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  #1  
Old 05-12-2012
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Psyche Patient did not report breast mass initially; Mental Defense Mechanism

A 48-year -old woman notices a firm, fixed mass in her right breast but chooses to ignore it. The mass is then detected on her annual physical examination eight months later. By that point, the mass has increased greatly in size. When questioned as to why she did not report the mass when she first noticed it, the woman states that she was not concerned about the mass because she does not have a family history of breast cancer. This response is an example of which of the following defense mechanisms?

A. Repression
B. Dissociation
C. Denial
D. Rationalization
E. Intellectualization
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  #2  
Old 05-12-2012
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D. Rationalization ?
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  #3  
Old 05-12-2012
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i go with rationalisation too.
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Old 05-12-2012
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Rationalization
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  #5  
Old 05-12-2012
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Rationalization seems like the obvious answer here
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  #6  
Old 05-12-2012
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i also think its D.
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I go for D.
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Old 05-13-2012
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Yup it's d


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  #9  
Old 05-13-2012
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Why cant it be C-denial..?
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Old 05-13-2012
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Is it D cuz she has a reason for being ignorant?
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D. Rationalization?
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  #12  
Old 05-13-2012
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She has never denied to fact of breast mass... So why denial?
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  #13  
Old 05-13-2012
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she is living like nothing really happened to her.. so, why not denial?
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Quote:
Originally Posted by callmerocky2 View Post
she is living like nothing really happened to her.. so, why not denial?
Quote:
the woman states that she was not concerned about the mass
the woman did not say there was no breast lump. she accepted the fact that she has breast lump. she is not denying this fact. does it makes sense? sounds okay to me...
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  #15  
Old 05-13-2012
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Sounds fine..! I guess USMLE makes one think a lot more than required and ignore straightforward facts... haha
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