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Denial
Refusing to accept reality or facts to avoid distress
Projection
Attributing one’s own unwanted thoughts/feelings to others
Regression
Reverting to earlier developmental behavior when stressed
Schizoid Fantasy
Retreating into imagination to escape conflict
Somatization
Converting emotional distress into physical symptoms
Controlling
Excessively managing situations to reduce anxiety
Displacement
Redirecting emotions from the original source to a safer substitute
Dissociation
Disconnecting from thoughts, identity, or reality to avoid distress
Externalization
Blaming others or the environment for one’s own internal conflicts
Inhibition
Holding back desires or actions due to unconscious fear or guilt
Intellectualization
Using excessive reasoning to avoid emotional stress
Isolation
Separating emotions from thoughts or memories
Rationalization
Justifying unacceptable feelings or behaviors with logical reasons
Reaction Formation
Expressing the opposite of one’s unacceptable impulse
Repression (Primary)
Blocking thoughts/feelings before they reach awareness
Repression (Secondary)
Pushing already-conscious thoughts into the unconscious
Sexualization
Assigning sexual meaning to non-sexual objects or events to cope with anxiety
Altruism
Deriving satisfaction from helping others, even at one’s expense
Anticipation
Planning ahead to reduce future stress or discomfort
Asceticism
Denying oneself pleasure for moral or goal-directed reasons
Humor
Expressing uncomfortable feelings in a socially acceptable, lighthearted way
Sublimation
Redirecting unacceptable impulses into socially valued activities
Libidinal Sublimation
Channeling sexual energy into creative or productive outlets
Aggressive Sublimation
Channeling aggression into competitive or constructive activities
Suppression
Consciously deciding to delay attention to a distressing thought or feeling
Acting Out
Expressing unconscious feelings through impulsive behavior
Passive Aggression
Indirectly expressing hostility through resistance or procrastination
Projective Identification
Projecting feelings onto another and unconsciously causing them to act accordingly
Omnipotence
Believing oneself to be all-powerful or above normal limitations
Idealization
Seeing others as perfect or flawless
Devaluation
Viewing others as worthless or bad
Splitting
Seeing people/things in extremes (all good or all bad)
Life Drive (Libido/Eros)
Instincts for survival, reproduction, and pleasure
Death Drive (Thanatos)
Instincts toward aggression, risk, or self-destruction
Free Association
Speaking freely to uncover unconscious thoughts
Transference
Redirecting feelings for important people onto the therapist
Libidinal Transference
Erotic or affectionate feelings toward the therapist
Aggressive Transference
Hostile or paranoid feelings toward the therapist
Transference of Defense
Using defenses within the transference relationship
Transference Neurosis
Patient’s unresolved childhood conflicts re-experienced in therapy
Transference Psychosis
Breakdown of reality testing in the transference relationship
Narcissistic Transference
Projection of narcissistic needs onto the therapist
Mirror Transference
Seeing the therapist as an extension of one’s self
Idealizing Transference
Attributing power or perfection to the therapist
Alter-ego/Twinship Transference
Experiencing the therapist as similar to oneself
Archaic Merger Transference
Therapist experienced as fused with the self
Self-object Transference
Experiencing the therapist as essential to maintaining self-cohesion
Transitional Relatedness
Relating to the therapist as a transitional object
Transference as Psychic Reality
Seeing transference as part of one’s personal reality
Transference as Relational/Intersubjective
Transference co-created between therapist and patient
Countertransference
The therapist’s emotional response to the patient