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Johan Ortizo
Johann Ortizo, PsyD, MSW, is a Registered Psychological Associate and psychodynamic psychotherapist in Los Alamitos, CA, and guest on the 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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85:38Johan OrtizoGUEST
It's essentially cutting off awareness, that awareness from unbearable pain, terror, horror that can overwhelm the capacity to cope.
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85:51Johan OrtizoGUEST
Um, and it has a utility in terms of its adaptiveness with survival and tolerance, but it comes at a emotional cost, which is, um, essentially an in- an interpersonal sacrifice.
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86:09Johan OrtizoGUEST
Just to distinguish, you know, I think McWilliams, she uses extreme dissociation as an example, but the, the difference is that dissociation is a normal reaction that we can all commonly experience as well.
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86:26Johan OrtizoGUEST
It's a normal reaction to trauma, and it exists on a continuum from normal to devastating.
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86:33Johan OrtizoGUEST
And she cited Dr. Ira Brenner in one of the research, uh, contemporary clinical literature that suggests that dissociation is far more prevalent as a psychological defense, um, than what earlier psychoanalytic theory had originally assumed.
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86:52Johan OrtizoGUEST
And so what Dr. Brenner's work highlighted is that the dissociation itself, it exists on a continuum.
1 HR 9 MINS LATER
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156:18David PuderHOST
And, and as a therapist, you're, you're listening to this, and you may be thinking like, uh, "This is nothing to do with you." Like, "What are you talking about?" Right? Or if you're a friend or a family member of someone going through that.