Dealing With Denial Through Intervention

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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mars
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Dealing With Denial Through Intervention

Post by mars » Sat Mar 27, 2010 7:22 am

Hi Everybody

Like so many problems that people have, and not only in the addictions area, the main barrier to getting help is denial. Every now and then someone posts about a loved one who has Obstructive Sleep Apnea, but does not take it seriously. Or the post is from someone who has Obstructive Sleep Apnea whose but whose partner does not take it seriously.

So here is how to do a classic intervention, which, once learned, can be adapted to your needs.

It used to be that caring friends and family had to hope that some life event would cause enough pain for the person who was in denial that they would then seek help. Then, about the 1970's, the Johnson Institute in Minneapolis started to develop the techniques of Family Intervention. Which, in a nutshell, sought to bring about enough emotional pain, coming from real-life events, to the person in denial to get them to see, and admit, to the reality that others could see. Or at least get them to agree to comply with the purpose of the intervention. i.e. use an oximeter overnight, go for a sleep test, use a cpap machine etc.

You learn how to do an Intervention, you then try to get close family members, work colleagues or friends involved, and preferably get tutored by an Intervention Specialist. Decide what is the desired outcome and be committed to what the consequences of continued denial will be. Then get the Intervention team together with the one in denial (by hook or crook), and go for it. Make sure you are able to follow through with any consequences should the person stick to their denial, and that you have the support to do that.

The intervention can produce a definite change in the person, so they are willing to get help. Or it may produce compliance to getting help, which may then produce a genuine change. Or it may not work at all.

The following is from a leaflet by Families Anonymous -
What is denial?

Denial is psychological mechanism or process by which human beings protect themselves from something threatening to them by blocking knowledge of that thing from their awareness. Various examples of denial are

1. Simple denial - maintaining that something is not so which is in fact so.

2. Minimizing - admitting to some degree of a problem with chemical usage, but is such a way that it appears to be much less serious than it actually is.

3. Blaming - denying responsibility for certain behaviour and maintaining that the responsibility lies with someone else.

4. Rationalizing - Offering alibis, excuses, justification, and other explanations for behaviour.

5. Intellectualising - Avoiding emotional personal awareness of problem of chemical dependency by dealing with it on a level of generalization intellectual analysis or theorizing.

6. Diversion - Changing the subject to avoid a topic that is threatening

7. Hostility - Becoming angry and irritable when reference is made about a topic so that the person is going to change the subject or avoid bringing the topic up to you again.

The denial system distorts perception and impairs judgement so that we become self-deluded and incapable of accurate self-awareness.
More detail is at -

http://en.wikipedia.org/wiki/Denial

http://www.livestrong.com/article/14731 ... th-denial/

The main resources on denial are at -

http://www.hazelden.org/itemquest/searc ... &kw=denial

Once you have some depth of knowledge about denial, then you can prepare for an Intervention.

The best way would be to be coached by an Intervention Specialist, but if that is not possible then careful study and discussion using the following resources may be just as effective.

http://en.wikipedia.org/wiki/Interventi ... nseling%29

Take careful note of the section "Prior Preparation". This is the key to success, and is why it is best to have a depth of knowledge before undertaking an Intervention.

Your main resource for Intervention materials is at -

http://www.hazelden.org/itemquest/searc ... tervention

To repeat - Intervention is not just about different addictions, it is about denial, and producing enough real emotional pain to break through that denial so that the person can see themselves as others see them, and hopefully take action to get well.

And finally, I suggest you work your way through John Bradshaw On: The Family -

http://www.johnbradshaw.com/bradshawont ... ngdvd.aspx

This is absolutely brilliant, and I unreservedly recommend it. This DVD set is worth its weight in gold.

So there it is Folks. If you diligently work your way through the above, and then carefully prepare for an Intervention, that will, I think, give you the best chance of helping someone who does not want help. I know it looks like a lot of expense and hard work, and it is, but if you care about someone, then the results can make it all worthwhile.

Of course, something might just come out of the blue that will do the trick. We can hope so. But if not, the above is the classic method of dealing with denial by doing an intervention. The method is robust, and all kinds of variations can be used when appropriate. Which is why an in-depth knowledge of denial is necessary, so that imaginative interventions can be created when necessary.

Whilst the resources deal mainly with alcohol and drugs, it does not take much imagination to apply the precepts to other problems that people deny, including obstructive sleep apnea.

The best videos on intervention are "If You Loved Me", "I'll Quit Tomorrow", "The Enablers/The Intervention" and "Francesca, Baby". And on denial there is "There Is No Such Thing As An Elephant", "Denial: The Inside Story" and "Falling Back: The Dry Drunk Syndrome".

Feel free to PM me if you have further questions after checking out the above.

All the above is an introduction to the classic Johnson Institute method of Intervention, and has nothing to do with any other use of the word "intervention".

cheers

Mars
Last edited by mars on Sat Mar 27, 2010 6:14 pm, edited 1 time in total.
for an an easier, cheaper and travel-easy sleep apnea treatment :D

http://www.cpaptalk.com/viewtopic/t7020 ... rapy-.html

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Re: Dealing With Denial Through Intervention

Post by BlackSpinner » Sat Mar 27, 2010 8:23 am

Interesting. Though some of the techniques sound like they come perilously close to "de programming". I think one has to also respect the autonomy of the adult individual and be very very sure that what you are doing is really going to help. Denial is a survival mechanism, a very powerful one, useful in situations like prison camps.

Unlike many on this board I much prefer to confront people with the "ugly reality" then to provide what I see as "enabling comfort" . I am very happy to provide comfort and encouragement to those attempting to free themselves from the "river in Egypt" but no to those floating in its embrace.

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Re: Dealing With Denial Through Intervention

Post by kteague » Sat Mar 27, 2010 9:31 am

Interesting reading, Mars. I see what you're saying about intervention principles being applicable to more than addiction problems. You do make it clear that (an) intervention has better chance of success if not approached haphazardly. I'm not one prone to the formal use of these techniques, but do try to break thru denial with make-no-mistake-what-I'm-saying talk. Most of those times the people involved are not close enough for me to feel I have a right to go to a greater level of intrusion. Seems many aren't actually in denial, just using that as a smokescreen to avoid acting upon the issues. But if I had someone whose life intersected with mine personally and they were in such a situation, an orchestrated intervention would be worth it if there was even a glimmer of hope to salvage their life, health and well being. Such an individual thing - the need for it, the usefulness of it, and the appropriateness of it. Thanks for the good food for thought.

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Re: Dealing With Denial Through Intervention

Post by jnk » Sat Mar 27, 2010 9:37 am

kteague wrote:Interesting reading, Mars. I see what you're saying about intervention principles being applicable to more than addiction problems. You do make it clear that (an) intervention has better chance of success if not approached haphazardly. I'm not one prone to the formal use of these techniques, but do try to break thru denial with make-no-mistake-what-I'm-saying talk. Most of those times the people involved are not close enough for me to feel I have a right to go to a greater level of intrusion. Seems many aren't actually in denial, just using that as a smokescreen to avoid acting upon the issues. But if I had someone whose life intersected with mine personally and they were in such a situation, an orchestrated intervention would be worth it if there was even a glimmer of hope to salvage their life, health and well being. Such an individual thing - the need for it, the usefulness of it, and the appropriateness of it. Thanks for the good food for thought.
Kathy, how do you keep making posts that say exactly what I think better than I could ever express it myself?

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Re: Dealing With Denial Through Intervention

Post by BlackSpinner » Sat Mar 27, 2010 12:49 pm

[quote="kteague" Most of those times the people involved are not close enough for me to feel I have a right to go to a greater level of intrusion. Seems many aren't actually in denial, just using that as a smokescreen to avoid acting upon the issues. But if I had someone whose life intersected with mine personally and they were in such a situation, an orchestrated intervention would be worth it if there was even a glimmer of hope to salvage their life, health and well being. Such an individual thing - the need for it, the usefulness of it, and the appropriateness of it. Thanks for the good food for thought.[/quote]

Yes this. Very well said.

And one has to be certain it is not just your own agenda that is being met. Addictions are one thing, life style choices are a totally other ball game. The nasty under belly of these techniques are the "de programming " of your teenagers who have made other life style or religious choices then those you value.

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Re: Dealing With Denial Through Intervention

Post by kteague » Sat Mar 27, 2010 4:08 pm

jnk - great minds think alike, huh?! Naw, although I enjoy your insights and find them quite similar to mine, I am not in denial. It's probably because we're quite average and not so extraordinary and there's a gazillion of us out there. Thought I'd better say that before someone else did. (Would that be like an intervention?) Hey, it's easy to be humble after recently taking one of those Mensa practice quizzes. If only it wasn't timed. I just wish they'd have said what percent of the population gets what percentage of the questions right. Oh well. Thank you, my like minded friend.

BlackSpinner - Yes, it is a slippery slope when we presume to know what's best for another person. It's ripe for abuse or agenda promotion. When it comes to denial about needing sleep apnea treatment or any other health issues, yes, I would probably be motivated by a combination of selfishness and concern for the other person. And I wouldn't apologize for that if they were knowingly ruining their health then it would be me expected to take care of them when their health broke. (But where would that stop? There's no visible line in the sand.) Outside of that situation, for the most part I say live-and-let-live (or let die) if they are making an informed choice. Oh so many variables, I just know if I felt strongly enough about someone I loved being in danger, I would consider intervention. They always have the right to say "screw you all". I've known too many who have too late wished they'd done more. Yeah, it does sound like de-programming, but that is the antidote to brainwashing. I don't think there's any solid answers. Just options.

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Re: Dealing With Denial Through Intervention

Post by mars » Sat Mar 27, 2010 5:27 pm

Hi All

Please remember that I am talking about a Classic Johnson Institute intervention.

Not about anything else, and it is nothing like so-called de-programming.

The classic method can often be adapted to help others in their particular situation.

Mars
Last edited by mars on Thu Jul 15, 2010 7:05 am, edited 2 times in total.
for an an easier, cheaper and travel-easy sleep apnea treatment :D

http://www.cpaptalk.com/viewtopic/t7020 ... rapy-.html

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Re: Dealing With Denial Through Intervention

Post by jnk » Sat Mar 27, 2010 5:47 pm

. . . many professionals today have a great reluctance to use the word "deprogramming" and instead use terms such as "intervention" . . . -- http://www.rickross.com/prep_faq.html
My family has tried to warn me of the dangers of the cult of cpaptalk.com, but I have chosen denial, and here I remain.

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Re: Dealing With Denial Through Intervention

Post by Rebecca R » Sat Mar 27, 2010 5:55 pm

jnk wrote:
. . . many professionals today have a great reluctance to use the word "deprogramming" and instead use terms such as "intervention" . . . -- http://www.rickross.com/prep_faq.html
My family has tried to warn me of the dangers of the cult of cpaptalk.com, but I have chosen denial, and here I remain.
I've never joined a cult before. Is there any escape?

r

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Re: Dealing With Denial Through Intervention

Post by jules » Sat Mar 27, 2010 5:58 pm

Rebecca R wrote:
jnk wrote:
. . . many professionals today have a great reluctance to use the word "deprogramming" and instead use terms such as "intervention" . . . -- http://www.rickross.com/prep_faq.html
My family has tried to warn me of the dangers of the cult of cpaptalk.com, but I have chosen denial, and here I remain.
I've never joined a cult before. Is there any escape?

r
you can only escape if you deny you joined

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Re: Dealing With Denial Through Intervention

Post by BlackSpinner » Sat Mar 27, 2010 6:12 pm

mars wrote:.
wikipedia = your own link
Civil liberty problems with forcible intervention

Sometimes direct interventions involve physical force (e.g. by family members or friends) to capture or confine the targeted person. Typically a government-licensed psychotherapist is involved. Indeed, the government's involvement prevents the intervention from comprising a crime, such as battery or kidnapping. In such cases the person has (usually) neither been served with any legal action alleging the necessity of intervention, nor had the opportunity to appear in court to defend against the proposed intervention. Civil libertarians argue that in such cases the intervention may be illegal because it deprives the person of liberty without due process of law.

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Re: Dealing With Denial Through Intervention

Post by BlackSpinner » Sat Mar 27, 2010 6:20 pm

Mars
Intervention is a valid form of therapy for addictions.
My personal history of dealing with a gay crisis line and some of the procedures their parents attempted to use to "straighten" them keeps me looking for the lines in the sand.
I agree it is very difficult to have someone you love going through addictions and refusing to accept reality and some of the family intervention methods are valid. However I strongly belief in the personal freedom of adults to go to Hell their own way.

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Re: Dealing With Denial Through Intervention

Post by DreamStalker » Sat Mar 27, 2010 6:52 pm

But I'm addicted to life and I don't want anybody intervening in it!
President-pretender, J. Biden, said "the DNC has built the largest voter fraud organization in US history". Too bad they didn’t build the smartest voter fraud organization and got caught.

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Re: Dealing With Denial Through Intervention

Post by kteague » Sat Mar 27, 2010 7:02 pm

jnk - LOL

I think this subject is so broad that if I talked long enough, I'd disagree with myself. I wasn't thinking of extremes such as restraint or force. Just more than one person speaking the hard truths at the same time, with the person free to leave at will.

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