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Denial, in ordinary English usage, has at least three meanings: asserting that any particular statement or allegation is not true (which might be accurate or inaccurate); the refusal of a request; and asserting that a true statement is not true. In psychology, denialism is a person's choice to deny reality as a way to avoid a psychologically uncomfortable truth. In
psychoanalytic theory Psychoanalytic theory is the theory of personality organization and the dynamics of personality development that guides psychoanalysis, a clinical method for treating psychopathology. First laid out by Sigmund Freud in the late 19th century, psyc ...
, denial is a defense mechanism in which a person is faced with a fact that is too uncomfortable to accept and rejects it instead, insisting that it is not true despite what may be overwhelming evidence. The concept of denial is important in twelve-step programs where the abandonment or reversal of denial that substance dependence is problematic forms the basis of the first, fourth, fifth, eighth and tenth steps. People who are exhibiting symptoms of a serious medical condition sometimes deny or ignore those symptoms because the idea of having a serious health problem is uncomfortable or disturbing. The
American Heart Association The American Heart Association (AHA) is a nonprofit organization in the United States that funds cardiovascular medical research, educates consumers on healthy living and fosters appropriate cardiac care in an effort to reduce disability and death ...
cites denial as a principal reason that treatment of a heart attack is delayed. Because the symptoms are so varied, and often have other potential explanations, the opportunity exists for the patient to deny the emergency, often with fatal consequences. It is common for patients to delay recommended mammograms or other tests because of a fear of cancer, even though on average this worsens the long-term medical outcome.


Psychology

Initial short-term denial can be a good thing, giving time to adjust to a painful or stressful issue. It might also be a precursor to making some sort of change in one's life. But denial can also be harmful; if denial persists and prevents a person from taking appropriate action, it's a harmful response.


In political and economic context

Some people who are known as denialists2005, The Cape Times 2005-03-11 or true believers have been known to be in denial of historical or scientific facts accepted by the mainstream of society or by experts, for political or economic reasons. Examples of denialism include: *
Climate change denial Climate change denial, or global warming denial, is denial, dismissal, or doubt that contradicts the scientific consensus on climate change, including the extent to which it is caused by humans, its effects on nature and human society, or th ...
* Denial of evolution * Historical negationism (such as Holocaust denial) * HIV/AIDS denialism *
Modern flat Earth societies Modern flat Earth beliefs are promoted by organizations and individuals which make claims that the Earth is flat while denying the Earth's sphericity, contrary to over two millennia of scientific consensus. Flat Earth beliefs are pseudoscie ...


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* * * * {{Defense mechanisms Cognitive biases Belief Dissent eo:Abnegacio