A client in treatment for alcohol dependence states, "I don’t have a problem." What defense mechanism does this represent?

A client in treatment for alcohol dependence states, "I don’t have a problem." What defense mechanism does this represent?

• A. Projection and suppression
• B. Denial and rationalization
• C. Rationalization and repression
• D. Suppression and denial

Answer: (B)

The statement "I don’t have a problem" is a clear indication of denial, a common defense mechanism in individuals struggling with substance dependence, particularly alcohol. Denial allows a person to refuse to accept reality or facts, which can be crucial in maintaining their current state without facing the consequences of their behavior. In this context, the client is not acknowledging the seriousness of their alcohol dependence, which impedes their ability to seek help or engage fully in treatment. Rationalization is also present here, as it involves justifying behaviors or feelings in a way that makes them seem more acceptable. The client may believe that their alcohol use does not qualify as a problem, perhaps comparing their situation to others or minimizing the impact of their drinking on their life. This combination of defense mechanisms—denial and rationalization—illustrates the cognitive distortions that often accompany addiction and are barriers to recovery. Understanding these mechanisms is essential for healthcare providers as they develop treatment plans that address not just the substance abuse but also the psychological frameworks that support denial and rationalization.

The statement "I don’t have a problem" is a clear indication of denial, a common defense mechanism in individuals struggling with substance dependence, particularly alcohol. Denial allows a person to refuse to accept reality or facts, which can be crucial in maintaining their current state without facing the consequences of their behavior. In this context, the client is not acknowledging the seriousness of their alcohol dependence, which impedes their ability to seek help or engage fully in treatment.

Rationalization is also present here, as it involves justifying behaviors or feelings in a way that makes them seem more acceptable. The client may believe that their alcohol use does not qualify as a problem, perhaps comparing their situation to others or minimizing the impact of their drinking on their life.

This combination of defense mechanisms—denial and rationalization—illustrates the cognitive distortions that often accompany addiction and are barriers to recovery. Understanding these mechanisms is essential for healthcare providers as they develop treatment plans that address not just the substance abuse but also the psychological frameworks that support denial and rationalization.