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INTRO to PSYCHOSOCIAL NURSING

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  • November 8, 2024
  • 23
  • 2024/2025
  • Class notes
  • Dr. ann marie sailsman
  • Introduction to psyc nursing
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Defense Mechanisms

DEFENSE MECHANISMS

- Automatic coping style that protect pt from anxiety + maintain self-image by

blocking feelings, conflicts, memories

- MOST = unconscious

COMPENSATION

- Covering up real/perceived weaknesses by emphasizing strengths @other areas

- Adaptive:

- EX: young man who fails at sports studies hard and becomes

valedictorian of his class

- Maladaptive:

- EX: individual drinks alc when self-esteem is low to temporarily diffuse

discomfort

DENIAL

, - Refusing to face the existence of unpleasant real situations or the associated

feelings

- Adaptive:

- EX: man reacts to news of the death of a loved one saying “No, I dont

believe you. The doctor aid he was fine.”

- Maladaptive:

- EX: woman still talks about her son in present tense after he died

several years ago

DISPLACEMENT

- Transfer of feelings from one target to another thats considered less

threatening than original source of feelings

- Adaptive:

- EX: after being berated in public by her boss, a woman goes home and

argues w/her neighbor over a parking space

- Maladaptive:

- EX: child who is unable to acknowledge fear of his father becomes

fearful of animals

, DISASSOCIATION

- Sudden separation of mental or behavioral processes from rest of persons

consciousness or identity

- Adaptive:

- EX: person is able to “tune out” noise and

- distraction in order to work.distraction in order to work

- Maladaptive:

- EX: result of an abusive childhood + need to separate from the

thoughts + need to separate from the thoughts, a woman disconnects

from reality woman disconnects from reality

PROJECTION

- Attributing feelings or impulses unacceptable to one’s self to another person-

blaming/scapegoating

- Adaptive:

- Immature mechanism — NO EX!

- Maladaptive:

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