MNS 2024
Psychology
Easy
The technique by which repressed painful experience or conflict is brought back to the consciousness of the client?
Appeared in: MNS 2024
Explanation
- Abreaction is a specific therapeutic process where repressed, painful experiences or conflicts are brought back into conscious awareness.
- The core of abreaction is not just recalling the event but also reliving it with the appropriate emotional response, leading to a release of tension (catharsis).
- This technique directly addresses the prompt's description of bringing a repressed conflict back to consciousness.
- It is considered a key component of therapies aimed at resolving trauma, such as in post-traumatic stress disorder (PTSD).
Why Other Options Were Wrong
- Option A: Dream analysis focuses on interpreting the symbolic meaning of dreams to understand unconscious conflicts, rather than directly bringing a specific repressed memory to consciousness to be relived.
- Option B: Hypnosis is an induced state of altered consciousness characterized by relaxation and suggestibility. While it can be used as a tool to facilitate abreaction, it is the state itself, not the process of reliving the trauma.
- Option D: Free association is a technique where the client verbalizes thoughts as they occur without any censorship. The goal is to follow associative links to reveal unconscious patterns, not to specifically target and relive one repressed painful experience.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Psychoanalytic Therapeutic Techniques as background academic context rather than a clinical decision trigger.
- Nurses must understand these therapies to provide support and continuity of care for clients with conditions like PTSD or severe anxiety who may be undergoing them.
- A key nursing role is to create a safe, non-judgmental environment for clients to process difficult emotions that may surface during or after therapy sessions.
- What if? If a client spontaneously starts reliving a traumatic event on the ward (a spontaneous abreaction), the nurse's priority is not to analyze but to ensure client safety, provide grounding techniques (e.g., focusing on the present environment), and notify the primary therapist or physician immediately.
How to Approach the Question
- First, identify the core concept in the question stem: a technique to bring a 'repressed painful experience' back to 'consciousness'.
- Analyze the definition of each option provided.
- Evaluate 'Dream analysis': This is about interpreting dreams, not reliving experiences.
- Evaluate 'Hypnosis': This is an induced state of mind, a tool, not the process of reliving itself.
- Evaluate 'Abreaction': This term's definition is the process of recalling and reliving a repressed, painful event with emotional release. This is a direct match.
- Evaluate 'Free association': This is about the uncensored flow of thoughts to find patterns, not targeting a specific memory.
Concept Tested & Keywords
- Concept Tested: Psychoanalytic Therapeutic Techniques
- Stem keywords: repressed painful experience, conflict, brought back to consciousness
- Lead-in keywords: The technique
Question ID
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Reference Book
E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 1 (pp 26-289 of 579) p. 147-149
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 9653-9656
Practise the full MNS 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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