Read e-book online Denial: A Clarification of Concepts and Research PDF

By Martin Wangh (auth.), E. L. Edelstein, Donald L. Nathanson, Andrew M. Stone (eds.)

ISBN-10: 1461280575

ISBN-13: 9781461280576

ISBN-10: 1461307376

ISBN-13: 9781461307372

We don't take into consideration every little thing instantly forever. quite a few mecha­ nisms let us make a choice from one of the topics, matters, issues, emotions, rules, and thoughts that would occupy attention. one could concentration selectively on something deemed very important; but the equipment during which this can be complete differ significantly. We clinicians assign to those quite a few mech­ anisms names that healthy no matter what theoretical approach is important to our work-the fit suppression of "background noise" permits us to concentrate on yes issues; the repression of subconscious clash could help our functioning in a single second regardless of its later rate; while denial and disavowal are used as normal and reasonably nonspecific phrases for issues which are ignored of expertise to be able to steer clear of the noxious feelings particular to the non-public value of such wisdom. regardless of the perspective of clinical objectivity characterizing Freud's advent of psychoanalysis, an air of secrecy of morality clings to convinced of those mecha­ nisms, for we have a tendency to pass judgement on humans by means of their use of them. we're a society of doers, humans of motion and accomplishment who glance with disrespect on the avoidance of any accountability or job. hence denial has taken on a unfavourable connotation, and those that use this avoidance process are obvious because the lesser between us.

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Additional resources for Denial: A Clarification of Concepts and Research

Sample text

Dorpat, T. L. (1981). Basic concepts and terms in object relations theories. In S. Tuttman, C. Kaye, and M. ), Object and self: A Developmental approach (pp. 149178). New York: International Universities Press. Dorpat, T. L. (1985). Denial and defense in the therapeutic situation. New York: Jason Aronson. Framo,j. L. (1970). Symptoms from a family transactional viewpoint. In N. W. ), Family therapy in transition (pp. 48-62). Boston: Little Brown. Freud, A. (1936). The ego and the mechanisms of defense.

As a mode of communication, projective identification is one in which the subject makes himself or herself understood by exerting pressure on another person to experience a set of feelings similar to his or her own. Projective identification is a primitive kind of object relatedness in which the subject experiences the object of the projection as separate enough to serve as a receptacle for parts of the self but sufficiently undifferentiated to maintain the illusion that one is literally sharing a given feeling with another person.

She notes that doctors who themselves needed denial also found INTERACTIONAL PERSPECTIVES 19 it in their patients. Physicians capable of discussing terminal illness created conditions in which patients could address their concerns about death and dying. The patient's need for denial, she concluded, was in direct proportion to the doctor's need for denial. Studies by Rothenberg (1961) and Waxenberg (1966) show that physicians commonly facilitate denial in cancer patients by their tendency to discourage such patients' communication about themselves, their illness, and its consequences.

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Denial: A Clarification of Concepts and Research by Martin Wangh (auth.), E. L. Edelstein, Donald L. Nathanson, Andrew M. Stone (eds.)


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