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|MainCategory=Behavioral Science/Psychiatry
|MainCategory=Behavioral Science/Psychiatry
|SubCategory=General Principles
|SubCategory=General Principles
|MainCategory=Behavioral Science/Psychiatry
|MainCategory=Behavioral Science/Psychiatry
|MainCategory=Behavioral Science/Psychiatry
|MainCategory=Behavioral Science/Psychiatry
|MainCategory=Behavioral Science/Psychiatry
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|MainCategory=Behavioral Science/Psychiatry
|MainCategory=Behavioral Science/Psychiatry
|SubCategory=General Principles
|SubCategory=General Principles
|Prompt= A 32-year-old husband and wife attend therapy. The wife states that her husband is abusing her. When questioned by the counselor, he confirms his wife's accusation and attempts to validate his abusive behavior by claiming that she “deserves it." Upon further questioning, the psychologist learns that the husband was abused by his father when he was a child. Which of the following forms of immature defense is the husband exhibiting?
|Prompt=A 32-year-old husband and wife attend marital counseling. During their first individual sessions, the wife states that her husband has been been abusing her ever since she had their first child. When approached by the counselor, the husband reluctantly confirms his wife's accusation. He attempts to validate his abusive behavior by claiming that she “deserves it". Upon further questioning, the psychologist learns that the husband was abused by his father when he was a child. Which of the following forms of defense is the husband exhibiting?
 
|Explanation=In this scenario the husband is exhibiting a form of immature defense, termed as secondary identification.  He models his abusive behavior after his father, whom the patient considers an authority figure.
|Explanation= In this scenario the husband is exhibiting a form of immature defense, termed as secondary identification.  He models his abusive behavior after his father, whom the patient considers an authority figure.
 
 
|EducationalObjectives= Secondary identification refers to modeling one's behavior after a figure of authority.
|References= Meissner WW.  Notes of Identification: I. Origins in Freud.  The Psychoanalytic Quarterly. 1970; 39(4):563-589.
|AnswerA=Acting out
|AnswerA=Acting out
|AnswerAExp= Acting out is the expression of unacceptable feelings through actions.
|AnswerAExp=Acting out is the expression of unacceptable feelings through actions.
|AnswerB=Denial
|AnswerB=Denial
|AnswerBExp= Denial is the refusal to confront an undesirable aspect of reality.
|AnswerBExp=Denial is the refusal to confront an undesirable aspect of reality.
|AnswerC=Identification
|AnswerC=Identification
|AnswerCExp= Secondary identification refers to modeling one's behavior after a figure of authority.  
|AnswerCExp=Secondary identification refers to modeling one's behavior after a figure of authority.
|AnswerD=Projection
|AnswerD=Projection
|AnswerDExp= Projection refers to the attribution of an improper personal desire or inclination to an external source.  
|AnswerDExp=Projection refers to the attribution of an improper personal desire or inclination to an external source.
|AnswerE=Displacement
|AnswerE=Displacement
|AnswerEExp= Displacement is the transferral of undesirable feelings to a neutral person or object.
|AnswerEExp=Displacement is the transferral of undesirable feelings to a neutral person or object.
|EducationalObjectives=Secondary identification refers to modeling one's behavior after a figure of authority.
|References=Meissner WW.  Notes of Identification: I. Origins in Freud.  The Psychoanalytic Quarterly. 1970; 39(4):563-589.
|RightAnswer=C
|RightAnswer=C
|Approved=Yes
|Approved=Yes
}}
}}

Revision as of 22:16, 3 August 2014

 
Author [[PageAuthor::Rim Halaby, M.D. [1] (Reviewed by Alison Leibowitz)]]
Exam Type ExamType::USMLE Step 1
Main Category MainCategory::Behavioral Science/Psychiatry
Sub Category SubCategory::General Principles
Prompt [[Prompt::A 32-year-old husband and wife attend marital counseling. During their first individual sessions, the wife states that her husband has been been abusing her ever since she had their first child. When approached by the counselor, the husband reluctantly confirms his wife's accusation. He attempts to validate his abusive behavior by claiming that she “deserves it". Upon further questioning, the psychologist learns that the husband was abused by his father when he was a child. Which of the following forms of defense is the husband exhibiting?]]
Answer A AnswerA::Acting out
Answer A Explanation AnswerAExp::Acting out is the expression of unacceptable feelings through actions.
Answer B AnswerB::Denial
Answer B Explanation AnswerBExp::Denial is the refusal to confront an undesirable aspect of reality.
Answer C AnswerC::Identification
Answer C Explanation AnswerCExp::Secondary identification refers to modeling one's behavior after a figure of authority.
Answer D AnswerD::Projection
Answer D Explanation AnswerDExp::Projection refers to the attribution of an improper personal desire or inclination to an external source.
Answer E AnswerE::Displacement
Answer E Explanation AnswerEExp::Displacement is the transferral of undesirable feelings to a neutral person or object.
Right Answer RightAnswer::C
Explanation [[Explanation::In this scenario the husband is exhibiting a form of immature defense, termed as secondary identification. He models his abusive behavior after his father, whom the patient considers an authority figure.

Educational Objective: Secondary identification refers to modeling one's behavior after a figure of authority.
References: Meissner WW. Notes of Identification: I. Origins in Freud. The Psychoanalytic Quarterly. 1970; 39(4):563-589.]]

Approved Approved::Yes
Keyword
Linked Question Linked::
Order in Linked Questions LinkedOrder::