The patient tells the nurse, "I thought my doctor understood me completely. Now, I hate him! He doesn't understand me at all." The nurse assesses the patient's description of feelings about the physician as evidence of the use of:
a. Splitting
b. Dissociation
c. Isolation of affect
d. Projective identification
ANS: A
Splitting is the inability to synthesize the positive and negative aspects of self and others. It manifests as idealization and devaluation. Definitions of the other defenses listed do not fit the description of the behavior in the scenario.
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