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Defense Mech's - OT

Defense Mechanisms - per NBCOT Study Guide 6th ed. pg. 287

Narcissistic Defense Mechanisms Denial -- Projection -- Splitting
Immature Defense Mechanisms Passive-aggressive -- Regression -- Somatization
Neurotic Defense Mechanisms Rationalization -- Repression -- Displacement -- Reaction Formation
Mature Mechanisms Humor -- Sublimation -- Suppression
Purposes of defense mechanisms a means to protect self from anxiety -- some are healthy, some are not
Denial Failure to acknowledge the existence of some aspect of reality -- alcohol abuser unable to attribute his/her problems are a result of drinking
Projection Attributing unacknowledged feelings, impulses, or thoughts to others -- person who feels guilty attributes what others say as blaming him/her
Splitting Rigid separation of positive & negative thoughts and of feelings -- staff members may be seen as all good/all bad when variations of behavior are anxiety-provoking
Passive-Aggressive Aggression towards others which is indirectly or unassertively expressed -- patient is late for a treatment session when he/she is angry with therapist
Regression Returning to an earlier stage of development to avoid tension and conflict in present one -- person becomes needy during times of stress
Somatization Conversion of physiological symptoms into a physical illness
Rationalization Creating self-justifying explanations to hide real reason for one's own or another's behavior -- person stuck in an unhappy marriage develops low back pain
Repression Blocking from consciousness painful memories and anxiety-provoking thoughts -- adult who has no memory of mistreatment by a beloved parent
Displacement Redirecting emotion or reaction from one object to a similar but less threatening one -- child angry with parents hits sibling
Reaction Formation Switching unacceptable impulses into its opposite -- hugging someone you want to hit
Humor Using comedy to express feelings and thoughts without provoking discomfort in self or others -- making fun of self or dressing inappropriately at a specific fucntion
Sublimation Redirecting energy from socially unacceptable impulses to socially acceptable activities -- channeling anger into a sports activity
Suppression Consciously or semi-consciously avoiding thinking about problems, thoughts, or feelings -- clean closets while waiting for NBCOT exam scores
Created by: msmaus
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