Denial in the aftermath of traumatic head injury: Its manifestations, measurement, and treatment.

Reviews available research on the meaning and measurement of denial and strategies for treating maladaptive denial, with special reference to its occurrence in traumatic head injuries. Questionnaire or interview measures, rather than behavioral indices, are used to assess denial. Denial may be manifested with respect to past, present, or future status; and it may have both positive and negative consequences for coping, motivation, and rehabilitation. Where denial limits a patient's functioning or recovery, several treatment strategies are possible. Intervention should involve a balance between supportive and confrontational elements, with a focus on behaviors rather than verbalizations. Computer feedback, videotaping, focused group therapy, and supervised activities are possible interventions for confronting maladaptive forms of denial. (PsycINFO Database Record (c) 2010 APA, all rights reserved)