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The Lancet. Planetary Health Oct 2020
Topics: Animals; Biodiversity; Communication; Denial, Psychological; Economic Development; Extinction, Biological; Humans; Politics; Science
PubMed: 33038313
DOI: 10.1016/S2542-5196(20)30229-1 -
Archives of Women's Mental Health Oct 2019Pregnancy and motherhood are often presented as natural and unproblematic for women. The fact that there are some women who engage in violent behaviour towards their... (Review)
Review
Pregnancy and motherhood are often presented as natural and unproblematic for women. The fact that there are some women who engage in violent behaviour towards their unborn child suggests that motherhood is not as unproblematic as we are led to believe. This paper presents six previously unpublished cases of foetal abuse that is physical assaults on the foetus by the mothers themselves, and examines how the prevailing myth of the good mother might be further endangering mothers and their unborn children. So far, the research suggests there are some common, possibly co-occurring, features that might be an antecedent to foetal abuse: unplanned pregnancies, prior mental health issues in the mother, trauma, pregnancy denial up to 20 weeks or until birth, and ideation of harm correlated to in utero movements.
Topics: Denial, Psychological; Female; Fetus; Humans; Infant, Newborn; Infanticide; Mental Disorders; Mothers; Pregnancy; Pregnancy, Unplanned; Pregnant Women
PubMed: 30357472
DOI: 10.1007/s00737-018-0922-2 -
Rivista Di Psichiatria 2022The paper is a reflection on the psychic phenomenon involving the denial of reality of covid-19 pandemic, the denial of data from scientific research about it and the...
The paper is a reflection on the psychic phenomenon involving the denial of reality of covid-19 pandemic, the denial of data from scientific research about it and the denial of therapeutic purposes of vaccine and national and international health policies, as it emerges in the frame of the so-called no-vax movements. The possible basic or associated psychopathological pictures are described, analogies and differences respect to classic psychiatric nosology are evaluated, psychological and psychiatric interpretative hypotheses are considered, in what they can to some extent characterize a wide and complex reality, in whose knowledge and management psychiatrists could play a much more relevant role than they actually do.
Topics: COVID-19; Health Policy; Humans; Pandemics; Psychiatry; SARS-CoV-2
PubMed: 35426429
DOI: 10.1708/3790.37742 -
Journal of Hospice and Palliative Care Sep 2021End-of-life patients experience physical, mental, social, and existential distress. While medical personnel provide medication and care to alleviate patients' distress,... (Review)
Review
End-of-life patients experience physical, mental, social, and existential distress. While medical personnel provide medication and care to alleviate patients' distress, listening to and interacting with patients remains essential for understanding their psychological condition. The most important tool, though difficult to implement in practice, is end-of-life discussion (EOLD). EOLD has been shown to have positive effects on end-of-life treatment choices, achievement of patients' life goals, improvements in the quality of life of patients and their families, and the prevention of depression and complicated grief among bereaved family members. EOLD is not often undertaken in clinical practice, however, due to hesitancy among medical personnel and patients for various reasons. In order to conduct an EOLD, the patient's judgment, psychiatric illnesses such as delirium and depression, and psychological issues such as the side effects of psychotropic drugs, denial, and collusion must be evaluated. Open and honest conversation, treatment goal setting, the doctor's familiarity with the patient's background, and attentiveness when providing information are important elements for any dialogue. Meaning-centered psychotherapy was developed to alleviate the existential distress of cancer patients, and its application may promote EOLD. The future development of meaning-centered psychotherapy in practice and in research is expected to further promote EOLD.
PubMed: 37674559
DOI: 10.14475/jhpc.2021.24.3.135 -
Annals of Internal Medicine Dec 2017
Topics: Alzheimer Disease; Breast Neoplasms; Denial, Psychological; Empathy; Family Relations; Female; Humans; Physician-Patient Relations; Urinary Bladder Neoplasms
PubMed: 29204619
DOI: 10.7326/M16-2951 -
Current Psychiatry Reports Jul 2020We review the evidence base for men who categorically deny responsibility for their sexual crimes. Specifically, we consider the characteristics of these individuals and... (Review)
Review
PURPOSE OF REVIEW
We review the evidence base for men who categorically deny responsibility for their sexual crimes. Specifically, we consider the characteristics of these individuals and the purpose or function of the denial, whether denial leads to an increased risk of reoffending and the evidence for different treatment options available for deniers.
RECENT FINDINGS
Whilst there is some evidence that deniers differ from admitters, it appears that categorical denial is a strategy used to reduce negative consequences such as a sense of shame or the fear of losing family support. The common assumption that deniers are more likely to commit further sexual crimes is not supported by the evidence to date. There remains a lack of evidence as to the best treatment approach to use. We conclude that more research is necessary. We suggest that a lack of consideration of the function of denial or the adaptive benefits of denial could explain inconsistent findings in relation to the characteristics of deniers and why denial does not appear related to recidivism. Whilst the available evidence does not support most approaches aimed at overcoming denial, we suggest that some of the most promising approaches seem to be non-disclosure-based focusing on reducing stigma; however, it is conceded that the evidence for such approaches is still emerging.
Topics: Denial, Psychological; Humans; Male; Sex Offenses; Sexual Behavior; Social Stigma
PubMed: 32700036
DOI: 10.1007/s11920-020-01174-z -
Explore (New York, N.Y.) 2020The denial of the Holocaust before and during WWII by German citizens is compared to present-day denial of climate change. Psychological dynamics supporting such denial...
The denial of the Holocaust before and during WWII by German citizens is compared to present-day denial of climate change. Psychological dynamics supporting such denial are examined, along with ways in which such denial might be overcome.
Topics: Climate Change; Denial, Psychological; Holocaust; Humans; Spirituality; Stress, Psychological
PubMed: 31771823
DOI: 10.1016/j.explore.2019.11.004 -
Deutsche Medizinische Wochenschrift... Dec 2016With an incidence of 1:500, denial of pregnancy is a rather frequent incident in obstetrics. Strikingly, in our society, this issue is placed under a taboo. Reasons... (Review)
Review
With an incidence of 1:500, denial of pregnancy is a rather frequent incident in obstetrics. Strikingly, in our society, this issue is placed under a taboo. Reasons might be our moral values and socialization. Since pregnancy and motherhood have to be associated with joy, other sensations are often perceived as socially not accepted and thus denied. A similar phenomenon exists e. g. with postnatal depression.In all existing studies on denial of pregnancy, it was proven that there are no significant at-risk groups. Instead, it occurs in all social and educated classes and no association with parity was shown.Psychologically, the denial can be understood as an adaptive or anxiety disorder. Unconsciously, it serves as a defense mechanism against intrapsychic conflicts. Reinterpretation of physical changes allow sustained unconscious and thus conflict even in the presence of fetal movements and while body weight and abdominal girth are increasing.Lacking and insufficient preventive examinations increase risks for mother and child. Especially, when delivery takes place without professional help.The earlier the pregnant woman realizes her condition, if necessary with help from a reference person or medical personnel, the lower the risks. This implies to train detection and overcome fear of addressing the woman. After the pregnancy is revealed, the woman needs to be integrated into a social network, which conveys that denial of pregnancy is not a psychotic symptom and occurs more often than assumed. If this succeeds, the perspective for mother and child is favorable.
Topics: Deception; Denial, Psychological; Female; Humans; Pregnancy; Pregnancy Complications; Pregnancy, Unwanted
PubMed: 27975360
DOI: 10.1055/s-0042-120519 -
Current Opinion in Psychology Apr 2016The study of multicultural identity has gained prominence in recent decades and will be even more urgent as the mobility of individuals and social groups becomes the... (Review)
Review
The study of multicultural identity has gained prominence in recent decades and will be even more urgent as the mobility of individuals and social groups becomes the 'new normal'. This paper reviews the state-of-the-art theoretical advancements and empirical discoveries of multicultural identity processes at the intrapersonal, interpersonal, and collective (e.g., organizational, societal) levels. First, biculturalism has more benefits for individuals' psychological and sociocultural adjustment than monoculturalism. Bicultural individuals' racial essentialist beliefs and Bicultural Identity Integration affect cultural frame switching, racial categorization, and creativity. Second, identity denial and identity-based discrimination by other people or groups threaten multicultural individuals' psychological health and performance. Third, multiculturalism and interculturalism policies are associated with different conceptions of and attitudes toward diversity, and have distinct outcomes for multicultural individuals and societies.
PubMed: 29506802
DOI: 10.1016/j.copsyc.2015.09.020 -
Journal of General Internal Medicine Apr 2015Twenty-five to sixty percent of physicians report burnout across all specialties. Changes in the healthcare environment have created marked and growing external... (Review)
Review
Twenty-five to sixty percent of physicians report burnout across all specialties. Changes in the healthcare environment have created marked and growing external pressures. In addition, physicians are predisposed to burnout due to internal traits such as compulsiveness, guilt, and self-denial, and a medical culture that emphasizes perfectionism, denial of personal vulnerability, and delayed gratification. Professional coaching, long utilized in the business world, provides a results-oriented and stigma-free method to address burnout, primarily by increasing one's internal locus of control. Coaching enhances self-awareness, drawing on individual strengths, questioning self-defeating thoughts and beliefs, examining new perspectives, and aligning personal values with professional duties. Coaching utilizes established techniques to increase one's sense of accomplishment, purpose, and engagement, all critical in ameliorating burnout. Coaching presumes that the client already possesses strengths and skills to handle life's challenges, but is not accessing them maximally. Although an evidence base is not yet established, the theoretical basis of coaching's efficacy derives from the fields of positive psychology, mindfulness, and self-determination theory. Using a case example, this article demonstrates the potential of professional coaching to address physician burnout.
Topics: Burnout, Professional; Directive Counseling; Humans; Physicians; Stress, Psychological
PubMed: 25527340
DOI: 10.1007/s11606-014-3144-y