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Denial: a conceptual analysis.

S Wheeler1, L Lord

  • 1University of Illinois at Chicago, College of Nursing, Urbana 61801, USA.

Archives of Psychiatric Nursing
|January 5, 2000
PubMed
Summary
This summary is machine-generated.

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This study analyzed nursing literature on client denial, defining it as a coping process influenced by anxiety and threats. Outcomes varied, with related concepts including avoidance and repression.

Area of Science:

  • Nursing
  • Psychology
  • Behavioral Science

Background:

  • The concept of denial is frequently employed in nursing to characterize client behavior.
  • Understanding denial is crucial for effective patient care and intervention strategies.

Purpose of the Study:

  • To conduct a conceptual analysis of the term "denial" as used in nursing literature.
  • To identify the various definitions, antecedents, and outcomes associated with client denial.

Main Methods:

  • A systematic literature search identified 18 English-language articles published between 1990 and 1999.
  • Rogers' conceptual analysis methodology was applied to the selected articles.

Main Results:

  • Two primary definitions of denial emerged: one viewing it as an adaptive coping process, the other as maladaptive.

Related Experiment Videos

  • Antecedents included anxiety or perceived threats from crises, with outcomes ranging from positive to negative.
  • Related concepts frequently associated with denial were avoidance, unrealistic hopefulness, and repression.

    • Conclusions:

    • Denial in nursing represents a complex coping mechanism with diverse manifestations and consequences.
    • Further research can explore the nuances of denial as a coping strategy in different clinical populations.