SlideShare a Scribd company logo
1
Defence mechanisms
 Psychoanalytic Theory DEFENCE MECHANISMS
 Sigmund Freud constructed a model of personality with 3 interlocking parts:the ‘id’,the ‘ego’ & the
‘super ego’
 Id,the most primitive one-biologically based urges.
o To eat,drink,eliminate & especially to be sexually stimulated.
o id operates through pleasure principle without any rules,realities,morals.
 Id is bridled & managed by ego.Ego delays satisfying id’s motives & channels behaviour in socially
acceptable way.
Involuntary coping Mechanisms
 Id’s unconscious demands are instinctual, infantile and amoral . They must be blocked by ego and
superego.
 Super ego,the conscience,prohibitions learned from parents & authorities.
 Because of this conflict and persistence of unsatisfied demands, anxiety and guilt are aroused.
 Defence mechanisms resides in the unconscious domain of ego.
George Valliant’s Classification
A. Narcissistic Defences - Most primitive. In children and adults who are psychotically disturbed.
B. Immature Defences: adolescents and some non neurotic patients.
C. Neurotic Defences: in OCD and hysterical patients and in adults under stress.
D. Mature defences
A. Narcissistic defenses
1. Denial
2. Distortion
3. Projection
1. Denial
 Avoiding the awareness of some painful aspect of reality by negating sensory data.
 It abolishes external reality.
 A person who is a functioning alcoholic will often simply deny they have a drinking problem, pointing
to how well they function in their job and relationships.
 Simple Denial,minimisation,Projection
2. Distortion
 Grossly reshaping external reality to suit inner needs
 Including hallucinations, wish fulfilling delusions, unrealistic megalomania.
3. Projection
 Mechanism by which the ego attributes its own intolerable sexual and aggressive impulses to the outside
person or agency.
 Coping with one’s unwanted motives by shifting them on to someone else.
 Anxiety arising from internal conflicts can then be reduced and problem dealt with as though it were in
the external world.
B. Immature defenses
1. Acting out
2. Blocking
2
3. Hypochondriasis
4. Introjection
5. Passive aggressive behaviour
6. Regression
7. Somatiization
8. Schizoid fantasy
1. Acting out
 Expressing an unconscious wish or impulse through action to avoid being conscious of an
accompanying affect.
 Involves chronically giving in to an impulse to avoid the tension arising from postponement of
expression.
 Instead of saying, “I’m angry with you,” a person who acts out may throw a book at the person, or
punch a hole through a wall.
 When a person acts out, it can act as a pressure release, and often helps the individual feel calmer and
peaceful once again.
 Ex. Tantrums,
 For instance, a child’s temper tantrum is a form of acting out when he or she doesn’t get his or her way
with a parent.
 apparently motiveless assaults, child abuse
2. Blocking
 Temporarily or transiently inhibiting thinking
3.Hypochondriasis
 Exaggerating or overemphasizing an illness for the purpose of evasion and regression.
 Responsibility can be avoided , guilt can be circumvented and instinctual impulses are warded off.
4. Introjection
 Reverse of projection
 Internalizing the qualities of an object.
5. Passive aggressive behaviour
 These patients turn their anger against themselves. This phenomenon is called masochism, includes
procrastination, silly or provocative behaviour, self demeaning ,clowning and frankly self destructive
acts.
6. Turning against self
 Instead of expressing hostility against another rperson, represses the hostility but ventilates it against
own self in the form of self criticism and self accusation
7. Regression
 Attempting to return to an earlier libidinal phase of functioning to avoid the tension and conflict evoked
at the present level of development.
 The ego abandons the matured path of gratification and takes resort to pregenital or less objectionable
attitude towards its object of gratification.
 Regression is normal phenomenon as well. Some amount of regression is needed for relaxation, sleep
and orgasm in sexual intercourse.
3
 In the face of threat, one may retract to an earlier pattern of adaptation, possibly a childish or primitive
one.
 For eg,an adolescent who is overwhelmed with fear, anger and growing sexual impulses might become
clingy and start exhibiting earlier childhood behaviors he has long since overcome, such as
bedwetting,nail bitting etc.
8. Somatization
 Converting psychic derivatives into bodily symptoms and tending to react with somatic manifestations
rather than with psychic manifestations.
9. Schizoid fantasy
 Indulge in Autistic retreat to resolve conflict and to obtain gratification.
 Inter personal intimacy is avoided and eccentricity serves to repel others.
 The person doesnot fully believe in fantasies and doesnot insist on acting them out.  Eg in normals
striptease shows,day dreaming on pornographic materials
 Clinically seen in Schizoid & Schizotypal Personality ,Narcissistic Personality Disorders.
C. Neurotic defences
1. Controlling
2. Displacement
3. Externalization
4. intellectualization
5. Isolation
6. rationalization
7. dissociation
8. reaction formation
9. Repression
10. Sexualisation
1. Controlling defence mechanisms
 Attempting to manage or regulate events or objects in the environment to minimize anxiety and to
resolve inner conflicts.
2. Displacement
 The motive remains unaltered but the person substitutes a different goal object for the original one.
 Often the motive is aggression that for some reason, the person cannot vent on the source of anger.
 Shifting an emotion or drive from one idea or object to another that resembles the original in some
aspect or quality.
 Example is the man who gets angry at his boss, but can’t express his anger to his boss for fear of being
fired. He instead comes home and kicks the dog or starts an argument with his wife.
3. Externalization
 Tending to perceive in the external world and in external objects, elements of one’s own personality,
including instinctual impulses, conflicts, moods, attitudes and styles of thinking.
 For example, a patient who is overly argumentative might instead perceive others as argumentative and
himself as blameless
4. Intellectualization
 Excessively using intellectual process to avoid affective expression or experience.
4
 To avoid intimacy with people, attention is paid to external reality to avoid the expression of inner
feelings and stress is placed on irrelevant details to avoid percieving the whole.
 Professionals who deal with troubled people may intellectualize in order to remain helpful without
being overwhelmed by sympathetic involvement.
5. Isolation
 Characteristic of the orderly, controlled persons who are labelled as Obsessive compulsive personalities.
 Splitting or separation of an idea from the affect that accompanies it but is repressed.
 In splitting, persons towards whom patients feelings are, or have been, ambivalent are divided into good
and bad.
 Ex. In a ward, a patient may idealize some staff members and uniformly disparage others.
6. Rationalization
 Offering rational explanations in an attempt to justify attitudes, beliefs or behaviour that may otherwise
be unacceptable.  It is a method to support an attitude with false reasons  Substituting an acceptable
conscious motive for an unacceptable unconscious one.
 Rationalization is very common among medical professionals in covering up medical errors
 “Why disclose the error?,the patient wass going to die anyway”
 “Telling the family about the error will make them feel worse”
 “It was patient’s fault,if he wasn’t so obese,sick etc. this error woudn’t have caused so much harm”
 “Well we did our best,these things happen.”
7. Dissociation
 Polly anna(subconscious bias towards the positive) like replacement of unpleasant affects with pleasant
ones.
 Persons who often dissociate are seen as dramatizing and emotionally shallow.
 Temporarily but drastically modifying a persons character or one’s own sense of personal identity to
avoid emotional distress.
 Multiple Personality Disorder,PTSD,Somnambulism.
8. Reaction formation
 Transforming an unacceptable impulse into its opposite
 Characteristic of obsessional neurosis
 If this mechanism is frequently used at any early stage of ego development it can become a permanent
character trait, as in obsessional character.
 Thus love may cover up unconscious hate, shyness serves as defence against exhibitionism.
 Ex : when a 2nd child is born in a family the first child may show extraordinary concern for the welfare
of the Newborn. This way his unconscious hate and aggression for his little brother is covered up.
9. Repression
 Repression is the unconscious blocking of unacceptable thoughts, feelings and impulses.
 Ego excludes from the consciousness all the psychological contents which it cannot fit in harmoniously.
 Primary Repression: Curbing of ideas and feelings before they have attained consciousness.
 Secondary repression : Excluding from awareness what was once experienced at the conscious level.
 Repressed feelings do not cease to exist by mere expulsion from the consciousness. Ego takes further
steps to deal with these pent up impulses : a) Further reinforcement of repression b) Finding out
substitute channels for outlet of impulse
5
 Ex. When a child finds out about the birth of a 2nd baby, he may feel his love is divided. He feels
jealousy and rivalry towards his little brother. He represses his aggression for fear of punishment or
further loss of love. But may channelize his aggression through some other activity, ex. By breaking his
brothers toys.
10. Sexualisation
 Endowing an object or function with a sexual significance that it did not previously have or possessed to
a smaller degree, to ward off anxieties associated with prohibited impulses or their derivatives.
11. Inhibition
 Involuntary decrease or loss of motivation to engage in some goal directed activity to prevent anxiety
arising out of conflicts with unacceptable impulses.
 Eg in Normals: Social Shyness.
 Clinically in OCDs & Phobias.
D. Mature defences
1. Altruism
2. Anticipation
3. Humour
4. Suppression
5. Sublimation
1. Altruism
 Involves an individual getting pleasure from giving to others what the individual would have liked to
receive.
 Ex. Using Altruism a former alcoholic serves as an Alcohol Anonymous sponsor to a new member,
achieving transformation process that may be life saving.
2. Anticipation
 Realistically planning or anticipating future inner discomfort.
 Involves careful planning or worrying and premature, but realistic anticipation of dire and potentially
dreadful outcomes.
 Ex. Moderate amount of anxiety before surgery promotes post surgical adaptation
3. Humour
 Using comedy to overtly express feelings and thoughts without personal discomfort and without
producing an unpleasant effect on the others.
 Freud suggested that “Humour can be regarded as the highest of these defensive processes”
 Mature humour allows individuals to look directly at what is painful.
4. Suppression
 Consciously or semi consciously postponing attention to a conscious impulse or conflict.
 Issues may be deliberately cut off but they are not avoided.
5. Sublimation
 For Freud, sublimation was the highest level of ego defence
 Consists of redirection of sexual impulses to socially valued activities and goals.
 He believed that much of our cultural heritage is the product of sublimation.
 Ex. A writer may divert his libido to creation of poem/ novel. Thus indirectly satisfying drives.
6
 Rejection by lover may induce one to divert hi energy to human welfare or artistic and literary
activities.
Chandni
28.7.2020

More Related Content

What's hot

Module 13 defense mechanism
Module 13   defense mechanismModule 13   defense mechanism
Module 13 defense mechanism
DM Teneza
 
Defense mechanisms & Examples and Discussion and how it works
Defense mechanisms & Examples  and Discussion and how it works Defense mechanisms & Examples  and Discussion and how it works
Defense mechanisms & Examples and Discussion and how it works
Najah National University
 
Defense mechanisms 1
Defense mechanisms 1Defense mechanisms 1
Defense mechanisms 1
soujanya gali
 
Defense Mechanisms Ego
Defense Mechanisms EgoDefense Mechanisms Ego
Defense Mechanisms Ego
Monty S
 
Defense mechanisms for etom powerpoint
Defense mechanisms for etom powerpointDefense mechanisms for etom powerpoint
Defense mechanisms for etom powerpoint
Phillip Nulph
 
Ego defense mechanisms
Ego defense mechanismsEgo defense mechanisms
Ego defense mechanisms
Ego defense mechanismsEgo defense mechanisms
Ego defense mechanisms
Mary Anne (Riyan) Portuguez
 
Ego defence mechanism
Ego defence mechanismEgo defence mechanism
Ego defence mechanism
aneez103
 
Defence Mechanism Of Phobia
Defence Mechanism Of PhobiaDefence Mechanism Of Phobia
Defence Mechanism Of Phobia
Monty S
 
Defence mechanisms
Defence mechanismsDefence mechanisms
Defence mechanisms
Aju Jose
 
Defence mechanisms
Defence mechanismsDefence mechanisms
Defence mechanisms
bhavik chheda
 
Defence mechanism
Defence mechanismDefence mechanism
Defence mechanism
SonaliKatoch5
 
15 common defense mechanisms
15 common defense mechanisms15 common defense mechanisms
Ego & defences
Ego & defencesEgo & defences
Ego & defences
Dr Wasim
 
Defense mechanisms with example
Defense mechanisms with exampleDefense mechanisms with example
Defense mechanisms with example
Najah National University
 
Defense mechanism
Defense mechanismDefense mechanism
Defense mechanism
vinodksahu
 
Defense mechanisms
Defense mechanismsDefense mechanisms
Defense mechanisms
Jumana Al Zainal
 
Defense mechanism
Defense mechanism Defense mechanism
Defense mechanism
Chea Apryll Rose Espiritu
 
Defence mechanism
Defence mechanismDefence mechanism
Defence mechanism
Rahul Mandal
 
Defens mechanism
Defens mechanismDefens mechanism
Defens mechanism
Sethu S
 

What's hot (20)

Module 13 defense mechanism
Module 13   defense mechanismModule 13   defense mechanism
Module 13 defense mechanism
 
Defense mechanisms & Examples and Discussion and how it works
Defense mechanisms & Examples  and Discussion and how it works Defense mechanisms & Examples  and Discussion and how it works
Defense mechanisms & Examples and Discussion and how it works
 
Defense mechanisms 1
Defense mechanisms 1Defense mechanisms 1
Defense mechanisms 1
 
Defense Mechanisms Ego
Defense Mechanisms EgoDefense Mechanisms Ego
Defense Mechanisms Ego
 
Defense mechanisms for etom powerpoint
Defense mechanisms for etom powerpointDefense mechanisms for etom powerpoint
Defense mechanisms for etom powerpoint
 
Ego defense mechanisms
Ego defense mechanismsEgo defense mechanisms
Ego defense mechanisms
 
Ego defense mechanisms
Ego defense mechanismsEgo defense mechanisms
Ego defense mechanisms
 
Ego defence mechanism
Ego defence mechanismEgo defence mechanism
Ego defence mechanism
 
Defence Mechanism Of Phobia
Defence Mechanism Of PhobiaDefence Mechanism Of Phobia
Defence Mechanism Of Phobia
 
Defence mechanisms
Defence mechanismsDefence mechanisms
Defence mechanisms
 
Defence mechanisms
Defence mechanismsDefence mechanisms
Defence mechanisms
 
Defence mechanism
Defence mechanismDefence mechanism
Defence mechanism
 
15 common defense mechanisms
15 common defense mechanisms15 common defense mechanisms
15 common defense mechanisms
 
Ego & defences
Ego & defencesEgo & defences
Ego & defences
 
Defense mechanisms with example
Defense mechanisms with exampleDefense mechanisms with example
Defense mechanisms with example
 
Defense mechanism
Defense mechanismDefense mechanism
Defense mechanism
 
Defense mechanisms
Defense mechanismsDefense mechanisms
Defense mechanisms
 
Defense mechanism
Defense mechanism Defense mechanism
Defense mechanism
 
Defence mechanism
Defence mechanismDefence mechanism
Defence mechanism
 
Defens mechanism
Defens mechanismDefens mechanism
Defens mechanism
 

Similar to Defense mechanism

Defense mechanisms
Defense mechanismsDefense mechanisms
Defense mechanisms
Johny Kutty Joseph
 
Defense mechanism.pptx
Defense mechanism.pptxDefense mechanism.pptx
Defense mechanism.pptx
RonakPrajapati63
 
defence mechanism.pdf
defence mechanism.pdfdefence mechanism.pdf
defence mechanism.pdf
MamtaSingh204
 
Faye maxino
Faye maxinoFaye maxino
PERSONALITY IMBALANCE.pptx
PERSONALITY IMBALANCE.pptxPERSONALITY IMBALANCE.pptx
PERSONALITY IMBALANCE.pptx
DrSangeetasolanki
 
Psychodynamic
PsychodynamicPsychodynamic
Psychodynamic
Sharia Anoosh
 
DEFENSE MECHANISM
DEFENSE MECHANISMDEFENSE MECHANISM
DEFENSE MECHANISM
state college of nursing
 
Defense Mechanisms.pptx
Defense Mechanisms.pptxDefense Mechanisms.pptx
Psychological Defense Mechanisms Slides Presentation
Psychological Defense Mechanisms Slides PresentationPsychological Defense Mechanisms Slides Presentation
Psychological Defense Mechanisms Slides Presentation
SolutionRemarks
 
defense mechanisms.
defense mechanisms.defense mechanisms.
defense mechanisms.
Gunjan Verma
 
Defense mechanism
Defense mechanismDefense mechanism
Defense mechanism
ELAKKUVANABHASKARARA
 
Defence mechanism
Defence mechanismDefence mechanism
Defence mechanism
Sushma Rathee
 
Psychology personality
Psychology personalityPsychology personality
Psychology personality
utkarsh chauhan
 
psychodynamic theory of personality.....
psychodynamic  theory of personality.....psychodynamic  theory of personality.....
psychodynamic theory of personality.....
SalarAzam1
 
Defense mechanisms power point.pptx
Defense mechanisms power point.pptxDefense mechanisms power point.pptx
Defense mechanisms power point.pptx
LaureeEmery
 
Personality
PersonalityPersonality
Personality
Casey King
 
DEFENCE MECHANISM.ppt
DEFENCE MECHANISM.pptDEFENCE MECHANISM.ppt
DEFENCE MECHANISM.ppt
SYED MASOOD
 
Personality
PersonalityPersonality
Personality
Alex Holub
 
defencemechanisms-200730091813.pdf
defencemechanisms-200730091813.pdfdefencemechanisms-200730091813.pdf
defencemechanisms-200730091813.pdf
aidamohamed12
 
DEFENSE MECHANISM.pptx
DEFENSE MECHANISM.pptxDEFENSE MECHANISM.pptx
DEFENSE MECHANISM.pptx
DR Jag Mohan Prajapati
 

Similar to Defense mechanism (20)

Defense mechanisms
Defense mechanismsDefense mechanisms
Defense mechanisms
 
Defense mechanism.pptx
Defense mechanism.pptxDefense mechanism.pptx
Defense mechanism.pptx
 
defence mechanism.pdf
defence mechanism.pdfdefence mechanism.pdf
defence mechanism.pdf
 
Faye maxino
Faye maxinoFaye maxino
Faye maxino
 
PERSONALITY IMBALANCE.pptx
PERSONALITY IMBALANCE.pptxPERSONALITY IMBALANCE.pptx
PERSONALITY IMBALANCE.pptx
 
Psychodynamic
PsychodynamicPsychodynamic
Psychodynamic
 
DEFENSE MECHANISM
DEFENSE MECHANISMDEFENSE MECHANISM
DEFENSE MECHANISM
 
Defense Mechanisms.pptx
Defense Mechanisms.pptxDefense Mechanisms.pptx
Defense Mechanisms.pptx
 
Psychological Defense Mechanisms Slides Presentation
Psychological Defense Mechanisms Slides PresentationPsychological Defense Mechanisms Slides Presentation
Psychological Defense Mechanisms Slides Presentation
 
defense mechanisms.
defense mechanisms.defense mechanisms.
defense mechanisms.
 
Defense mechanism
Defense mechanismDefense mechanism
Defense mechanism
 
Defence mechanism
Defence mechanismDefence mechanism
Defence mechanism
 
Psychology personality
Psychology personalityPsychology personality
Psychology personality
 
psychodynamic theory of personality.....
psychodynamic  theory of personality.....psychodynamic  theory of personality.....
psychodynamic theory of personality.....
 
Defense mechanisms power point.pptx
Defense mechanisms power point.pptxDefense mechanisms power point.pptx
Defense mechanisms power point.pptx
 
Personality
PersonalityPersonality
Personality
 
DEFENCE MECHANISM.ppt
DEFENCE MECHANISM.pptDEFENCE MECHANISM.ppt
DEFENCE MECHANISM.ppt
 
Personality
PersonalityPersonality
Personality
 
defencemechanisms-200730091813.pdf
defencemechanisms-200730091813.pdfdefencemechanisms-200730091813.pdf
defencemechanisms-200730091813.pdf
 
DEFENSE MECHANISM.pptx
DEFENSE MECHANISM.pptxDEFENSE MECHANISM.pptx
DEFENSE MECHANISM.pptx
 

More from Chandni Narayan

Brain stimulation therapies
Brain stimulation therapiesBrain stimulation therapies
Brain stimulation therapies
Chandni Narayan
 
Extrapyramidal symptoms & nms
Extrapyramidal symptoms & nmsExtrapyramidal symptoms & nms
Extrapyramidal symptoms & nms
Chandni Narayan
 
Psychiatric drug
Psychiatric drugPsychiatric drug
Psychiatric drug
Chandni Narayan
 
Psychotherapy
PsychotherapyPsychotherapy
Psychotherapy
Chandni Narayan
 
ECT - electroconvulsive therapy
ECT - electroconvulsive therapyECT - electroconvulsive therapy
ECT - electroconvulsive therapy
Chandni Narayan
 
Nursing Process in psychiatric nursing
Nursing Process in psychiatric nursingNursing Process in psychiatric nursing
Nursing Process in psychiatric nursing
Chandni Narayan
 
Therapeutic communication
Therapeutic communicationTherapeutic communication
Therapeutic communication
Chandni Narayan
 
Therapeutic nurse patient relationship in psychiatry
Therapeutic nurse patient relationship in psychiatryTherapeutic nurse patient relationship in psychiatry
Therapeutic nurse patient relationship in psychiatry
Chandni Narayan
 
Intelligence psychology
Intelligence psychologyIntelligence psychology
Intelligence psychology
Chandni Narayan
 
Personality psychology
Personality psychologyPersonality psychology
Personality psychology
Chandni Narayan
 
Neurotransmitters in mental health
Neurotransmitters in mental healthNeurotransmitters in mental health
Neurotransmitters in mental health
Chandni Narayan
 
Etiology of psychiatric disorders
Etiology of psychiatric disordersEtiology of psychiatric disorders
Etiology of psychiatric disorders
Chandni Narayan
 
Classification of mental disorders
Classification of mental disordersClassification of mental disorders
Classification of mental disorders
Chandni Narayan
 
Mental status examination
Mental status examinationMental status examination
Mental status examination
Chandni Narayan
 
Psychiatric history collection
Psychiatric history collectionPsychiatric history collection
Psychiatric history collection
Chandni Narayan
 
Psychiatry terminologies
Psychiatry terminologiesPsychiatry terminologies
Psychiatry terminologies
Chandni Narayan
 
Mental health introduction
Mental health introductionMental health introduction
Mental health introduction
Chandni Narayan
 
Eating disoder
Eating disoderEating disoder
Eating disoder
Chandni Narayan
 

More from Chandni Narayan (18)

Brain stimulation therapies
Brain stimulation therapiesBrain stimulation therapies
Brain stimulation therapies
 
Extrapyramidal symptoms & nms
Extrapyramidal symptoms & nmsExtrapyramidal symptoms & nms
Extrapyramidal symptoms & nms
 
Psychiatric drug
Psychiatric drugPsychiatric drug
Psychiatric drug
 
Psychotherapy
PsychotherapyPsychotherapy
Psychotherapy
 
ECT - electroconvulsive therapy
ECT - electroconvulsive therapyECT - electroconvulsive therapy
ECT - electroconvulsive therapy
 
Nursing Process in psychiatric nursing
Nursing Process in psychiatric nursingNursing Process in psychiatric nursing
Nursing Process in psychiatric nursing
 
Therapeutic communication
Therapeutic communicationTherapeutic communication
Therapeutic communication
 
Therapeutic nurse patient relationship in psychiatry
Therapeutic nurse patient relationship in psychiatryTherapeutic nurse patient relationship in psychiatry
Therapeutic nurse patient relationship in psychiatry
 
Intelligence psychology
Intelligence psychologyIntelligence psychology
Intelligence psychology
 
Personality psychology
Personality psychologyPersonality psychology
Personality psychology
 
Neurotransmitters in mental health
Neurotransmitters in mental healthNeurotransmitters in mental health
Neurotransmitters in mental health
 
Etiology of psychiatric disorders
Etiology of psychiatric disordersEtiology of psychiatric disorders
Etiology of psychiatric disorders
 
Classification of mental disorders
Classification of mental disordersClassification of mental disorders
Classification of mental disorders
 
Mental status examination
Mental status examinationMental status examination
Mental status examination
 
Psychiatric history collection
Psychiatric history collectionPsychiatric history collection
Psychiatric history collection
 
Psychiatry terminologies
Psychiatry terminologiesPsychiatry terminologies
Psychiatry terminologies
 
Mental health introduction
Mental health introductionMental health introduction
Mental health introduction
 
Eating disoder
Eating disoderEating disoder
Eating disoder
 

Recently uploaded

share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Tina Purnat
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
Earlene McNair
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
FFragrant
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Jim Jacob Roy
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
taiba qazi
 
10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations   10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations
Traumasoft LLC
 
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)
Josep Vidal-Alaball
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
LEFLOT Jean-Louis
 
Outbreak management including quarantine, isolation, contact.pptx
Outbreak management including quarantine, isolation, contact.pptxOutbreak management including quarantine, isolation, contact.pptx
Outbreak management including quarantine, isolation, contact.pptx
Pratik328635
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Dr. Nikhilkumar Sakle
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
walterHu5
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Health Advances
 
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Holistified Wellness
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
rishi2789
 
CBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdfCBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdf
suvadeepdas911
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
HongBiThi1
 
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
FFragrant
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 

Recently uploaded (20)

share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
 
10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations   10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations
 
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS)
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
 
Outbreak management including quarantine, isolation, contact.pptx
Outbreak management including quarantine, isolation, contact.pptxOutbreak management including quarantine, isolation, contact.pptx
Outbreak management including quarantine, isolation, contact.pptx
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
 
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
 
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
 
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdfCHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
CHEMOTHERAPY_RDP_CHAPTER 6_Anti Malarial Drugs.pdf
 
CBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdfCBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdf
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
 
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
 

Defense mechanism

  • 1. 1 Defence mechanisms  Psychoanalytic Theory DEFENCE MECHANISMS  Sigmund Freud constructed a model of personality with 3 interlocking parts:the ‘id’,the ‘ego’ & the ‘super ego’  Id,the most primitive one-biologically based urges. o To eat,drink,eliminate & especially to be sexually stimulated. o id operates through pleasure principle without any rules,realities,morals.  Id is bridled & managed by ego.Ego delays satisfying id’s motives & channels behaviour in socially acceptable way. Involuntary coping Mechanisms  Id’s unconscious demands are instinctual, infantile and amoral . They must be blocked by ego and superego.  Super ego,the conscience,prohibitions learned from parents & authorities.  Because of this conflict and persistence of unsatisfied demands, anxiety and guilt are aroused.  Defence mechanisms resides in the unconscious domain of ego. George Valliant’s Classification A. Narcissistic Defences - Most primitive. In children and adults who are psychotically disturbed. B. Immature Defences: adolescents and some non neurotic patients. C. Neurotic Defences: in OCD and hysterical patients and in adults under stress. D. Mature defences A. Narcissistic defenses 1. Denial 2. Distortion 3. Projection 1. Denial  Avoiding the awareness of some painful aspect of reality by negating sensory data.  It abolishes external reality.  A person who is a functioning alcoholic will often simply deny they have a drinking problem, pointing to how well they function in their job and relationships.  Simple Denial,minimisation,Projection 2. Distortion  Grossly reshaping external reality to suit inner needs  Including hallucinations, wish fulfilling delusions, unrealistic megalomania. 3. Projection  Mechanism by which the ego attributes its own intolerable sexual and aggressive impulses to the outside person or agency.  Coping with one’s unwanted motives by shifting them on to someone else.  Anxiety arising from internal conflicts can then be reduced and problem dealt with as though it were in the external world. B. Immature defenses 1. Acting out 2. Blocking
  • 2. 2 3. Hypochondriasis 4. Introjection 5. Passive aggressive behaviour 6. Regression 7. Somatiization 8. Schizoid fantasy 1. Acting out  Expressing an unconscious wish or impulse through action to avoid being conscious of an accompanying affect.  Involves chronically giving in to an impulse to avoid the tension arising from postponement of expression.  Instead of saying, “I’m angry with you,” a person who acts out may throw a book at the person, or punch a hole through a wall.  When a person acts out, it can act as a pressure release, and often helps the individual feel calmer and peaceful once again.  Ex. Tantrums,  For instance, a child’s temper tantrum is a form of acting out when he or she doesn’t get his or her way with a parent.  apparently motiveless assaults, child abuse 2. Blocking  Temporarily or transiently inhibiting thinking 3.Hypochondriasis  Exaggerating or overemphasizing an illness for the purpose of evasion and regression.  Responsibility can be avoided , guilt can be circumvented and instinctual impulses are warded off. 4. Introjection  Reverse of projection  Internalizing the qualities of an object. 5. Passive aggressive behaviour  These patients turn their anger against themselves. This phenomenon is called masochism, includes procrastination, silly or provocative behaviour, self demeaning ,clowning and frankly self destructive acts. 6. Turning against self  Instead of expressing hostility against another rperson, represses the hostility but ventilates it against own self in the form of self criticism and self accusation 7. Regression  Attempting to return to an earlier libidinal phase of functioning to avoid the tension and conflict evoked at the present level of development.  The ego abandons the matured path of gratification and takes resort to pregenital or less objectionable attitude towards its object of gratification.  Regression is normal phenomenon as well. Some amount of regression is needed for relaxation, sleep and orgasm in sexual intercourse.
  • 3. 3  In the face of threat, one may retract to an earlier pattern of adaptation, possibly a childish or primitive one.  For eg,an adolescent who is overwhelmed with fear, anger and growing sexual impulses might become clingy and start exhibiting earlier childhood behaviors he has long since overcome, such as bedwetting,nail bitting etc. 8. Somatization  Converting psychic derivatives into bodily symptoms and tending to react with somatic manifestations rather than with psychic manifestations. 9. Schizoid fantasy  Indulge in Autistic retreat to resolve conflict and to obtain gratification.  Inter personal intimacy is avoided and eccentricity serves to repel others.  The person doesnot fully believe in fantasies and doesnot insist on acting them out.  Eg in normals striptease shows,day dreaming on pornographic materials  Clinically seen in Schizoid & Schizotypal Personality ,Narcissistic Personality Disorders. C. Neurotic defences 1. Controlling 2. Displacement 3. Externalization 4. intellectualization 5. Isolation 6. rationalization 7. dissociation 8. reaction formation 9. Repression 10. Sexualisation 1. Controlling defence mechanisms  Attempting to manage or regulate events or objects in the environment to minimize anxiety and to resolve inner conflicts. 2. Displacement  The motive remains unaltered but the person substitutes a different goal object for the original one.  Often the motive is aggression that for some reason, the person cannot vent on the source of anger.  Shifting an emotion or drive from one idea or object to another that resembles the original in some aspect or quality.  Example is the man who gets angry at his boss, but can’t express his anger to his boss for fear of being fired. He instead comes home and kicks the dog or starts an argument with his wife. 3. Externalization  Tending to perceive in the external world and in external objects, elements of one’s own personality, including instinctual impulses, conflicts, moods, attitudes and styles of thinking.  For example, a patient who is overly argumentative might instead perceive others as argumentative and himself as blameless 4. Intellectualization  Excessively using intellectual process to avoid affective expression or experience.
  • 4. 4  To avoid intimacy with people, attention is paid to external reality to avoid the expression of inner feelings and stress is placed on irrelevant details to avoid percieving the whole.  Professionals who deal with troubled people may intellectualize in order to remain helpful without being overwhelmed by sympathetic involvement. 5. Isolation  Characteristic of the orderly, controlled persons who are labelled as Obsessive compulsive personalities.  Splitting or separation of an idea from the affect that accompanies it but is repressed.  In splitting, persons towards whom patients feelings are, or have been, ambivalent are divided into good and bad.  Ex. In a ward, a patient may idealize some staff members and uniformly disparage others. 6. Rationalization  Offering rational explanations in an attempt to justify attitudes, beliefs or behaviour that may otherwise be unacceptable.  It is a method to support an attitude with false reasons  Substituting an acceptable conscious motive for an unacceptable unconscious one.  Rationalization is very common among medical professionals in covering up medical errors  “Why disclose the error?,the patient wass going to die anyway”  “Telling the family about the error will make them feel worse”  “It was patient’s fault,if he wasn’t so obese,sick etc. this error woudn’t have caused so much harm”  “Well we did our best,these things happen.” 7. Dissociation  Polly anna(subconscious bias towards the positive) like replacement of unpleasant affects with pleasant ones.  Persons who often dissociate are seen as dramatizing and emotionally shallow.  Temporarily but drastically modifying a persons character or one’s own sense of personal identity to avoid emotional distress.  Multiple Personality Disorder,PTSD,Somnambulism. 8. Reaction formation  Transforming an unacceptable impulse into its opposite  Characteristic of obsessional neurosis  If this mechanism is frequently used at any early stage of ego development it can become a permanent character trait, as in obsessional character.  Thus love may cover up unconscious hate, shyness serves as defence against exhibitionism.  Ex : when a 2nd child is born in a family the first child may show extraordinary concern for the welfare of the Newborn. This way his unconscious hate and aggression for his little brother is covered up. 9. Repression  Repression is the unconscious blocking of unacceptable thoughts, feelings and impulses.  Ego excludes from the consciousness all the psychological contents which it cannot fit in harmoniously.  Primary Repression: Curbing of ideas and feelings before they have attained consciousness.  Secondary repression : Excluding from awareness what was once experienced at the conscious level.  Repressed feelings do not cease to exist by mere expulsion from the consciousness. Ego takes further steps to deal with these pent up impulses : a) Further reinforcement of repression b) Finding out substitute channels for outlet of impulse
  • 5. 5  Ex. When a child finds out about the birth of a 2nd baby, he may feel his love is divided. He feels jealousy and rivalry towards his little brother. He represses his aggression for fear of punishment or further loss of love. But may channelize his aggression through some other activity, ex. By breaking his brothers toys. 10. Sexualisation  Endowing an object or function with a sexual significance that it did not previously have or possessed to a smaller degree, to ward off anxieties associated with prohibited impulses or their derivatives. 11. Inhibition  Involuntary decrease or loss of motivation to engage in some goal directed activity to prevent anxiety arising out of conflicts with unacceptable impulses.  Eg in Normals: Social Shyness.  Clinically in OCDs & Phobias. D. Mature defences 1. Altruism 2. Anticipation 3. Humour 4. Suppression 5. Sublimation 1. Altruism  Involves an individual getting pleasure from giving to others what the individual would have liked to receive.  Ex. Using Altruism a former alcoholic serves as an Alcohol Anonymous sponsor to a new member, achieving transformation process that may be life saving. 2. Anticipation  Realistically planning or anticipating future inner discomfort.  Involves careful planning or worrying and premature, but realistic anticipation of dire and potentially dreadful outcomes.  Ex. Moderate amount of anxiety before surgery promotes post surgical adaptation 3. Humour  Using comedy to overtly express feelings and thoughts without personal discomfort and without producing an unpleasant effect on the others.  Freud suggested that “Humour can be regarded as the highest of these defensive processes”  Mature humour allows individuals to look directly at what is painful. 4. Suppression  Consciously or semi consciously postponing attention to a conscious impulse or conflict.  Issues may be deliberately cut off but they are not avoided. 5. Sublimation  For Freud, sublimation was the highest level of ego defence  Consists of redirection of sexual impulses to socially valued activities and goals.  He believed that much of our cultural heritage is the product of sublimation.  Ex. A writer may divert his libido to creation of poem/ novel. Thus indirectly satisfying drives.
  • 6. 6  Rejection by lover may induce one to divert hi energy to human welfare or artistic and literary activities. Chandni 28.7.2020