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unconscious, involves instinctual sexual/agressive urges |
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Term
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serves as the mediator between the id and the external environment, using defense mechanism to control urges and distinguishes fantasy from reality testing |
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What are defense mechanisms? |
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Definition
unconcious process used by the ego to protect oneself and relieve anxiety by keeping conflicts out of awareness |
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What are the mature defenses? Who uses them? |
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Definition
Healthy adults use these: -Altruism -Humor -Sublimation -Supression |
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What are the neurotic defenses and who uses them? |
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Definition
-in OCD patients, hysterical, stressed patients: (7) -Controlling -Displacement -Intellectualization -Isolation of affect -Rationalization -reaction formation -repression |
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What are the immature defenses and who uses them? |
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Definition
CHildren, teens, psychotic patients: -acting out -denial -regression -projection |
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Performing acts that benefit others in order to vicariously experience pleasure |
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Definition
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Person with unconscious urges to physically control others becomes a prison guard |
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Definition
Sublimation -satisfying socially unacceptable impulses in an acceptable manner (channeling rather than preventing) |
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Nurse who feels nauseated by an infected wound puts aside feelings of disgust to clean a wound and provide necessary patient care |
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Definition
Suppression -purposely ignoring an unacceptable impulse or emotions in order to accomplish a task -mature defense |
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Sutdent who is angry at his mother talks back to his teacher the next day and refuses to obey her directions |
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Definition
Displacement -neurotic defense: shifting emotions from an undesireable situation to one that is personally tolerable |
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Woman describes the recent death of her son without emotion |
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Definition
Isolation of affect -limiting the experience of feelings or emotions ass'd with a stressful life event in order to avoid anxiety |
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"My boss fired me today because she's short tempered and impulsive, not because I haven't doen a good job" |
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Rationalization -Creating explanations of an event in order to justify outcomes or behaviors and to make them acceptable |
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Man who is in love with his coworker insults her |
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Preventing a thought feeling from entering consciousness |
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Repression (suppression is a conscious act) |
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Giving in to an impulse, even if socially inappropriate in order to avoid the anxiety of supressing that impulse |
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Husband who is attracted to other women believes his wife is having an affair |
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Projection -immature -attributing objectionable thoughts or emotions to others |
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What is the goal of psychoanalysis? |
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Definition
To resolve unconsious conflicts by bringing repressed experiences into awareness and integrating them into the pt's personality -insight-oriented Useful in tx of : Personality d/os, anxiety disotrders, OCD, problems with coping, anorexia, sexual disorders, dysthymia |
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What is behavioral therapy? |
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Definition
seeks to tx psychiatric disease by helping pts change behaviors that contribute to their sxs -Used for: phobias, sexual dysfunction, compulsions by replacing them with healthy alternatives -examples: systemic desensitization, flooding and implosion, aversion therapy, token economy (rewards for behaviors), biofeedback (heart rate or BP measurements) |
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What is the goal of cognitive therapy? |
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Definition
to correct faulty assumptions and negative feelings that exacerbate physical sxs |
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Dialectical behavioral therapy is specific tx for |
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Definition
Borderline PD -centers on coping |
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