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Grant Lamone
Grant Lemoine, PMHNP-BC, is a psychiatric mental health nurse practitioner in Scott, Louisiana, and a guest cohort member on Dr. David Puder's Psychiatry & Psychotherapy Podcast.
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Apr 24, 2026
265: Primitive Defense Mechanisms Explained: Sexualization, Dissociation, Acting Out, Withdrawal, Denial, Splitting, Omnipotent Control, Projective Identification
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118:31Grant LamoneGUEST
I was talking and this person was expressing a lot of this painful relationship that this person had with a very close relative who's sick, and then goes away, comes back, and is ex-- d- talking about their, their, m- you know, their activities in the last week.
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118:54Grant LamoneGUEST
And then expressed how they had this truly emotionally, like, wonderful experience having a great kind of back and forth with a person who had a similar, uh, illness than the person who they're related to that they have a bad relationship with, and did not put that together at all.
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119:17Grant LamoneGUEST
And, um, when talking about it, th-they were just expressing how relieving it was to hug and to be with that person, um, who was experiencing something almost identical to what was going on in their personal life.
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119:34Grant LamoneGUEST
And so kind of what April was saying, it's that, that it's this enactment is a very unaware process.
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119:41Grant LamoneGUEST
They have very little awareness of what's going on, but they're trying their best to express it in some way.
11 MINS LATER
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130:56David PuderHOST
Shall we move on to, uh, the next defense of interest? Maybe we'll go to Grant.