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Ego Defense Mechanisms

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In addition to the outward signs of clients’ resistance to therapy, there are many other defense mechanisms that might also stand in the way of behavioral remediation interventions as well. A common sign of resistance that is often overlooked in the context of psychotherapy, for example, is the repetitive misinterpretation of the therapist’s interpretation and communication of the individual’s unconscious anxieties and/or conflicts (Newman, 2002). The conceptualization of this miscommunication was epitomized in the subject’s ego defense mechanisms, which came out in the form of both projection and reaction formations, and more specifically with regard to his expressive self-deprecation and self-defeating behaviors, poor emotional regulation, locus of control and impulse control issues, and the possible deficiency in the construction of the subject’s self-esteem and …show more content…

A good example here is when the subject misconstrued the therapist’s compliment about a poem DB shared during a therapy session in which the therapist’s sincere statement that postulated that the poetry was good enough for publishing was then perceived by the client as an attempt of the therapist “make fun of him” or “mock him” as DB thought his poems were “just a bunch of shit” (Whitacre, 2018, p. 8). The subject’s diversion from the psychotherapist’s interpretation of DB’s creative expression models the occurrence of behavioral resistance by (a) skewing the conversation in a negative direction and (b) inviting a “gratuitous debate” with the clinician on the premise that “the therapist’s encouraging words repeatedly are met with cynical replies,” such as “when the

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