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  #1  
Old 06-25-2011
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Psyche Ignoring a physical sign is what mental defense mechanism?

A 48-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. When questioned as to why she did not seek treatment for it, she states that she was not concerned about it, as she does not have a family history of breast cancer. This lady’s response is an example of which of the following?

A. Repression
B. Dissociation
C. Denial
D. Rationalization
E. Intellectualization
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Old 06-25-2011
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Default I'm a bit torn here but...

I'll go with D) Rationalization
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Old 06-25-2011
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Originally Posted by Seetal View Post
A 48-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. When questioned as to why she did not seek treatment for it, she states that she was not concerned about it, as she does not have a family history of breast cancer. This lady’s response is an example of which of the following?

A. Repression
B. Dissociation
C. Denial
D. Rationalization
E. Intellectualization

I would say Repression, because the patient excludes the mass as a problem and let it go. However in rationalization you offer a rational explanation to justify your action, in this case, the patient assume that when you don't have family history of breast cancer you are not at risk of having breast cancer. SO I think is D.
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Old 06-25-2011
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well actually I was a bit torn between E) Intellectualization (to me it's like repression+rationalization combined) and D) Rationalization. To be honest I still am...
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well actually I was a bit torn between E) Intellectualization (to me it's like repression+rationalization combined) and D) Rationalization. To be honest I still am...
I think that if it were intellectualization, the patient would say something more elaborated to explain her behavior, for instance, reading in the internet about the risk of cancer in people without family history and offer that explanation when the physician ask her why she didn't seek for medical attention.
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Old 06-25-2011
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i will go for Denial.... an immature defens mech. characterized by failure to accept the distubing facts, like a pt with terminal illness refuses to accept that he will die soon.
plz correct me if i'm wrong !!
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Old 06-25-2011
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i'll go with Denial
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Old 06-25-2011
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This Question was in UW bank and the answer is rationalization.. and it's a defense mechanism in which you justify your mistakes!
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Old 06-25-2011
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Answer C. Denial
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Default the answer

i initially thought denial too. but when i read the explanation i see the difference now. follows are the explanations for each choice of answer:

The lady in the above case scenario is trying to offer a logical explanation for not being concerned about her breast mass. In reality she understands the possible seriousness of the mass, but tries to justify this unacceptable situation by offering a rational explanation.

(Choice A) Repression is the involuntary separation of a painful thought, impulse or memory from conscious awareness. Example: This lady is suffering from terminal cancer, but is not consciously aware of it. (Note that repression is the unconscious separation of a painful thought, whereas suppression is the conscious analog of repression).

(Choice B) Dissociation involves blocking off disturbing thoughts or emotions from consciousness. Example: This lady cries bitterly when given the diagnosis of breast cancer, but few hours later, denies any memory for the event. (Differentiate dissociation from repression and suppression as the splitting-off of a group of thoughts from the main portion of the consciousness).

(Choice C) Denial is avoiding the awareness of some painful aspect of reality. It is the failure to recognize the obvious implications of an unacceptable situation. Example: This lady is given a diagnosis of breast cancer, but refuses to accept it and goes to another physician for a second opinion.

(Choice E) Intellectualization is closely allied to rationalization. It involves avoiding emotions associated with an unacceptable situation by focusing on the intellectual aspects of the event. Example: After receiving a diagnosis of breast cancer, this lady spends several hours reading up on everything about her illness.

Educational Objective:
Rationalization means offering rational explanations to justify unacceptable situations or behaviors.

ps: and yes, this is from UW bank.
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Old 06-25-2011
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D. Rationalization from uw this q
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