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Behavioral Science

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Psychoanalytic Theory 33<br />

CLINICAL VIGNETTES<br />

A middle-aged woman is in a grocery store. She goes to the bulk candy section and<br />

sees gummy bears—her favorite. Part of her mind says she should grab a handful<br />

and stuff them in her mouth. Which part of the mind is telling her this?<br />

The id<br />

A man and a woman are in a car accident. Neither has insurance and both cars are<br />

totaled, and both of them lose their licenses. The woman goes home and says<br />

“Well, at least I wasn’t driving a Ferrari—that would have been much more<br />

expensive.” The man says “I hit her because I was swerving to avoid something<br />

else. I should have had my brakes balanced.” What defense mechanisms are they<br />

using and are they mature or immature defenses?<br />

The woman is using humor—a mature mechanism. The man is using rationalization—<br />

an immature mechanism.<br />

A medical student is mistreated by his professor, but later tells his fellow medical<br />

students that the professor is “great”! What defense mechanism is he using?<br />

Reaction formation<br />

A medical student’s dog dies. When he is consoled by fellow students, he states,<br />

“He was really old and I was expecting him to go soon anyway. Most large dogs<br />

only live until they are 10.” What defense mechanism is he using?<br />

Intellectualization<br />

A medical student fails the last anatomy exam after he studied 12 hours per day in<br />

the corner of the library for 1 month. He tells his friend, “I think I failed because<br />

I didn’t study enough. Besides, I am not really going to use anatomy later on.”<br />

What defense mechanism is he using?<br />

Rationalization

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