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Descriptive and Psychodynamic Psychopathology EMIs
Published in Michael Reilly, Bangaru Raju, Extended Matching Items for the MRCPsych Part 1, 2018
Blocking.Controlling.Denial.Inhibition.Isolation.Primary repression.Regression.Secondary repression.Sublimation.Suppression.
A patient and carer course: ‘I have friends in the same boat’
Published in Lorna Foyle, Janis Hostad, David Oliviere, Illuminating the Diversity of Cancer and Palliative Care Education, 2018
Janis Hostad, Sally-Ann Spencer Grey
A result of this sharing seems to be a bringing together of patient and carer, in a deeper level of understanding of each other’s experiences and feelings. It also seems to negate any collusion between them about not saying how each is really feeling, for fear of hurting the other, and so in a gentle and supportive way it helps to restore honesty and trust. Repression can lead to uncontrolled and unpredictable emotional outbursts, emotional lability, or a lack of emotional expression, which can affect closeness. It takes much more energy to maintain secrets, collusion and repressing true feelings and emotions. However, being able to share, to be honest, yet sensitive, to communicate openly, is much less stressful, according to the participants. Energy levels are often already impaired due to illness, or side-effects of treatment, and stress. Mechanisms which can help to conserve, or make best use of, internal resources can only be of benefit.
Normal sexual development
Published in Sally V Hunter, Childhood Sexual Experiences, 2018
Ever since Freud and Breuer first described the defence mechanism of repression as a way of pushing an inconceivable idea from the conscious mind,9 there has been a debate about whether or not such an action is a useful and functional coping mechanism or a maladaptive form of denial. In terms of child sexual abuse, the question becomes: ‘Can denial be a healthy coping strategy for some children?’10 Secrecy certainly seemed to work well for Bert. This form of avoidant coping is also apparent in the stories told in the next chapter.
“There is LGBTQ Life Beyond the Big City”: Discourses, Representations and Experiences in Two Medium-Sized Spanish Cities
Published in Journal of Homosexuality, 2022
Olga Jubany, Jose Antonio Langarita Adiego, Jordi Mas Grau
The first effect of the insult is of a body nature. The heterosexual and cisgender regime shapes a whole “political anatomy of the body” (Foucault, 1976) with sanctions for those bodies that do not conform to sex-gender normality. This is why many LGBTQ people have learned to model—or even suppress—words, gestures and acts in the fear that their social expression may lead to discrimination and violence. A learning that, over time, ends up embodied and reproduced in a mechanical way: You get used to a certain inhibition or non-display […] There is a situation of semi-concealment that you are normalizing, and a number of things that survive: before giving a kiss or a hug, you look around. There is a certain repression. (Lesbian woman, 47 years old. Sabadell)
Recantation of Sexual Abuse Disclosure Among Child Victims: Accommodation Syndrome
Published in Journal of Child Sexual Abuse, 2018
Gonca Celik, Ayşegül Tahiroğlu, Belgin Yoruldu, Dilek Varmiş, Necmi Çekin, Ayşe Avci, Nurdan Evliyaoğlu, Serhat Nasiroğlu
A victim’s sense of responsibility and repressive family attitudes may lead to the recantation of the child’s first disclosure. Since the victims in group 1 recanted their first disclosure of abuse, the mean of the Traumatic Symptom Index of group 1 was less than the mean of group 2. It seems likely that first forensic interviewing and then gathering sociodemographic information is more valuable than using any psychometric measurements for understanding the process of disclosure. Since the victims accommodate the sexual abuse event, they may not recognize their own psychiatric symptoms. This may be related of repression of traumatic memories and/or attempt to denial of abuse as reported (London, Bruck, Wright, & Ceci, 2008). Additionally, when traumatization becomes more complex due to multiple adversities, such as intrafamilial sexual abuse, repeated abuse, and maltreatment, patients may not meet any PTSD criteria according to DSM-IV-TR during the psychiatric interview (Jonkman, Verlinden, Bolle, Boer, & Lindauer, 2013). We therefore concluded that PTSD symptoms might not be effectively recognized using the DSM-IV-TR and/or psychometric measures tool in this study.
On the Value and Meaning of Trauma-Informed Practice: Honoring Safety, Complexity, and Relationship
Published in Smith College Studies in Social Work, 2018
Many clinicians can attest to working with a client for several weeks, months, or even years before the client is able to discuss or even become fully aware of certain traumatic aspects of his/her life. And there are good reasons for this. Individuals may repress traumatic material in the service of being able to function more fully in their lives. It is not until the process of repression actually interferes with daily functioning that many clients find themselves in therapy. Further, if an individual grew up in a relational-contextual situation that was unempathetic, invalidating, and/or traumatic, how could he/she be expected to enter into a therapeutic relationship easily? It makes sense that an individual with complex trauma may develop interpersonal tactics to guard against further disruption and abuse (Schore & Schore, 2008).