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Denial, abnegation or Negation [1] (German: Verleugnung, Verneinung) is a psychological defense mechanism postulated by psychoanalyst Sigmund Freud, in which a person is faced with a fact that is too uncomfortable to accept and rejects it instead, insisting that it is not true despite what may be overwhelming evidence.
He also demonstrated through controlled experiment that confrontation leads to states of resistance and denial, which many in the addiction field attribute to traits of those with addiction. Motivational interviewing , or motivational enhancement therapy, avoids creating such resistance by avoiding confrontation and eliciting motivation with ...
An influential cognitive-behavioral approach to addiction recovery and therapy has been Alan Marlatt's (1985) Relapse Prevention approach. [62] Marlatt describes four psycho-social processes relevant to the addiction and relapse processes: self-efficacy, outcome expectancy, attributions of causality, and decision-making processes. Self-efficacy ...
Euphoric recall is a cognitive distortion that emerges when an individual engages in positive expectancies, where memories recollected during drug usage are only pleasant and trouble-free, and individuals face denial about the true nature of their situation; this is a common symptom of substance abuse. [6] [9]
This classification is largely based on Vaillant's hierarchical view of defences, but has some modifications. Examples include: denial, fantasy, rationalization, regression, isolation, projection, and displacement. However, additional defense mechanisms are still proposed and investigated by different authors.
Doctors recommend tapering off the medication only with the greatest of caution. The process can take years given that addiction is a chronic disease and effective therapy can be a long, grueling affair. Doctors and researchers often compare addiction from a medical perspective to diabetes.
Denial, in colloquial English usage, has at least three meanings: the assertion that any particular statement or allegation, whose truth is uncertain, is not true; [ 1 ] the refusal of a request; and
Substance dependence, also known as drug dependence, is a biopsychological situation whereby an individual's functionality is dependent on the necessitated re-consumption of a psychoactive substance because of an adaptive state that has developed within the individual from psychoactive substance consumption that results in the experience of withdrawal and that necessitates the re-consumption ...