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Retired NBME Free 120 Answers

free120/Block 2/Question#28 (reveal difficulty score)
A 55-year-old man who is a business executive ...
Splitting ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +6  upvote downvote
submitted by โˆ—bwdc(697)
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Splitting is an immature defense mechanism often employed by patients with borderline personality disorder. When splitting, a person fails to see others as capable of having both positive and negative qualities; at any given time, itโ€™s all or nothing.

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d_holles  Got this one wrong -- thought it was acting out. +2
cheesetouch  FA 2018 p539 the 'nurses are cold, doctors are friendly' example is what first aid uses too haha +1



 -1  upvote downvote
submitted by โˆ—houseppary(17)
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I see how it's splitting, but I also think an argument could be made for reaction formation. He acts as though he hates the one child who didn't come with him to the hospital - maybe he feels hurt and wishes the child had come. Reaction formation would be showing resentment and negativity towards the child to compensate for the fact that he actually wishes the child was there.

Or maybe I just overthink psych questions.

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mamorumyheart  you are thinking of projection, in reaction formation, he would be extra "nice" to the nurses as a reaction to the slight from his child +4



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