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Research Article
Published Online: August 1979

Denial and affirmation in illness and health

Publication: American Journal of Psychiatry

Abstract

Recent research has shown that patients with life-threatening illnesses have improved chances of survival if, rather than recognizing the serious consequences of their illness, they employ the psychological defense mechanism of denial. Reexamination of these data suggests that unexamined psychological factors which promote a positive view of health are of equal or greater importance in explaining those results. Health care professionals, concerned with diagnosis and treatment, primarily focus attention on illness and its denial or recognition. To expand this perspective to include factors for health, the author presents a four-cell paradigm of illness, health, denial, and affirmation. The paradigm is illustrated with examples of common problems in medical care.

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Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: 1026 - 1030
PubMed: 464127

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Published in print: August 1979
Published online: 1 April 2006

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