Psychiatry · Treatment Modalities (Psychopharmacology, Psychotherapy Basics)

The ego defence mechanism 'Reaction Formation' involves:

  • A Unconsciously attributing one's own unacceptable feelings to another person
  • B Converting an unacceptable impulse into its opposite in conscious thought or behaviour
  • C Channelling an unacceptable impulse into a socially acceptable activity
  • D Reverting to earlier developmental behaviour under stress
Correct answer: B. Converting an unacceptable impulse into its opposite in conscious thought or behaviour

Explanation

Reaction Formation is a neurotic defence mechanism in which an unacceptable unconscious impulse (e.g., hostility) is replaced in conscious awareness by its diametrically opposite attitude or behaviour (e.g., excessive kindness). It can be identified by its exaggerated, rigid quality. For example, a person harbouring unconscious dislike of a colleague may become conspicuously over-solicitous. Projection (option A) attributes one's own impulses to others. Sublimation (option C) channels impulses into socially valued activities (a mature defence). Regression (option D) involves returning to earlier developmental patterns under stress.

Reference: Kaplan & Sadock's Synopsis of Psychiatry, 11th ed.

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