Living in Denial Predisposes to Mental Illness



Denial in ordinary English Language is asserting that a statement or allegation is not true. The same word, and also abnegation is used for a psychological defense mechanism postulated by Sigmund Freud, in which a person is filled with a fact that is too uncomfortable to accept and rejects it instead, insisting that it is not true despite overwhelming evidence. The subject may use; Simple denial which involves denying the reality of the unpleasant fact altogether or minimization by admitting the fact but deny its seriousness  which is a combination of denial and rationalization or projection by admitting both and fact but deny responsibility by blaming somebody or something else.
          Although denial is an immature defense mechanism; it may however be the initial stage of an adaptive coping cycle. When an unwelcome change occurs, a trauma of some sort, the first impulse to disbelieve begins the process of coping. That denial, in a healthy mind slowly rises to greater consciousness until a rational engagement of the problem is instituted. This occurs in association to death, dying and sometimes rape. In this context; denial grants the person the time to accumulate sufficient emotional resources to fully face the trauma. Once fixed, the person deals with the trauma in a stage alternately called acceptance or enlightenment.    
          After this stage, the trauma sinks away from total conscious awareness again. Left metaphorically upon a back burner or put away in a cupboard through sublimation that involves a balance of neither quite forgetting nor quite remembering. It is definitely established that when immature defense mechanisms especially denial are overused, they can lead to psychological disorders since it does not help to resolve the anxiety producing situation.
 For Nigerians; it is important that we realize that pathological denial can be exhibited in a large scale – among groups, cultures or even nations. Lucy Bregman   gives an example of national denial of imminent mortality in the 1950s: the large scale denial by some that the World War II holocaust never occurred. Any given society is marked by peculiar beliefs, customs, practices and values energized by culture as the enabling software.  The bulk of our cultural values codified as superstitions, myths and taboos have denial as the central theme. It may be that our fore fathers had the creative use of denial in mind to give time to rationally engage problems but this aspect has not been very prominent in our cultural elaboration. Authority figure, specific instructions concerning certain issues and several prohibitions without a continuous rational engagement of issues is the character of our culture that encourages denial. This affected our style of governance where we parade ourselves as a wealthy nation based on a chance discovery of oil rather than creative productivity. The civil service, the professional group and even the academia are not engaging the real issues confronting our nation because the culture of denial is pervasive which frustrates real engagement of our problems. This denial mental paradigm provides the breeding ground for delusions that invariably culminate in mental illness.   When denial believes over used in the context of an ongoing problem; reality testing becomes impaired and mental illness ensues. The major difference between spirituality and religiosity is that denial is very prominent with religiosity while faith which involves the application of the power of omnipotence to deal with problems clearly defined and accepted is the hall mark of spirituality. Nigerians are only religious but not spiritual as our religion has failed to interrogate our cultural values to expunge the destructive aspects. Unfortunately, our religious leadership because of pecuniary gains has borrowed heavily from our cultural software of denial through fear, brainwashing, manipulation and self-attribution.  I have always predicted that new patterns of mental illnesses will emerge from our religiosity where reality testing is largely impaired with a large-scale reliance on another man’s faith rather than God, which invariably makes such minds vulnerable to profound intrapsychic conflicts that survive on immature defense mechanisms leading to mental illness. Mental capital development prescribes that we encourage mature defense mechanisms and stimulate rational engagement of life problems, as we trust God.  
          Cultural standards and expectations can encourage denial of subjective experience. Men who belong to cultures with extreme notions of masculinity may view fear as a sign of weakness and deny internal feelings of fear. Some patients with personality disorder and substance abuse problems are taught to psychologically deny the reality of the harm they do to others and to self hence the traditional treatment program for substance abuse and other addictions take denial   as a central theme where patients are made to recognize the extent of their denial   and work towards acceptance. Stress can only be managed as issues are confronted just as prayer cannot be beneficial in the atmosphere of denial.            

Dr. Adeoye Oyewole
adeoyewole2000@yahoo.com
+234 803 490 5808 (WhatsApp Only)   

Image Credits: Tea Party Tribune


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