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Old 09-12-2011
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Psyche OCD and Defense Mechanisms!

A 19-year-old female college student presents to her primary care physician stating she has to check to see if her door is locked 5 times before she leaves. She also has to count to 50 before she starts her car. Lastly, she needs to wash her hand 14 times prior to leaving her house. Which of the following defense mechanisms is not associated with her diagnosis?
A. Intellectualization
B. Rationalization
C. Isolation of affect
D. Reaction formation
E. Dissociation
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Old 09-12-2011
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A) Intellectualization
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Old 09-12-2011
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E.dissociation
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Old 09-12-2011
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is not or IS associated with her diagnosis? because none of them match except for reaction formation.
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Old 09-12-2011
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A. Intellectualization
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Old 09-12-2011
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DDD. reaction formation is to replace a feeling or idea by an emphasis on its opposite.
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D. Reaction formation??
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Old 09-13-2011
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The correct answer is E.
The patient has obsessive-compulsive disorder, which is characterized by recurrent thoughts, feelings and images as well as repetitive actions. Intellectualization is an overuse of the mind to explain away unwanted emotions. Isolation of affect is associated with emotions concerning stressful events that are neither experienced nor expressed. Rationalization is characterized by seemingly reasonable explanations given for unacceptable or irrational feelings. Reaction formation is when unacceptable feelings are denied and opposite attitudes and behaviors are adopted. Reaction formation, intellectualization, isolation of affect and rationalization are associated with obsessive-compulsive disorder.
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Old 09-13-2011
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That's strange. According to Kaplan common defenses for OCD are undoing, reaction formation and displacement. doesn't say anything about intellectualization, isolation of affect and rationalization. Could you kindly share your source of information?
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