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Updated September 11, 2000
What is "Denial?"

Dear Readers,
Last week, I presented you with the definition of alcoholism/drug addiction as accepted by treatment professionals and scientists involved in extensive investigations of this problem of grave national importance. In that column, I promised to clarify the meaning of the term "denial" as it refers particularly to addiction and how it is used by the alcoholic/addict as a tool to avoid facing issues relating to their illness and the consequent need for treatment. I know of no addicted individual who would not like to drink "like every one else;" that is, moderately. Most diagnosed alcoholic/addicts simply can't...."Moderation Management" should not be a matter of choice for them....but, far to many are in a state of denial and take that route..."I'm only a 'heavy drinker;' not an 'alcoholic.' I can control my drinking." Tell that to the family of the innocent victims, killed by the founder of this dangerous movement who was driving while drunk.

I found the following definition amongst my papers at the Van Ost Institute (author unknown): "Denial is the psychological mechanism or process by which human beings protect themselves from something threatening to them by blocking knowledge of that thing from their awareness. The denial that this thing exists in their lives is below their level of awareness. It is done subconsciously. In other words, this person doesn't know, or is unwilling to admit, that it exists. The problems overshadow or cloud a person's ability to recognize that the thing: set of circumstances, events or phenomena are actually happening in their lives. It impairs judgment and results in self-delusion which locks the individual into an increasingly destructive pattern of living.

"The process of denial has many faces which may manifest or characterize themselves in any one or more of the following ways:

  1. Simple denial - maintaining that something is not so which is indeed a fact and very obvious to others in a person's life.
  2. Minimizing - admitting superficially to a problem but won't admit that it is serious.
  3. Blaming (also called projection) - denying responsibility for certain behavior and fixing the blame on someone or something else.
  4. Rationalizing - offering alibis, excuses, justifications or other explanations for behavior. The behavior is not denied but an inaccurate explanation of its cause is given.
  5. Intellectualizing - avoiding emotional, personal awareness of the problem by dealing with it on a level of generalization, intellectual analyses, or theorizing.
  6. Diversion - changing the subject to avoid discussion of a threatening topic.
  7. Hostility - becoming angry or irritable when reference is made to the problem causing conflict....a defense mechanism to back the challenger off the problem.

Denial is automatic - it operates below the level of awareness - the affected individual does not really know that he/she is in denial. Denial is progressive - the affected individual sets up such an elaborate system of denial mechanisms that they pervade the entire personality and become so enmeshed that they are extremely difficult to penetrate."

"There must be something the matter with him because he would not be acting as he does unless there was....Therefore he is acting as he is because there is something the matter with him.

"He does not think there is anything the matter with him because one of the things that is the matter with him is that he does not think there is anything the matter with him. "Therefore.....We have to help him realize that the fact that he does not think there is anything the matter with him is one of the things that is the matter with him."....R. D. Laing

Until scientific research proves otherwise, I'll stick on the side of abstinence as an essential ingredient addiction therapy.


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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