Many substance abusers use defense mechanisms to cope with their stress. Which of the following are most pertinent to substance abuse? Select all that apply

A) Denial
B) Rationalization
C) Reaction formation
D) Displacement
E) Projection
F) Sublimation


A, B, E
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Of the many defense mechanisms people use, denial, rationalization, and projection are commonly used and are the most pertinent to substance abuse. Denial is disavowing the existence of unpleasant realities. Rationalization is trying logically to justify irrational, socially, or personally unacceptable behaviors or feelings, and projection is attributing to another person one's unacceptable thoughts and feelings. Reaction formation is displaying a behavior, attitude, or feeling opposite to that which one would normally exhibit in the same situation. Displacement is unconsciously transferring feelings onto another person or object, and sublimation is diverting unacceptable urges into personally and socially acceptable channels.

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