DSSSB 6 September 2024
Psychology
Easy
Which of the following is NOT a primitive defence mechanism?
Appeared in: DSSSB 6 September 2024
Explanation
- Sublimation is classified as a mature defense mechanism, not a primitive one.
- It involves redirecting unacceptable impulses or thoughts into socially acceptable and constructive activities.
- Examples include channeling aggression into competitive sports or channeling anxiety into creative writing.
- Mature mechanisms are considered adaptive and healthy ways of coping with stress and are associated with better mental health outcomes.
Why Other Options Were Wrong
- Option A: Projection is an immature (Level II) defense mechanism where one attributes their own unwanted thoughts or feelings to another person.
- Option B: Regression is an immature (Level II) defense mechanism characterized by reverting to childlike behaviors or earlier stages of development under stress.
- Option D: Denial is considered a pathological or narcissistic (Level I) defense mechanism, one of the most primitive forms, involving a refusal to accept an aspect of reality.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Classification of psychological defense mechanisms (primitive vs. mature) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses must recognize defense mechanisms in patients to understand their coping strategies and underlying anxieties, which helps in providing empathetic and effective psychosocial support.
- Identifying a patient's reliance on primitive mechanisms (like denial of a serious diagnosis) can signal a need for more intensive psychological support or intervention.
- What if? - If a patient consistently uses projection, blaming the nursing staff for their own feelings of anger, the nurse's priority is to maintain professional boundaries, avoid personalizing the comments, and gently reorient the patient to their own feelings and responsibilities without being confrontational.
How to Approach the Question
- First, identify the core concept being tested: the classification of psychological defense mechanisms.
- Note the negative keyword 'NOT'. This signals that you are looking for the option that does not belong to the specified category ('primitive').
- Recall or deduce the different levels of defense mechanisms, primarily distinguishing between primitive/immature and mature/adaptive.
- Evaluate each option against the 'primitive' category: Is Projection primitive? Yes. Is Regression primitive? Yes. Is Sublimation primitive? No, it's mature. Is Denial primitive? Yes.
- The option that is 'NOT' primitive is Sublimation, which makes it the correct answer.
Concept Tested & Keywords
- Concept Tested: Classification of psychological defense mechanisms (primitive vs. mature).
- Stem keywords: primitive defence mechanism
- Lead-in keywords: NOT
- Negative lead-in flag: Question asks for the exception (NOT a primitive mechanism).
Question ID
Qlxi_xJ5nsqYjTqYWM7ayN
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) pp. 3344-3346, 3343-3345
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 2993-2995
Practise the full DSSSB 6 September 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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