What are adaptive mechanisms? | 1) Unconscious mental processes 2) Protective in nature 3) Used to relieve anxiety and guilt 4) Arise from the individual's inner thoughts, feelings, wishes, and fears
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| What makes a defense mechanism maladaptive? | 1) inflexible, 2) motivated by past needs, 3) distorted reality too much, 4) ends gratification & blocks emotion
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| What are George Vaillant's Heirarchy of maladaptive defenses? | 1) Narcissistic <5yo, 2) Immature 3-16yo, 3) Neurotic 3-90yo, 4) Mature 12-90yo
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| What are Narcissistic maladaptations? | <5yo normal. 1) Denial (i.e. deny disease), 2) Delusional Projection (i.e. interpret "signs" from environment saying everything okay).
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| What are Immature Defenses? | 3-16yo normal. 1) Projection (i.e. blame others for failure), 2) Schizoid Fantasy (i.e. will win lottery), 3) Somatization (i.e. numbness), 4) Passive Aggressive (i.e. procrastination, obstinacy, inefficiency, sullennness)
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| What are Neurotic Defenses? | 3-90 yo. 1 Intellectualization (logic not feeling). 2 Repression (forget dentist appt). 3 Displacement (kick dog not boss). 4 Reaction Formation (think mean then act overly nice). 5 Undoing (be mean then overly nice). 6 Dissociation (emotional detachment)
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| What are Mature Defenses? | 12-90 yo. 1 Altruism: volunteer w/charity. 2 Humor. 3 Suppression: CONSCIOUS mechanism, deal later. 4 Anticipation: mentally rehearse situation, 5: Sublimation: creative way to deal i.e. thumb-wrestling to deal w/conflict
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| When a diabetic girl dilutes her urine with water, what defense mechanism is that? | Denial (Narcissistic)
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| When a diabetic woman volunteers to speak with medical students, what defense mechanism is that? | Altruism
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| Which psychiatric disorders are extreme cases of maladaptive defenses? | 1) Personality Disorders (i.e. girl subjugated to father acts like "wounded bird" in adult relationships), 2) Anxiety Disorder, 3) OCD, 4) Mask organic brain syndrome w/delusional projection, 5) Schizophrenia
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| What were the results of Vaillant's research on hierarchy? | Men with immature defenses became ill and died, while men with mature defenses stayed healthy
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