12. A 26-year-old woman comes to the clinic for a routine health maintenance examination. She has a history of sexual abuse as a child by her stepfather. When she is informed that she will be seeing an older male physician, she insists on rescheduling with one of the female physicians in the group. Although she has never met the male physician, she states that she can tell from his picture in the examination room that he is "formal and unfriendly." Which of the following best describes this patient's perceptions about the male physician? A) Countertransference B) Displacement C) Identification with the aggressor D) Projection E) Transference
12. A 26-year-old woman comes to the clinic for a routine health maintenance examination. She has a history of sexual abuse as a child by her stepfather. When she is informed that she will be seeing an older male physician, she insists on rescheduling with one of the female physicians in the group. Although she has never met the male physician, she states that she can tell from his picture in the examination room that he is "formal and unfriendly." Which of the following best describes this patient's perceptions about the male physician? A) Countertransference B) Displacement C) Identification with the aggressor D) Projection E) Transference
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Transcribed Image Text:### Educational Case Study: Psychological Response in a Clinical Setting
**Scenario:**
A 26-year-old woman comes to the clinic for a routine health maintenance examination. She has a history of sexual abuse as a child by her stepfather. When she is informed that she will be seeing an older male physician, she insists on rescheduling with one of the female physicians in the group. Although she has never met the male physician, she states that she can tell from his picture in the examination room that he is "formal and unfriendly." Which of the following best describes this patient's perceptions about the male physician?
**Options:**
A) Countertransference
B) Displacement
C) Identification with the aggressor
D) Projection
E) Transference
In this scenario, it is critical to understand the psychological concepts that may explain the patient's behavior and perception. The options presented are common defense mechanisms and psychological processes that can occur in patients with a history of trauma.
1. **Countertransference**: This occurs when a therapist projects their own feelings onto the patient. It is not applicable in this context as it involves the clinician's feelings rather than the patient's.
2. **Displacement**: This involves shifting emotions from a less acceptable target to a more acceptable one. While not entirely fitting this scenario, understanding this can aid in broader psychological education.
3. **Identification with the aggressor**: This is a defense mechanism where the victim adopts traits of the aggressor. This does not directly explain the patient's refusal in this context.
4. **Projection**: This is the act of attributing one's own unacceptable thoughts or feelings to others. It might superficially look applicable but isn't the most accurate description here.
5. **Transference**: This is the phenomenon where patients transfer feelings about a person in their past onto a different person in the present. This is the correct answer. The patient is likely transferring her feelings and experiences with her stepfather onto the male physician based on his appearance and gender, despite not having met him.
Understanding these psychological mechanisms is crucial for healthcare providers in recognizing and managing patient behaviors that arise from past traumas.
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