Denial or Dissociation or Repression - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 04-26-2012
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 162
Thanked 284 Times in 147 Posts
Reputation: 294
Psyche Denial or Dissociation or Repression

A 45-year-old lady notices a firm mass in her right breast, but ignores it. The mass is detected on her next annual physical examination and has, by then, increased tremendously in size. Further evaluation revealed the diagnosis of breast cancer. The lady cries bitterly when given the diagnosis of breast cancer, but few hours later, denies any memory for the event. Which defence mechanism is observed in this patient?

A) Repression
B) Regression
C) Rationalization
D) Intellectualism
E) Dissociation
F) Suppression
G) Reaction formation
H) Altruism
I) Sublimation
Reply With Quote Quick reply to this message



  #2  
Old 04-26-2012
DocSikorski's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,353
Threads: 94
Thanked 877 Times in 507 Posts
Reputation: 890
Default

Repression?
__________________
Ambition is a dream with a V8 engine. EP
Reply With Quote Quick reply to this message
  #3  
Old 04-26-2012
Hope2Pass's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,684
Threads: 213
Thanked 1,600 Times in 660 Posts
Reputation: 1610
Default

A) Repression.

Not to be confused with Suppression; when you intentionally decide to forget about a stressful event.
Reply With Quote Quick reply to this message
 
  #4  
Old 04-26-2012
USMLE Forums Scout
 
Steps History: ---
Posts: 21
Threads: 8
Thanked 5 Times in 4 Posts
Reputation: 15
Default

A) Repression

b/c it's subconscious and we can't access it via conscious memory
Reply With Quote Quick reply to this message
  #5  
Old 04-26-2012
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 162
Thanked 284 Times in 147 Posts
Reputation: 294
Save It! Answer: E

I think the answer is Dissociation, because of the splitting-off a group of thoughts from the main portion of the consciousness, as this patients deny any memory for the event.
Reply With Quote Quick reply to this message
  #6  
Old 04-26-2012
DocSikorski's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,353
Threads: 94
Thanked 877 Times in 507 Posts
Reputation: 890
Default

Quote:
Originally Posted by Evergreen View Post
I think the answer is Dissociation, because of the splitting-off a group of thoughts from the main portion of the consciousness, as this patients deny any memory for the event.
doubtful.

Than there must be a component of the dissociation, like she would be sure with herself that this happened(!) but not to her.

Classic example of dissociation - when a victim is raped they report of an even as happening not to the person, or of observing the event from the side.

========

This question is an example of a denial or repression
__________________
Ambition is a dream with a V8 engine. EP
Reply With Quote Quick reply to this message
  #7  
Old 04-26-2012
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 162
Thanked 284 Times in 147 Posts
Reputation: 294
Correct Answer

Quote:
Originally Posted by DocSikorski View Post
doubtful.

Than there must be a component of the dissociation, like she would be sure with herself that this happened(!) but not to her.

Classic example of dissociation - when a victim is raped they report of an even as happening not to the person, or of observing the event from the side.

========

This question is an example of a denial or repression
Thanks for your reply, however, Repression is usually for internal confilct or impulse such as anger,
Denial is for a external reality such as denying that he/she has a disorder,
Dissociation is spliiting off a traumatic event from conscioussness and blocking it to come to the consciousness
Reply With Quote Quick reply to this message
  #8  
Old 04-26-2012
DocSikorski's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,353
Threads: 94
Thanked 877 Times in 507 Posts
Reputation: 890
Default

Quote:
Originally Posted by Evergreen View Post
Thanks for your reply, however, Repression is usually for internal confilct or impulse such as anger,
Denial is for a external reality such as denying that he/she has a disorder,
Dissociation is spliiting off a traumatic event from conscioussness and blocking it to come to the consciousness
If you "split it off" from consciousness - it will mean it will go into subconsciousness, right? - thats the definition of repression.

I am probably wrong, but thats what I remember from studying.
__________________
Ambition is a dream with a V8 engine. EP
Reply With Quote Quick reply to this message
  #9  
Old 04-26-2012
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 162
Thanked 284 Times in 147 Posts
Reputation: 294
Idea!

Quote:
Originally Posted by DocSikorski View Post
If you "split it off" from consciousness - it will mean it will go into subconsciousness, right? - thats the definition of repression.

I am probably wrong, but thats what I remember from studying.

You're right,
Repression is splitting off.
Dissociation is blocking off.
In this case, we see dissociation which involves blocking off disturbing thoughts and emotions from consciousness. Becasue of this defence mechanism she denies memory for the event, a moment when she heard about her cancer (a traumatic external event).
Reply With Quote Quick reply to this message
  #10  
Old 04-26-2012
USMLE Forums Master
 
Steps History: 1 + CS
Posts: 675
Threads: 84
Thanked 428 Times in 207 Posts
Reputation: 438
Default

i thought this would be more "denial", but since its not listed in the answers then i guess repression is most suitable
Reply With Quote Quick reply to this message
  #11  
Old 04-26-2012
Hope2Pass's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,684
Threads: 213
Thanked 1,600 Times in 660 Posts
Reputation: 1610
Default

Quote:
Originally Posted by Evergreen View Post
You're right,
Repression is splitting off.
Dissociation is blocking off.
In this case, we see dissociation which involves blocking off disturbing thoughts and emotions from consciousness. Becasue of this defence mechanism she denies memory for the event, a moment when she heard about her cancer (a traumatic external event).
So the correct answer is Dissociation?

I thought dissociation is when a person refers to the event or recalls something by describing it in a third person annotation ?? (they dissociate themselves from the stressing event ?)
Reply With Quote Quick reply to this message
  #12  
Old 04-26-2012
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 162
Thanked 284 Times in 147 Posts
Reputation: 294
Correct Answer Dissociation

Quote:
Originally Posted by Hope2Pass View Post
So the correct answer is Dissociation?

I thought dissociation is when a person refers to the event or recalls something by describing it in a third person annotation ?? (they dissociate themselves from the stressing event ?)
Today, I also asked a Psychiatrist/Psychoanalyst and he mentioned the answer is Dissociation.
Reply With Quote Quick reply to this message
  #13  
Old 04-26-2012
Rookie's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 394
Threads: 40
Thanked 218 Times in 99 Posts
Reputation: 228
Default Is this the buzzword

"Denies any memory of the event" that means she is not denying the disease per se but Shun the memory(to forget) that she has the disease.

You forget and then forget that you forgot .. Then it has to be repression

Denial- to argue she doesn't have the disease and say "how could that possibly happen? I'm still fit and fine "
Dissassociation- accept that she has the disease but lacks emotional aspect associated with it.
Reply With Quote Quick reply to this message
  #14  
Old 04-26-2012
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 162
Thanked 284 Times in 147 Posts
Reputation: 294
Save It!

Quote:
Originally Posted by Rookie View Post
"Denies any memory of the event" that means she is not denying the disease per se but Shun the memory(to forget) that she has the disease.

You forget and then forget that you forgot .. Then it has to be repression

Denial- to argue she doesn't have the disease and say "how could that possibly happen? I'm still fit and fine "
Dissassociation- accept that she has the disease but lacks emotional aspect associated with it.
Dissociation is the result of trauma we have experienced in our life. And by dissociating from the intensity of the trauma, we can minimize the suffering caused.

With these experiences being subjective in nature and usually extremely overwhelming for the individual, they may however seem insignificant and even trivial to other people in the same situation. Once the event is pushed out of the conscious mind and into the unconscious, it is very often forgotten about. This form of selective amnesia can last for years and even as long as a life time in certain instances.

While it may be beneficial in the short time, one of the main consequences of long term dissociation is in losing our ability to function in the world as a whole human being.
Reply With Quote Quick reply to this message
The above post was thanked by:
DocSikorski (04-27-2012)
  #15  
Old 04-26-2012
Teresa's Avatar
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 33
Threads: 0
Thanked 6 Times in 4 Posts
Reputation: 16
Default

Quote:
Originally Posted by Evergreen View Post
Thanks for your reply, however, Repression is usually for internal confilct or impulse such as anger,
Denial is for a external reality such as denying that he/she has a disorder,
Dissociation is spliiting off a traumatic event from conscioussness and blocking it to come to the consciousness
I think this question describes both denial and dissociation. She was in denial initially when the breast mass was detected and she ignored it. After the diagnosis the defense mechanism is dissociation, as the event is not even on memory. It sort moves from partial awareness to none, and it all happens on the subconscious level.
I believe repression requires some conscious effort.
Reply With Quote Quick reply to this message






Reply

Tags
Behavioral-Sciences-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
United States Visa Denial Explanation & Poll bunny IMG Visa Issues 1 05-31-2012 02:22 PM
P50 and O2 Hb dissociation curve flowerlady USMLE Step 1 Forum 1 12-23-2011 03:50 PM
dissociation curve shift scopusmount USMLE Step 1 Forum 6 11-03-2011 09:15 AM
Suppression versus Repression schiwei USMLE Step 1 Forum 2 12-08-2010 06:50 PM
Hemoglobin Dissociation Curve Sabio USMLE Step 1 Mnemonics 4 07-26-2010 08:25 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)