Which of the following statements from an alcoholic patient reflects a good understanding of his or her condition?
A.
"I will stick to wine or beer from now on."
B.
"I'll be OK if my wife will just stop nagging me."
C.
"I plan to take my sobriety 1 day at a time."
D.
"I won't need AA after I am sober for 1 year."
ANS: C
Responses A, B, and D all reinforce use of ineffective defense mechanisms, including denial, rationalization, and minimization. Response C reflects understanding of the disease as a lifelong struggle.
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1. Gender 2. Environment 3. Space and territoriality 4. Sociocultural background