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Kaplan Qbank USMLE



Author13 Posts
  #1

A pt. rescued from a building on fire, now denies of any memory of the event.

this is an example of what defense mech?


  #2

denial..(sounds too simple to be true...)


___________________
If you yourself are at peace, then there is at least some peace in the world.

  #3

pt forgets the event but remebers tht he/she forgot the event (so, denies)...cud it be suppression??


  #4

i think they'll have to elaborate for us to answer...i tot the pt wud pbly be in the hospital with enough evidence of a burn...if he insists i did not happen its denial. if he says he duz not remeber it happen it wud be supression ( provided he recalls given the appropriate cues)


___________________
If you yourself are at peace, then there is at least some peace in the world.

  #5

i think this eg is frm UW n the ans given is dissociation if i remember...'m not sure..sad




  #6

if he does not remember it at all, given the appropriate cues , it cud be repression.




___________________
If you yourself are at peace, then there is at least some peace in the world.

  #7

id like to add that if the forgetting is conscious, then its definitely supresion ( the only conscious defence mechanism)

___________________
If you yourself are at peace, then there is at least some peace in the world.

  #8

suppression or repression depending on pt's recollection makes some sense but i'm not able to attribute to dissocaiation


  #9

well in dissociation wudnt the patient recall the experience as if eg he was watching it happen outside of him?

___________________
If you yourself are at peace, then there is at least some peace in the world.

  #10

are u sure it wasnt abt the pt not remembering who he was...it could be one of those dissociative disorders, perhaps

___________________
If you yourself are at peace, then there is at least some peace in the world.

  #11

yeah, if he recalls the evnt then it would no more be suppression or repression..right? but he is denying the evnt has happened at all...

this ex is given in one of the expln in uw as an ex to dissociation...so there was no scenario describing it...my doubt here is, i can't attribute this eg as it is to dissociation....


  #12

as someone in the forum said...dissociation is 3rd person's experience of first person's events...simple n true

  #13

I guess,the answer could be dissociative amnesia-----in which a person is unable to recall important and often emotionally charged memories. Repression is a defence mechanism,where the ego is defending something that is unacceptable to the person ---so forgets it and refuses to remember it(eg,i do not remember having a dog---maybe the person harmed that dog or some such thing,that he/she doesnt want to remember).
Just a thougt, as Som said the answer was dissosiation. ice.








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