American Board of Psychiatry and Neurology (ABPN) Practice Exam

Sublimation is classified as a mature defense mechanism because it involves channeling unacceptable impulses or emotions into socially acceptable activities or behaviors. This mechanism allows an individual to transform negative feelings, such as aggression or anxiety, into constructive actions, which can benefit both the self and society. For example, a person who may feel angry may engage in rigorous physical exercise or artistic expression, effectively managing their feelings in a way that promotes personal growth and social contribution.

In contrast, the other options listed represent defense mechanisms that are typically considered less adaptive. Displacement, for instance, involves redirecting emotions from the original source of stress to a safer target, which may not resolve the underlying issues and can lead to further complications in emotional regulation. Repression entails unconsciously blocking distressing thoughts or memories, which can be detrimental as it prevents individuals from confronting and processing important emotions. Hypochondriasis reflects an excessive preoccupation with health concerns, often leading to significant anxiety without any underlying medical cause, suggesting an avoidance rather than resolution of emotional issues. Thus, sublimation stands out as an effective way to cope with negative emotions while promoting emotional health.