True/False
Letter D
Letter I
Letter R and S
100

Defense Mechanisms and Coping Mechanisms are the same and interchangeable. 

What is False?

100

Directing an impulse, wish or feeling toward a person or situation that is not its real object  

Example:  a man angry with boss kicks dog

What is Displacement?

100

An unacceptable impulse, idea, or act is separated from its original memory source, thereby removing the emotional charge associated with it. 

What is Isolation of Affect?

Isolation of affect occurs when someone can describe a distressing or traumatic event in detail while separating the facts from the emotions connected to it.

Example: A veteran calmly describes witnessing a close friend die during deployment, including specific details about what happened, but shows little emotion and says, “It was just part of the job.” Later, the veteran reports headaches, poor sleep, or irritability without recognizing how these symptoms may relate to grief or trauma.

The person remembers the event, but the emotional response—such as sadness, fear, guilt, or anger—is temporarily disconnected from the memory. This defense mechanism can help someone function when the feelings seem too overwhelming. It should not automatically be interpreted as a lack of caring or insight.

100

Third line of defense; not unconscious.  Giving a believable explanation for irrational behavior; motivated by unacceptable unconscious wishes or by defenses used to cope with such wishes. 

What is Rationalization?

Rationalization occurs when a person creates a reasonable-sounding explanation for behavior, feelings, or an outcome to avoid acknowledging the more uncomfortable underlying reason.

Example: A client repeatedly misses substance-use treatment appointments and says, “Those groups are a waste of time—the facilitator doesn’t understand veterans.” Although the client may have concerns about the group, the explanation may also protect them from recognizing their fear of discussing their substance use, being judged, or making changes.

Rationalization helps protect self-esteem and reduce guilt or anxiety. The explanation may contain some truth, but it hides or minimizes the more emotionally difficult motivation.

200

Projection is a primitive defense mechanism, attributing one's own disowned attitudes, wishes, feelings, and urges to an external object or person. 

What is true?

200
A process that enables a person to split mental functions in a manner that allows him or her to express forbidden or unconscious impulses without taking responsibility for the action, either because he or she is unable to remember the disowned behavior, or because it is not experienced as his or her own. 

What is Dissociation?

200

Loss of motivation to engage in (usually pleasurable) activity is avoided because it might stir up conflict over forbidden impulses. 

What is Inhibition?

Inhibition occurs when a person unconsciously limits or avoids an activity, ability, or behavior because doing it creates anxiety, guilt, fear, or an uncomfortable internal conflict.

Example: A social work intern is knowledgeable and contributes thoughtful ideas during individual supervision. However, during multidisciplinary team meetings, the intern stays quiet and avoids offering clinical observations because speaking in front of authority figures triggers anxiety about being criticized or appearing incompetent.

The intern still has the ability to participate, but unconsciously restricts that ability to reduce emotional discomfort. Unlike a lack of skill or interest, inhibition involves holding back an existing capacity because using it feels psychologically threatening.

200

Defense mechanism associated with BPD in which a person perceives self and others as "all good or all bad".  Splitting serves to protect the good objects. A person is unable to intergrate the good and bad in people. 

What is splitting?

Splitting occurs when a person has difficulty holding both positive and negative qualities of themselves or another person at the same time. They may view someone as entirely good or entirely bad, with little room for complexity or imperfection.

Example: A client initially describes their social worker as “the only person who truly cares and has ever helped me.” When the social worker later maintains a boundary or cannot fulfill a request, the client says, “You’re just like everyone else. You never cared about me,” and views the social worker as completely uncaring.

Splitting can reduce the anxiety of managing mixed feelings, especially when relationships feel uncertain or threatening. Social workers can respond by remaining consistent, validating the client’s disappointment, maintaining boundaries, and gently helping the client recognize that a person can be supportive while still having limits.

300

Deterioration of existing defenses

What is Decompensation?

300

Overestimation of an admired aspect or attribute of another.

What is idealization?

Idealization occurs when a person views someone else as exceptionally good, capable, or flawless while overlooking—or minimizing—that person’s limitations and faults. It can create a sense of safety or protect against disappointment and uncertainty.

Example: A client describes a new case manager as “the only person who truly understands me” and believes the case manager will solve every problem. The client dismisses any suggestion that the case manager may have limits, make mistakes, or be unable to meet every need.

Idealization can help the client feel hopeful and secure, but it may lead to intense disappointment, anger, or devaluation when the professional sets a boundary, makes a mistake, or cannot meet the client’s expectations.

400

Defense Mechanisms are behaviors that help protect people from anxiety. 

What is true?

400

A defense mechanism frequently used by persons with borderline personality organization in which a person attributes exaggerated negative qualities to themselves or another. 

What is Devaluation?

400

A primitive mechanism in which psychic representation of a person (or parts of a person are) is figuratively ingested. 

What is Incorporation?

Incorporation occurs when a person unconsciously takes in—or absorbs—the qualities, values, beliefs, or characteristics of another person as if they were part of themselves. It is often considered an early or primitive form of identification and may help someone maintain a sense of connection, safety, or control.

Example: After losing a respected mentor, a social work intern begins using the mentor’s favorite phrases, adopting their approach to clients, and following their routines. By unconsciously incorporating these characteristics, the intern maintains an internal sense of connection to the mentor.

Incorporation can support coping and development. However, it may become problematic when the person adopts another individual’s qualities without evaluating whether they fit their own identity, values, or circumstances.

500

Coping mechanisms are involuntary and defense mechanisms are generally voluntary. 

What is false?

Coping Mechanisms are generally known and voluntary.

Defense Mechanisms tend to be automatic, involuntary, and usually unconscious psychological activities. 

500

Primitive Defense, inability to acknowledge true significance of thoughts, feelings, wishes, behavior, or external reality factors that are consciously intolerable

What is Denial?

500

Universal mechanism whereby a person patterns himself or herself after a significant other.  Plays a major role in personality development, especially superego development. 

What is Identification?

Identification occurs when a person unconsciously adopts the qualities, values, behaviors, or attitudes of someone they admire—or sometimes fear—to strengthen their own identity, confidence, or sense of belonging.

Example: A new social work intern admires an experienced supervisor who remains calm during difficult client interactions. Over time, the intern begins using a similar tone, asking similar grounding questions, and approaching crises with the same calm demeanor. Adopting these qualities helps the intern feel more capable and develop a professional identity.

Identification can be a healthy part of personal and professional growth, provided the person gradually integrates those qualities into an authentic identity rather than merely copying the other person.