*NURSING > STUDY GUIDE > Alcoholism - Mark Klimek Alcoholism (And All Abuse) (All)

Alcoholism - Mark Klimek Alcoholism (And All Abuse)

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1st Problem in Abuse: Denial • In absence of physiological, safety or comfort issue, we target psychological as top priority • If given four psychological abuse-related problems, denial is top ... one • Denial is the refusal to accept the reality of their problem • How do you treat denial in abuse? Confront. o You confront denial by pointing out to the person the difference between what they say and what they do. o E.g you say that you are not a child abuser but your children are under child aid custody- this is confronting them o Goal is for them to see a real picture of themselves and see themselves as they are. o Confrontation is not very high power; it will not result in immediate results but may let them notice that they do have a problem. o “You say you’re not an alcoholic, but its ten o’clock in the morning and you are drunk” etc. • How do you treat denial in loss? Support the denial of loss and grief. o Denial is the first stage of loss and grief. o DENIAL is a acceptable healthy reaction to a loss. You don’t confront it but YOU SUPPORT IT. o DABDA – denial, anger, bargaining, depression, acceptance o Supportive quotes – they get patient to talk more, “tell me more/how”; allowing denial to continue [Show More]

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