A concept analysis of alcoholic denial and cultural accounts. 1996

D M Wing
School of Nursing, University of Tulsa, Oklahoma, USA.

Accounts are statements offered by individuals when explaining questionable behavior. Cultures vary in the kinds of accounts they honor, and individuals who deny a problem with alcohol may be attempting to maintain congruence between self and culture. Within this context, health care professionals who challenge a patient's denial may be causing unnecessary harm. The author presents a concept analysis of alcoholic denial in relation to the concept of accounts to explicate cultural variations in the manifestation of denial. The author integrates findings of her own and others' research to advance an understanding of alcoholic denial and cultural accounts.

UI MeSH Term Description Entries
D008297 Male Males
D003466 Cultural Characteristics Those aspects or characteristics which identify a culture. Ethnic Boundary Maintenance,Boundary Maintenance, Ethnic,Boundary Maintenances, Ethnic,Characteristic, Cultural,Characteristics, Cultural,Cultural Characteristic,Ethnic Boundary Maintenances,Maintenance, Ethnic Boundary,Maintenances, Ethnic Boundary
D003717 Denial, Psychological Refusal to admit the truth or reality of a situation or experience. Denial, Psychology,Psychological Denial
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000223 Adaptation, Psychological A state of harmony between internal needs and external demands and the processes used in achieving this condition. (From APA Thesaurus of Psychological Index Terms, 8th ed). Behavior, Adaptive,Healthy Adaptation,Positive Adaptation,Psychological Recovery,Adaptation, Psychologic,Adjustment,Psychological Adaptation,Adaptation, Healthy,Adaptation, Positive,Adaptive Behavior,Adaptive Behaviors,Healthy Adaptations,Positive Adaptations,Psychologic Adaptation,Psychological Recoveries,Recovery, Psychological
D000428 Alcohol Drinking Behaviors associated with the ingesting of ALCOHOLIC BEVERAGES, including social drinking. Alcohol Consumption,Alcohol Intake,Drinking, Alcohol,Alcohol Drinking Habits,Alcohol Drinking Habit,Alcohol Intakes,Consumption, Alcohol,Drinking Habit, Alcohol,Habit, Alcohol Drinking,Habits, Alcohol Drinking,Intake, Alcohol
D000437 Alcoholism A primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. Each of these symptoms may be continuous or periodic. (Morse & Flavin for the Joint Commission of the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine to Study the Definition and Criteria for the Diagnosis of Alcoholism: in JAMA 1992;268:1012-4) Alcohol Abuse,Alcoholic Intoxication, Chronic,Ethanol Abuse,Alcohol Addiction,Alcohol Dependence,Alcohol Use Disorder,Abuse, Alcohol,Abuse, Ethanol,Addiction, Alcohol,Alcohol Use Disorders,Chronic Alcoholic Intoxication,Dependence, Alcohol,Intoxication, Chronic Alcoholic,Use Disorders, Alcohol
D012961 Sociology A social science dealing with group relationships, patterns of collective behavior, and social organization. General Social Development and Population
D015399 Nursing Research Research carried out by nurses, generally in clinical settings, in the areas of clinical practice, evaluation, nursing education, nursing administration, and methodology. Research, Nursing

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