Jeffrey Longhofer, Ph.D., PsyA., LCSW

Associate Professor, Rutgers School of Social Work

Rutgers University Announces Approval of a New Doctoral Degree in Clinical Social Work, the DSW
Rutgers School of Social Work DSW
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New Book
On Being and Having a Case Manager: A Relational Approach to Recovery In Mental Health
Columbia University Press, 2010

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Workshop
Preparing for a Career in Clinical Social Work

Saturday, January 28th, 9:00-12:00
390 George Street
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HEADLINES IN MENTAL HEALTH
DSM-V Committee Reaches New Height of Absurdity
New York Times, January 25, 2012
Continuing Education Workshops 2011-2012
  • Rutgers School of Social Work
  • Adelphi School of Social Work July 14, 2011
  • VA New York Healthcare System, Brooklyn Campus, November 4, Mental Health Grand Rounds, Shame and PTSD, November 2011
  • Rutgers School of Social Work, Catholic Charities, Boundaries, Boundary Violations, and Dual Relationships: Ethical Dilemmas, November, 2011
  • Raritan Bay Mental Health Center, Boundaries, Boundary Violations, and Dual Relationships: Ethical Dilemmas, January 31, 2012
  • Rutgers School of Social Work, Boundaries, Boundary Violations, and Dual Relationships: Ethical Dilemmas, July 27, 2012
  • Rutgers School of Social Work, Digital Minds, Digital Selves, Digital Practices: Clinical and Ethical Implications, August 3, 2012

RECENT RESEARCH AND ARTICLES

Psychiatric Medication and Youth

This site is best viewed using Safari and Firefox browsers. Forming New Supervision Group for LCSW Licensure in New Jersey Contact Me
IS THE BIG PHARMA ERA ABOUT TO END? Anthropology, Sociology, Economics, Politics of Psychiatric Medications
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There is growing evidence that many psychiatric drugs are ineffective and may even cause harm. There is growing controversy about the use of psychiatric drugs on developing brains. There is increasing concern about the globalization of pharmaceuticals. Anthropologists, sociologists, political scientists, historians, and ethicists are conducting research and debating these important issues and social workers and others in mental health professions should be aware of this literature and these important policy debates. I have created a resource page to address these debates and will add to this page as new material becomes available. READ MORE
Reflections on the Death of Steven Jobs
"Amidst the oceans of enforced mediocrity in the bland, deflavorized culture of managed-by-committee corporate behemoths," the entrepreneur Perry Metzger posted on his Google+ page, Mr. Jobs, "showed that the real path to excellence was excellence--that you could do great things by, who would have imagined, being smart and having excellent taste and not ever settling for second best."
  • Shame
  • Envy
  • Jealousy
  • Greed
  • Anger
  • Defenses
    1. Denial
    Denial is the refusal to accept reality or fact, acting as if a painful event, thought or feeling did not exist. It is considered one of the most primitive of the defense mechanisms because it is characteristic of early
    childhood development. Many people use denial in their everyday lives to avoid dealing with painful feelings or areas of their life they don’t wish to admit. For instance, a person who is a functioning alcoholic will often simply deny they have a drinking problem, pointing to how well they function in their job and relationships.
    2. Regression
    Regression is the reversion to an earlier stage of development in the face of unacceptable thoughts or impulses. For an example an adolescent who is overwhelmed with fear, anger and growing sexual impulses might become clingy and start exhibiting earlier childhood behaviors he has long since overcome, such as bedwetting. An adult may regress when under a great deal of stress, refusing to leave their bed and engage in normal, everyday activities.
    3. Acting Out
    Acting Out is performing an extreme behavior in order to express thoughts or feelings the person feels incapable of otherwise expressing. Instead of saying, “I’m angry with you,” a person who acts out may instead throw a book at the person, or punch a hole through a wall. When a person acts out, it can act as a pressure release, and often helps the individual feel calmer and peaceful once again. For instance, a child’s temper tantrum is a form of acting out when he or she doesn’t get his or her way with a parent. Self-injury may also be a form of acting-out, expressing in physical pain what one cannot stand to feel emotionally.
    4. Dissociation
    Dissociation is when a person loses track of time and/or person, and instead finds another representation of their self in order to continue in the moment. A person who dissociates often loses track of time or themselves and their usual thought processes and memories. People who have a history of any kind of childhood abuse often suffer from some form of dissociation. In extreme cases, dissociation can lead to a person believing they have multiple selves (“
    multiple personality disorder”). People who use dissociation often have a disconnected view of themselves in their world. Time and their own self-image may not flow continuously, as it does for most people. In this manner, a person who dissociates can “disconnect” from the real world for a time, and live in a different world that is not cluttered with thoughts, feelings or memories that are unbearable.
    5. Compartmentalization
    Compartmentalization is a lesser form of dissociation, wherein parts of oneself are separated from awareness of other parts and behaving as if one had separate sets of values. An example might be an honest person who cheats on their income tax return and keeps their two value systems distinct and un-integrated while remaining unconscious of the cognitive dissonance.
    6. Projection
    Projection is the misattribution of a person’s undesired thoughts, feelings or impulses onto another person who does not have those thoughts, feelings or impulses. Projection is used especially when the thoughts are considered unacceptable for the person to express, or they feel completely ill at ease with having them. For example, a spouse may be angry at their significant other for not listening, when in fact it is the angry spouse who does not listen. Projection is often the result of a lack of insight and acknowledgement of one’s own motivations and feelings.
    7. Reaction Formation
    Reaction Formation is the converting of unwanted or dangerous thoughts, feelings or impulses into their opposites. For instance, a woman who is very angry with her boss and would like to quit her job may instead be overly kind and generous toward her boss and express a desire to keep working there forever. She is incapable of expressing the negative emotions of anger and unhappiness with her job, and instead becomes overly kind to publicly demonstrate her lack of anger and unhappiness.

    Less Primitive, More Mature Defense Mechanisms
    Less primitive defense mechanisms are a step up from the primitive defense mechanisms in the previous section. Many people employ these defenses as adults, and while they work okay for many, they are not ideal ways of dealing with our feelings, stress and anxiety. If you recognize yourself using a few of these, don’t feel bad – everybody does.
    8. Repression
    Repression is the unconscious blocking of unacceptable thoughts, feelings and impulses. The key to repression is that people do it unconsciously, so they often have very little control over it. “Repressed memories” are memories that have been unconsciously blocked from access or view. But because
    memory is very malleable and ever-changing, it is not like playing back a DVD of your life. The DVD has been filtered and even altered by your life experiences, even by what you’ve read or viewed.
    9. Displacement
    Displacement is the redirecting of thoughts feelings and impulses directed at one person or object, but taken out upon another person or object. People often use displacement when they cannot express their feelings in a safe manner to the person they are directed at. The classic example is the man who gets angry at his boss, but can’t express his anger to his boss for fear of being fired. He instead comes home and kicks the dog or starts an argument with his wife. The man is redirecting his anger from his boss to his dog or wife. Naturally, this is a pretty ineffective defense mechanism, because while the anger finds a route for expression, it’s misapplication to other harmless people or objects will cause additional problems for most people.
    10. Intellectualization
    Intellectualization is the overemphasis on thinking when confronted with an unacceptable impulse, situation or behavior without employing any emotions whatsoever to help mediate and place the thoughts into an emotional, human context. Rather than deal with the painful associated emotions, a person might employ intellectualization to distance themselves from the impulse, event or behavior. For instance, a person who has just been given a terminal medical diagnosis, instead of expressing their sadness and grief, focuses instead on the details of all possible fruitless medical procedures.
    11. Rationalization
    Rationalization is putting something into a different light or offering a different explanation for one’s perceptions or behaviors in the face of a changing reality. For instance, a woman who starts dating a man she really, really likes and thinks the world of is suddenly dumped by the man for no reason. She reframes the situation in her mind with, “I suspected he was a loser all along.”
    12. Undoing
    Undoing is the attempt to take back an unconscious behavior or thought that is unacceptable or hurtful. For instance, after realizing you just insulted your significant other unintentionally, you might spend then next hour praising their beauty, charm and intellect. By “undoing” the previous action, the person is attempting to counteract the damage done by the original comment, hoping the two will balance one another out.

    Mature Defense Mechanisms
    Mature defense mechanisms are often the most constructive and helpful to most adults, but may require practice and effort to put into daily use. While primitive defense mechanisms do little to try and resolve underlying issues or problems, mature defenses are more focused on helping a person be a more constructive component of their environment. People with more mature defenses tend to be more at peace with themselves and those around them.
    13. Sublimation
    Sublimation is simply the channeling of unacceptable impulses, thoughts and emotions into more acceptable ones. For instance, when a person has sexual impulses they would like not to act upon, they may instead focus on rigorous exercise. Refocusing such unacceptable or harmful impulses into productive use helps a person channel energy that otherwise would be lost or used in a manner that might cause the person more anxiety.
    Sublimation can also be done with humor or fantasy. Humor, when used as a defense mechanism, is the channeling of unacceptable impulses or thoughts into a light-hearted story or joke. Humor reduces the intensity of a situation, and places a cushion of laughter between the person and the impulses. Fantasy, when used as a defense mechanism, is the channeling of unacceptable or unattainable desires into imagination. For example, imagining one’s ultimate career goals can be helpful when one experiences temporary setbacks in academic achievement. Both can help a person look at a situation in a different way, or focus on aspects of the situation not previously explored.
    14. Compensation
    Compensation is a process of psychologically counterbalancing perceived weaknesses by emphasizing strength in other arenas. By emphasizing and focusing on one’s strengths, a person is recognizing they cannot be strong at all things and in all areas in their lives. For instance, when a person says, “I may not know how to cook, but I can sure do the dishes!,” they’re trying to compensate for their lack of cooking skills by emphasizing their cleaning skills instead. When done appropriately and not in an attempt to over-compensate, compensation is defense mechanism that helps reinforce a person’s self-esteem and self-image.
    15. Assertiveness
    Assertiveness is the emphasis of a person’s needs or thoughts in a manner that is respectful, direct and firm. Communication styles exist on a continuum, ranging from passive to aggressive, with assertiveness falling neatly inbetween. People who are passive and communicate in a passive manner tend to be good listeners, but rarely speak up for themselves or their own needs in a relationship. People who are aggressive and communicate in an aggressive manner tend to be good leaders, but often at the expense of being able to listen empathetically to others and their ideas and needs. People who are assertive strike a balance where they speak up for themselves, express their opinions or needs in a respectful yet firm manner, and listen when they are being spoken to. Becoming more assertive is one of the most desired communication skills and helpful defense mechanisms most people want to learn, and would benefit in doing so.


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