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An adult with the diagnosis of cortical blindness, complaining of a complete visual loss of 2 years in duration, was found to have a small preserved visual field and remarkably preserved visual abilities. Although denying visual perception, he correctly named objects, colors, and famous faces, recognized facial emotions, and read various types of single words with greater than 50% accuracy when presented in the upper right visual field. Upon confrontation regarding his apparent visual abilities, the patient continued to deny visual perceptual awareness, typically stating "I feel it." CT indicated bioccipital lesions sparing the left inferior occipital area but involving the left parietal lobe. The denial of visual perception evidenced by this patient may be explained by a disconnection of parietal lobe attentional systems from visual perception. The clinical presentation is described as representing "inverse Anton's syndrome."  相似文献   

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While expressing their attitude toward an object, people sometimes deny both the probability of attributes that would speak against the attitude and the value of these attributes. We term this kind of functioning double denial. Double denial is incompatible with expectancy-value models of attitude formation. In eight studies of attitudes, values, and beliefs, there was clear evidence for double denial. The evidence was particularly strong for items measuring salient beliefs and for items and groups of participants yielding belief ratings that strongly correlated with attitudes. The results are interpreted in terms of the social functions of values and beliefs in the construing of arguments pro or con an attitude object. It is concluded that beliefs and values are dynamic entities, continually shaped in argumentation, and that expectancy-value models of attitude are inadequate to account for the relationships among attitudes, beliefs and values.  相似文献   

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A review of empirical studies of offenders—particularly sex offenders, and more particularly those who offend against children—demonstrates that denial of offenses and minimization of offending behavior are quite common at every stage of the criminal justice process. This is true during police interviews, during pretrial and presentencing mental health evaluations, among incarcerated offenders, among offenders seeking treatment, among offenders facing parole review, and among offenders already released into the community. This review highlights gaps in the research literature arising from inconsistencies in the definitions and measurement of denial and minimization, from the stage of adjudication or treatment at which measurements are made, and from the use of polygraphy to increase disclosures. Despite these limitations on the generalizability of empirical findings, it appears beyond dispute that many sex offenders maintain their innocence in the face of evidence to the contrary or even criminal conviction, and that many are able to recite additional crimes they have committed when they believe it is in their self-interest to do so.  相似文献   

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Worldwide, gastric cancer is one of the most common and fatal cancers. The majority of patients present with an advanced stage of disease. Even with use of palliative chemotherapy most patients die within 1?year after diagnosis. Medical psychological attention after a diagnosis of incurable cancer is focused on end of life support. This paper presents the care of a patient treated with palliative intent with chemotherapy for an irresectable histologically confirmed gastric cancer. When, unexpectedly prolonged symptom free survival followed, the reaction of the patient came as a surprise to the attending medical team. In this case history we urge those who care for incurable cancer patients, that the rare patient who survives against all odds may require special psychological care.  相似文献   

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H S Erlich 《Psyche》1990,44(3):218-239
Adolescents are simultaneously subject to extremely divergent feelings of strength and of weakness and dependency, aggravated by intense regressive longings. In order to tolerate and master these feelings, adolescents commonly employ the defense of denial. This may result in splitting. A case except shows how such a defensive strategy may hinder or further psychic development.  相似文献   

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There is a spectrum of normality and psychopathology in which we see the presence of denial in fantasy, action, and word. The underlying ego distortions, such as the overuse of a denying fantasy in reality testing, will determine the clinical appearance of this mechanism. Traumatic experiences in the first 18 months are a determining factor in the development of these ego distortions. Clinical material is presented that supports a theory of elation put forward by Lewin (1950) who suggests that denying elations are repetitions of childhood dreams with their adult elaborations. In Mrs. A., the denying elations occurred particularly when experiences of castration anxiety or object loss became intolerable.  相似文献   

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Free will, before being an object of beliefs or theories susceptible of verification, is the omnipresent supposition of our conscious life. This paper claims that this omnipresence, even though it is not enough to validate theoretically free will, entails two significant consequences. First, that free will is the essential presumption of our actions, without which they would become incomprehensible. Second, that all denial of this – a rational action in itself – presupposes that which is denied.  相似文献   

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The present study attempts to cross-validate earlier findings that alcoholics tend to use more denial and are more demeaning of their characters than controls on the objective-projective Apperceptive Personality Test. One hundred nonalcoholic, nonpatient controls were matched to 100 outpatient alcoholics on age, race, and social class. All subjects were given the objective-projective Draw A Person Questionnaire, which was scored for 14 scales. As hypothesized and consistent with the earlier findings, alcoholics used more denial and were more often demeaning of their drawn characters than were controls. These and other exploratory findings are discussed.  相似文献   

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Denying reality is obviously a maladaptive way of dealing with a situation. In fact, denial is generally considered to be one of the defense mechanisms, mechanisms that are inappropriate maladaptive, and pathological. In the field of medicine to deny the existence of a disease seriously compromises the physician's ability to help patients. If a physician does not believe that a particular disease exists, then it will not be given consideration when making a differential diagnosis, and the patient may then go untreated. This is in line with the ancient medical principle that proper diagnosis must precede proper treatment. Or, if for some external reason the physician recognizes the disorder, but feels obligated to use another name, other problems arise, for example, impaired communication with others regarding exactly what is going on with the patient, and hence improper treatment. This is what is occurring at this point with the parental alienation syndrome, a disorder whose existence has compelling verification. In this article I discuss the reasons for denial of the PAS and the ways in which such denial harms families. Particular emphasis will be given to the ways in which this denial harms women, although I will certainly comment on the ways in which the denial harms their husbands and children. In the past, denial of the PAS has caused men much grief. Such denial is now causing women similar grief.  相似文献   

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