ATCBE Prep – Questions And Expert Verified Answers
Denial Right Ans - Negates sensory data to avoid awareness of painful
aspect of reality. Abolishes external reality. Used in normal and pathological
states.
Acting Out Right Ans - Acts an unconscious impulse or affect to avoid affect.
Acting gives into the impulse rather than prohibiting it. Avoids the tension of
postponing expression.
Distortion Right Ans - Reshapes external reality to suit inner needs.
Includes beliefs, hallucinations, delusions. Sustains feelings of superiority,
entitlement.
Displacement Right Ans - Shifts an emotion or drive from one idea or
object to another. Permits symbolic representation of less distress.
Primitive Idealization Right Ans - Endows either 'all good, omnipotent' or
'all bad,' inflated external objects with great power.
Dissociation Right Ans - Drastically modifies personal identity or character
to avoid emotional distress, including fugue states, hysterical conversion, DID,
drug highs, religious joy.
Projection Right Ans - Perceives and reacts to inner qualities as though
outside the self. May include frank delusions, persecutions, and acting on the
perceptions.
Identification Right Ans - Crucial to ego development. Person may identify
with love object to defend against anxiety or pain, real or threatened. Person
adopts quality or symptom of one about whom feels guilty. Identifies with
aggressor.
Externalization Right Ans - Perceives in external objects, elements of one's
own personality, including impulses, conflicts, moods, attitudes, and styles of
thinking.
Humor Right Ans - Permits overt expression of feelings and thoughts
without personal discomfort or immobilization and does not produce
, unpleasant effects on others. Person may focus and tolerate what is too
terrible to be borne. Wit, however, does not allow feeling of the affect at all.
Projective Identification Right Ans - Deposits unwanted aspects into
another person so projector feels at one with object. Recipient modifies
projections and projector recovers them. Allows one to distance and make self
understood by exerting pressure on another to experience similar feelings.
Introjection Right Ans - Vital to development, when used as a defense, can
obliterate distinction between subject and object. Avoids painful awareness of
separateness of threat of loss. Avoids the anxiety of feared object as in
identification with aggressor.
Repression Right Ans - Expels or withholds idea from consciousness.
Primary curbs ideas before reaching consciousness; secondary excludes what
was once conscious. Not really forgotten. Symbolic behavior may be present.
May lose cherished goals.
Sublimation Right Ans - Achieves impulse gratification and retention of
goals via altering object to one that is socially acceptable. Channels instincts
rather than blocking them. Acknowledges, modifies, directs feelings toward an
object or goal, yet allows modest gratification of instincts.
Splitting Right Ans - Divides external objects into 'all good' and 'all bad.'
Abruptly shifts from one extreme to other. Sudden and complete reversals of
feeling. Self-concept may oscillate.
Passive Aggressive Behavior Right Ans - Expresses aggression indirectly
through failures, procrastination, illness that affect others more than self.
Inhibition Right Ans - Inhibits or renounces ego functions consciously to
evade anxiety arising out of conflicts with impulses, superego, environmental
forces or figures.
Suppression Right Ans - Decision or action to postpone attention to a
conscious impulse or conflict. Does not avoid issues, but cuts them off.
Acknowledges discomfort, but minimizes it.
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