Clearly, these folks don’t experience shame in the way society expects. It’s why they arrive in treatment angry and defensive.
Topics: consequences, defense mechanisms, DUI/DWI
There are folks who make the rounds, getting the same advice over and over, and never putting it into action.
Topics: communication, defense mechanisms, enabling and provoking
Of course, left to its own devices, addiction often worsens.
Topics: defense mechanisms, enabling and provoking
Our goal is to reframe the discussion in a way that supports rather than undermines change.
Topics: bad information, defense mechanisms, negotiation, patient education
Here was a physician who regularly committed an assortment of crimes without considering himself a criminal. To his way of thinking, he was the victim.
Topics: defense mechanisms, opioids, physicians, prescription medications
It seems to me that it’s entirely possible for one person to be lying, ambivalent, and in denial at the same time.
Topics: counseling skills, defense mechanisms, resistance manipulation ambivalence
The addicted brain is unable to accurately evaluate the situation.
Topics: communication, defense mechanisms, opioids, recognizing addiction
Addiction programs, conversely, targeted elimination or at least substantial reduction in substance use– a narrower goal that permitted greater focus in treatment.
Topics: clinician skills, defense mechanisms, treatment planning
He perceives it as gradual when in reality it’s progressing rather quickly.
Topics: defense mechanisms, recognizing addiction, recovery memoir
Families often think it’s the addict or alcoholic’s emotions that need to be overcome to succeed. But in fact, we need to start by dealing with our own feelings.
Topics: defense mechanisms, getting help, Intervention Series