Denial in alcoholics is often a barrier to effective diagnosis, referral, and treatment. Successful intervention is enhanced if the caregivers have an understanding of the nature of denial and strategies for working through it. Stages of denial are described as well as common manifestations of it at each stage. Counseling techniques for addressing denial and methods for implementing these techniques are suggested.
Get full access to this article
View all access options for this article.
References
1.
BeanM. (1981). Denial and the psychological complications of alcoholism. In BeanM., & ZinbergN., Eds., Dynamic approaches to the understanding and treatment of alcoholics.New York: Free Press.
2.
BlaneH. T. (1968). The personality of the alcoholic, guises of dependency.New York: Harper and Row.
3.
BlaneH. T.OvertonW. F., & ChafetzM. E. (1963). Social factors in the diagnoisis of alcoholism. Quarterly Journal of Studies on Alcohol, 24, 72–79.
DoddD. T. (1986). Chemical dependency: A disease with subtle insidious beginnings. Journal of the Tennessee Medical Association, 79, 294–295.
6.
JellinekE. M. (1952). Phases of alcohol addiction. Quarterly Journal of Studies on Alcohol, 13, 673–684.
7.
MooreR. A., & MurphyT. C. (1961). Denial of alcoholism as an obstacle to recovery. Quarterly Journal of Studies on Alcohol, 22, 597–609.
8.
ParedesA. (1974). Denial, deceptive maneuvers, and consistency in the behavior of alcoholics. Annals of the New York Academy of Science, 16, 101–117.
9.
SmithA. R. (1986). Alcoholism and gender: Patterns of diagnosis and response. Journal of Drug Issues, 16, 407–420.
10.
TieboutH. M. (1954). Ego factors in surrender in alcoholism. Quarterly Journal of Studies on Alcohol, 15, 610–621.
11.
VogelS. (1953). An interpretation of medical and psychiatric approaches in the treatment of alcoholics. Quarterly Journal of Studies on Alcohol, 14, 111–115.
12.
VogelS. (1958). Psychiatric treatment of the alcoholic. The Annals of the American Academy of Political and Social Science, 12, 86–89.