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Denial

The concept of denial is particularly important to the study of addiction. The theory of denial was first researched seriously by Anna Freud. She classified denial as a mechanism of the immature mind, because it conflicts with the ability to learn from and cope with reality. Where denial occurs in mature minds, it is most often associated with death, dying and rape. More recent research has significantly expanded the scope and utility of the concept. Elisabeth Kübler-Ross used denial as the first of five stages in the psychology of a dying patient, and the idea has been extended to include the reactions of survivors to news of a death. Thus, when parents are informed of the death of a child, their first reaction is often of the form, "No! You must have the wrong house, you can't mean our child!"

Unlike some other defense mechanisms postulated by psychoanalytic theory (for instance, repression), the general existence of denial is fairly easy to verify, even for non-specialists. On the other hand, denial is one of the most controversial defense mechanisms, since it can be easily used to create unfalsifiable theories: anything the subject says or does that appears to disprove the interpreter's theory is explained, not as evidence that the interpreter's theory is wrong, but as the subject's being "in denial". However, researchers note that in some cases of corroborated child sexual abuse, the victims sometimes make a series of partial confessions and recantations as they struggle with their own denial and the denial of abusers or family members.

The concept of denial is important in twelve-step programs, where the abandonment or reversal of denial forms the basis of the first, fourth, fifth, eighth and tenth steps. The ability to deny or minimize is an essential part of what enables an addict to continue his or her behavior despite evidence that—to an outsider—appears overwhelming. This is cited as one of the reasons that compulsion is seldom effective in treating addiction—the habit of denial remains.

When a family intervention is conducted to help a person engaged in self-destructive behavior such as alcohol or drug abuse to accept help for his problem, denial is sometimes reduced or eliminated altogether. This is not always necessary, however, for the intervention to be successful in having the person accept help.

Understanding and avoiding denial is also important in the treatment of various diseases. The American Heart Association cites denial as a principal reason that treatment of a heart attack is delayed. Because the symptoms are so varied, and often have other potential explanations, the opportunity exists for the patient to deny the emergency, often with fatal consequences. It is common for patients to delay mammograms or other tests because of a fear of cancer, even though this is clearly maladaptive. It is the responsibility of the care team, and of the nursing staff in particular, to train at-risk patients to avoid such behavior

From Wikipedia under the GNU Free Documentation License
Fri Apr 27 19:29:42 2012

Noun

denial (plural denials)

  1. The negation in logic
    The denial of "There might be X" is the null, "False, there is no X."
  2. A refusal to comply with a request.
    Every time we asked for an interview we got a denial.
  3. An assertion of untruth
    The singer has issued a sweeping denial of all the rumors.
  4. Refusal to believe a problem exists
    We couldn't break through his denial about being alcoholic.
    • Suzanne Fields wrote: "Denial" came out of the therapyspeak prevalent in the middle of the 20th century, especially as it was applied to confronting the reality of mortality. It was popularized as the first stage of grief, and quickly expanded to include refusal to confront any bad news or disturbing ideas. [1]
Related terms

From Wiktionary under the GNU Free Documentation License
Fri Apr 27 19:29:43 2012


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