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Zorluk: ZorCoping Mechanisms

A nurse in a community mental health clinic is assessing clients experiencing varying psychosocial stressors. Match each client's documented statement and objective behavioral cue to the specific defense mechanism being demonstrated.

  • Client A, who deeply resents their aging parent for requiring full-time care, states, 'It is an absolute blessing and a joy to dedicate every waking moment to my mother,' while aggressively scrubbing the clinic waiting room floor.Reaction Formation
  • Client B, who has a history of intense anger issues and recurrent physical altercations, states, 'I found a great way to let off steam,' and has become a highly dedicated, disciplined instructor at a local mixed martial arts gym.Sublimation
  • Client C, who verbally berated their spouse earlier in the morning, spends three hours meticulously baking the spouse's favorite cake and presents it without apologizing or discussing the prior conflict.Undoing
  • Client D, diagnosed with borderline personality disorder, tells the day-shift nurse, 'You are the only person here who actually cares about me; the night nurse is completely evil and wants me to suffer.'Splitting

Cevap

Client A matches with Reaction Formation. Client B matches with Sublimation. Client C matches with Undoing. Client D matches with Splitting.
Each behavioral cue distinctly illustrates a specific ego defense mechanism. Reaction formation involves acting exactly opposite to unacceptable true feelings. Sublimation redirects harmful impulses into socially productive activities. Undoing involves performing an action to symbolically cancel out a previous unacceptable behavior. Splitting is the inability to integrate positive and negative qualities, resulting in all-or-nothing thinking.

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1
Analyze Client A's behavior.
Identified a contrast between underlying resentment and outward exaggerated joy.
Acting precisely opposite to one's true, unacceptable feelings indicates Reaction Formation.
2
Evaluate Client B's behavior.
Recognized the channeling of aggressive history into a constructive, disciplined outlet.
Transforming harmful impulses into a socially productive activity defines Sublimation, which is typically an adaptive mechanism.
3
Assess Client C's behavior.
Noted the attempt to reverse a negative action with a positive one without verbal communication or accountability.
Symbolically canceling out a previous unacceptable behavior with a subsequent 'good' deed defines Undoing.
4
Examine Client D's behavior.
Identified the extreme polarization of staff members into 'all good' and 'all bad'.
The inability to integrate positive and negative qualities of others, resulting in all-or-nothing thinking, is known as Splitting.

Anahtar Kavram

Defense mechanisms are unconscious psychological strategies used to cope with reality, protect self-image, and manage severe anxiety.
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