Freud Defense mechanisms as coping responses to anxiety used by EVERYONE

Freud defense mechanisms as coping responses to

This preview shows page 3 - 5 out of 10 pages.

Freud: Defense mechanisms as coping responses to anxiety: used by EVERYONE Reduces anxiety: maintain ego functioning Protects self-esteem Can be used consciously or unconsciously Necessary for survival when used sparingly: Overuse/ inappropriate use distorts reality, produces self-deception, and interferes with healthy functioning VI. Defense Mechanisms- RN should recognize Conscious attempts - suppression: holding back urges - rationalization: creating false but credible justification - fantasy: conscious creations to distort reality Behavioral attempts - identification: adolescents conceals inadequacies (example: individuals taking on identity of someone else) - internalization: (introjection): assimilation of behaviors belonging to others - Undoing (restitution): behaviors to resolve unconscious guilt - Displacement: redirecting thoughts, feelings and impulses upon another person or object Repressive attempts - Compensation: attempts to makeup deficits, excelling in other areas - reaction formation: opposite expression of true feeling - sublimation: diversion of unacceptable instinctual drives - projection: imputing onto others unpleasant aspects of one-self - denial: disowning of tolerable/inappropriate ideas or behaviors - conversion: channels unbearable anxiety through bodily expression - repression: involuntary exclusion of anxiety provoking event (example: man who was sexually abused as a young child who doesn’t remember anything) Regressive attempts: A form of disengagement 3
Image of page 3
- dissociation: emotional separation and detachment - regression: re-treatment into an earlier developmental level VII. Pathological Anxiety (When anxiety is not managed) occurs from ineffective coping with anxiety response to anxiety is disproportionate to the threat anxiety continues beyond the threat (unable to “let go”, anxiety that lingers) Causes, impairment in ADL’s intellectual, social, occupational functioning, memory impairment, and comprehension Creates psychosomatic or physical effects: headache, pain, discomfort Pathological Anxiety- etiology - Psychoanalytic (Freud) : unresolved intra-psychic conflict, low self-esteem, and unworthy feeling - Interpersonal theory : relationship with parent significant, disapproval from the relationship - Behavioral theory : learned response to an unpleasant experience; example: immunizations at the doctor visit, young child hospitalized now doesn’t want to go to the dr. - Biological theory : adaption syndrome, fight or flight response impaired, limited GABA neurotransmitters (can’t calm down) - Genetic: nearly 50% of anxious pts have family history of anxiety (anxiety, panic, OCD) Pathological anxiety creates further disorganization and maladaptive responses (patient continues to deteriorate, exhibited in behaviors and or thoughts, feelings) Occurs on a continuum from mild to moderate to severe to panic VIII. Mild Anxiety : increase energy helps maximize productivity. Normal levels experienced by everyone, every day, everyday there is an opportunity to exp. anxiety Increases alertness, enhances learning- problem solving Managing mild anxiety - Every day reduce stress: calm down DAILY- keeps anxiety from
Image of page 4
Image of page 5

You've reached the end of your free preview.

Want to read all 10 pages?

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture