drplacebo
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Q) Doc. has a drug abusing teenage son. In clinic he sees a teenage drug abuser & feels like whacking him. What is it???
a) Introjection
b) Projection
c) Counter-tranference
d) Displacement
Explanation needed since I don't have an answer for it
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| Ancylostoma
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C, the choices...The person reminds the physician of someone negative(his son) and thus the physician brings out feelings for that person. Transference doesnt always have to be negative or positive. Its just a feeling about someone close that you put on another person, usually because they have a similar trait. counter means the physician does that to patient. the opposite is patient to physician. For example because you tall and well built (physician), the patient is reminded of her ex pornstar husband and is attracted to you.
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| drplacebo
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Ans give as B.
I guess its wrong....But why not D - redirected emotion.....source same but target changes !!!
Edited by drplacebo on 01/29/07 - 03:20 AM
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| Ancylostoma
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usually in a heirachal structure, his Father pisses him off so he kicks his dog. Displacement)
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| Ancylostoma
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where did you get the question from ?
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| Ancylostoma
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It feels sort of familiar, maybe from the forum, NbmE, or USMLE world.
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| MRMAVERICK
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ya i tnink it shud be c not b
i cant find any reason to label it projection
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| drplacebo
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I found it in some old Q, from a test taker-no options given...who markd as projection.
Now C was a distractor I constucted out of nowhere.....
I wud agree for C, if D was'nt there......
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| MRMAVERICK
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ancylostoma was right by saying that displacement runs down hierarchy-
here the physician is transferring his feelings which he has for someone in family(his son) to his patient-dont u think it sconstitutes a def of counter transference
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| drplacebo
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Well we can see it as the son pisses him off & he feels like whacking his Pt.
This whacking case is pretty interesting.
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| Clozapine
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It`s C. countertransference.
I guess it would be displacement if it was not a physician-pt relationship.
Same kinda patient snapshot is given in Fadem`s HY B/S.
( A physician becomes very angry with her 60 year old patient when he confesses he has not been following her recommended diet and activity program. The physician`s own dad died of CCF 5 yrs earlier, and he had never exercised and rarely watched his diet)
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| babydoc4usmle
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i had pretty much the same Q in KB, with different wording, but same concept: Doc has a Pt with teenage son, who is abusing drugs. at the same time Doc has a daughter with the same problem and while talking to boy's mother he asks her if she feels like smaking her son.
the answer was DISPLACEMENT.
wasn't there the same situation?
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| keepgoing
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agree with clozapine its very well given in HY by barbara fadem page # 136
but that means kqbank has wrong ans?????
babydoc4usmle can u plzzz post thatt question with expln given ?????
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| Clozapine
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Was countertranseference an option in Qbank babydoc?
if not, then it could be displacement since the physician had unacknowledged anger towards his daughter which he took out on the patient`s son.
But to my understanding, in displacement there`s no "reminding" of relatives/friends and u take out ur anger on whoever/whatever may it be a desk u bang on or dog u kick ...
But in countertransference, the patient reminds the physician about a close relative or friend and interferes with the physician`s medical judgment.
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| babydoc4usmle
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i will try to find it
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| Ancylostoma
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The key to displacement is the heirarchy, someone pisses of the patient, and the patiend displaces the anger down the ladder. Like a huge bouncer at a club throws you out of a club, and a little person is laughing. So you slap the little person and say what are you looking at?
Babydoc, I remember the question you were talking about, it was clearly a usmleworld question. I dont rememberthe answer though.
In the case you wrote about babydoc I would say that its projection. the doctor may have a child that abuses drugs and because of this he feels like slapping his own child. He then asks is she feels the same way. To me he is projecting his internal views assuming that the mother wants to slap her child when really it is him that wants to slap his.
First case = coutertransference
Second case= projection
Hopefully you can find the answer to the question and we can solve this.
Edited by Ancylostoma on 01/29/07 - 11:33 AM
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| nuhal
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Countertransference reactions occur when the therapist unconciously reexperimences feelings about her parents ( or other important persons) with the patient.
The answer is c
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| rock
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i choose C too...and agree with the explanation given by ancylostoma and clozapine...good Q
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| basupran
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Can you provide the entire q?
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| valentino
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the fact that the patient and doc's son share the same trait (drug abuse) gives good ground for physician to attribuite the same feelings toward the patient --- counter transference.
if the doctor was displcing his emotion he wud have more likely done it toward some subordinate and since a patient is always a doctor's highest priority ; he cannot be rated as bieng LOWER in hierachy to a doctor..so its most likely not displacement
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| lq2006
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counter transference
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| paheli
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i think the answer seems clearer when we note that displacement is simply using someone [or even something] as a punching bag, while counter-transferance involves recognizing the similarities. i was leaning towards displacement myself, but your answers made it clearer to me. thanks guys. i go with c
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| dncosta
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I would go for C
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| Addicudo
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Definitely c) Counter-tranference
In BRS ... it says that .. When something that the Doc iimplies TO the pt .. due to his experiences with his/her relatives ... that is known as Counter Transference .. Also ... Displacement .. as in the above discussion .. includes heirarchy .. !
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