WBR1009

Author	[[PageAuthor::Vidit Bhargava, M.B.B.S [1]]]
Exam Type	ExamType::USMLE Step 2 CK
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Sub Category
Prompt	[[Prompt::An 18 years old female is brought to her psychiatrist by her mother. Her mother reports to the doctor that her daughter is always troubled by the fact that she keeps moving from one relationship to another, she feels emotionally detached from them. After several visits, the daughter confides to psychiatrist that she was abused my her uncle when she was 8, and she hates to talk about it. Ever since, she has trouble confiding in people. What kind of a defense mechanism is she demonstrating?]]
Answer A	AnswerA::Denial
Answer A Explanation	[[AnswerAExp::It is one of the most commonly employed defense mechanisms, where a person outrightly refuses to admit that something occurred, or is currently happening. Such people seem unable to face reality or admit an obvious truth. The most common examples being drug addicts, denying their addiction.]]
Answer B	AnswerB::Suppression
Answer B Explanation	[[AnswerBExp::Repression acts to keep information out of conscious awareness. However, these memories don't just disappear, they continue to have an influence on our behavior. When we do this consciously it is called as suppression. An example would be a person totally unaffected by loss of a loved one, but breaks out immediately when consoled.]]
Answer C	AnswerC::Repression
Answer C Explanation	[[AnswerCExp::Repression is another well-known defense mechanism. Repression acts to keep information out of conscious awareness. However, these memories don't just disappear, they continue to have an influence on our behavior. After deep introspection the person is able to recollect a past event, or memories. The most common example being a person who was abused and is unable to make relationships, which is the case here.]]
Answer D	AnswerD::Acting out
Answer D Explanation	[[AnswerDExp::In this type of defense, the individual copes with stress by engaging in actions rather than reflecting upon internal feelings. An example would be a person becoming suddenly focused in studies, sports after losing a parent/sibling to avoid dealing with the emotional loss.]]
Answer E	AnswerE::Displacement
Answer E Explanation	[[AnswerEExp::Displacement is a type of immature defense mechanism, wherein feelings, emotions, & actions are expressed differently from their source of origin. A common example being when a husband yells at her spouse, because he was yelled at by his boss in the office earlier today.]]
Right Answer	RightAnswer::C
Explanation	[[Explanation::The patient is exhibiting a type of defense mechanism called as Repression. Educational Objective: References: ]]
Approved	Approved::No
Keyword	WBRKeyword::defense mechanisms
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