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The four defenses clusters
- 1.- Narcissitics Defenses
- 2.- Immature Defenses
- 3.- Anxiety Defenses
- 4.- Mature Defenses
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Narcissitics Defenses
- 1.- Projection (Paranoid delusions and auditory hallucinations)
- 2.- Denial (Substance abuse, Abuse victims)
- 3.-Splitting (Bordeline personality, prejudice and stereotypes)
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Immature Defenses
- 1.- Blocking
- 2.- Regression (enuresis, demand breast feeding after sibling is born)
- 3.- Somatization (Somatoform disorders, symptoms are physically real)
- 4.- Introjection (when done consciously is called immitation. That's how the super ego is formed. Patient in psychotherapy gain introyection of the therapist)
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Anxiety Disorders
- 1.- Displacement
- 2.- Repression (forget that you forget. People in concetration camps, children being abused. Can remember after traume or psychotherapy)
- 3.- Isolation of affect (bland affect in schizophrenics [la belle indifference]often accompanies conversion)
- 4.- Intellectualization (obsessive -compulsive anxiety disorder, rumination can result from this defense)
- 5.- Acting out (border line and antisocial)
- 6.- Rationalization (OCD)
- 7.- Reaction formation (found in many anxiety disorders)
- 8.- Undoing (OCD)
- 9.- Passive-agressive (borderline and young children)
- 10.-Dissociation (in extreme form it turns in to a dissociative disorder [fugue state, amnesia, multiple personality])
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Mature Defenses
(less distorion of realitty)
- 1.- Humor
- 2.- Sublimation (Art)
- 3.- Supression (Forget but remember later [affraid of hights but enjoy a beatiful view from a cliff])
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Transfer
- Not adefense mechanism
- From patient to the physician
- Countertransfer from the physician to the patient.
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