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Defense Mechanisms & AXIS Diagnoses

AB
Axis IVGlobal assessment of functioning
Axis ISchizophrenia
Axis IIICHF, COPD, Type II DM
Axis IIPersonality Disorders, Mental Retardation
Compensation-DefinitionCovering up for real or imagined inadequacies and weakness by emphasizing desirable traits or making up for frustration in one area by over-gratification in or exaggerating another
Axis IVDivorced, Unemployed, Wealthy
Compensation-ExampleA physically unattractive adolescent becomes an expert dancer
Conversion DefinitionA woman develops a headache on the eve that she is to present a paper at a conference and then cannot present it
Defense MechanismsAny thought or action used to decrease stress
Denial DefinitionArguing against an anxiety provoking stimuli by stating it does not exist. Rejection of things, events or feelings as they actually are, thus eliminating the need for anxiety
Denial ExampleA person having an extramarital affair gives no thought to the possibility of pregnancy.
Displacement DefinitionTaking out impulses on a less threatening target.
Displacement ExampleSlamming a door instead of hitting a person or yelling at your spouse after an argument with your boss
Dissociation ExampleA man has forgotten details of the accident in which his son was killed
Fantasy ExampleChildren using pets as children in play to work thru situations they will encounter as an adult
Identification DefinitionIncreasing feelings of worth by identifying self with person or institution of illustrious (well-known or famous) standing; takes on the characteristics and values of someone he admires
Identification ExampleA school girl wants her mother to buy her the same kind of shoes her classmates are wearing
Intellectualization DefinitionAvoiding unacceptable emotions by focusing on the intellectual aspects
Intellectualization ExampleFocusing on the details of a funeral as opposed to the sadness and grief
Introjection DefinitionIncorporating and internalizing conflicting values, ideas, etc. so that they are no longer an external threat
Projection DefinitionPlacing blame for difficulties upon others or attributing one's own unethical desires to others.
Projection ExampleAn obese woman blames her 2-year-old son for her obesity, stating “He makes her nervous”
Rationalization DefinitionSupplying a logical or rational reason or logical sounding excuses as opposed to the real reason to conceal the real reason for the action, thought of feeling
Rationalization ExampleStating that you were fired because you didn't kiss up the boss, when the real reason was your poor performance
Reaction Formation ExampleA married woman who is disturbed by feeling attracted to one of her husband's friends treats him rudely. Having a bias against a particular race or culture and then embracing that race or culture to the extreme
Reaction Formation DefinitionPreventing dangerous desires from being expressed by adopting exaggerated opposite attitudes and types of behavior and using them as 'barriers' because the true belief causes anxiety
Regression DefinitionA retreat to an earlier, less stressful time of development involving less mature responses
Regression ExampleThrowing a temper tantrum when you don't get your way.
Repression ExampleForgetting sexual abuse from your childhood due to the trauma and humiliation
Repression-DefinitionPreventing painful or dangerous thoughts from entering consciousness.
Sublimation DefinitionSubstituting acceptable behavior or an unacceptable or unattainable desire
Suppression ExampleA woman with a growth on her groin ignores it until she can no longer sit down or I’ll think about that tomorrow
Suppression DefinitionProtecting self from unpleasant reality that causes anxiety by refusal to perceive, postpone, face or forgetting it
Undoing DefinitionAn attempt to conceal a negative action by other positive action



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