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Coping Mechanisms

Coping Mechanisms and How They Relate to Personality Disorders

Mechanism Definition Result Personality Disorders Involved
Projection Attribution of one's unacknowledged feelings to others Leads to prejudice, rejection of intimacy through paranoid suspicion, overvigilance for external danger, and injustice collecting Typical of paranoid and schizotypal personalities; used by with borderline, social or narcissitic personality when under acute stress
Splitting Black or white, all-or-nothing perceptions or thinking, in which persons are divided into all-good idealized saviors or all-bad evil-doers Avoids the discomfort of feeling ambivalent (i.e., having loving and angry feelings for the same person), uncertain, and helpless Typical of borderline personality
Acting Out A direct behavioral expression of an unconscious wish or impulse that enables a person to avoid being conscious of the accompanying painful or pleasurable affect Includes many delinquent, reckless, promiscuous, and substance-abusing acts, which can become so habitual that the actor remains unaware and dismissive of the feelings that initiated the acts. Very common in persons with antisocial, cyclothymic, or borderline personality
Turning Aggression Against Self Allows angry feelings towards others to be expressed toward the self; when indirect, called passive-aggressive Includes failures and illnesses that affect others more than one-self and silly, provocative clowning Underlies passive-aggressive and depressive personality disorders; dramatic in persons with borderline personality, who express anger towards others in self-mutilation (see also Hychondriasis below)
Fantasy A tendency to use imaginary relationships and private belief systems to resolve conflict and relieve loneliness Associated with eccentricity and avoidance of interpersonal intimacy Used by persons with avoidant or schizoid personality, who in contrast to psychotic persons, do not believe in and thus do not act on their fantasies
Hychondriasis Uses physiologic complains to gain attention May gain nurturant attention from others; may express anger towards others without knowing it Used by persons with dependent, histrionic or borderline personality
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Reviewed: 04/2006



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