Common Defensive Patterns and How They May Be Used in Therapy

Common Defensive Pattern
How It May Be Used in Therapy

Projection

Basis of irrational "blaming," but also basis for useful belief that others are similar to oneself.

Conflict minimization and avoidance

Basis for fending off confrontation about alcohol problem, but also a motive for acquiescence.

Rationalization

Basis for justifying drinking once acknowledged, but like denial, may be useful for other matters during early treatment.

Self-centered selective attention

Alcoholics may be generous but lack empathy; can appeal to self-interest in urging treatment.

Preference for nonanalytical modes of thinking and perceiving

Alcoholics respond better to an emotionally persuasive appeal.

Passivity

Alcoholics shun competition and assertion.

Obsessional focusing

Intense involvement in alcohol use is often paralleled by similar involvement in other activities; this mindset can be turned to treatment and pursuit of sobriety.