"Denial" in the alcohol or other drug (AOD) dependent person includes the following factors which operate, except for Item 1), in major part unconsciously, or, at times, semi-consciously:
1) Deliberate Lies.Addicted persons, be they alcoholic or addicted to other drugs, lie and manipulate to protect their ability to satisfy the need to use their DOC (drug of choice). They also lie to themselves and come to believe their own distortions. Addicts who must buy their drugs from illegal sources and use illegal means to finance purchases, will be particularly adept at deliberate falsification and skillful manipulation.
2) Alcohol/drug-induced amnesia (blackouts).Present inability to recall events occurring while under the influence adds to the "denial" problem. The AOD dependent person in truth cannot remember many of the negative events he/she may be accused of, which adds to the confusion, frustration and delusion of the user (and to the frustration of those close to him/her).
3) Euphoric recall.Recall of events while AOD impaired tends to be distorted. The AOD dependent person also tends to recall only the good times, not the bad, a selective memory.
4) Denial in significant others.Those in intimate relationships with the AOD dependent person (usually living with the user) may develop, without conscious awareness of the negative impact on the user, a denial system in forms similar to that of the addict or alcoholic, and tend to enable, that is, protect the user from experiencing the natural consequences of his/her inappropriate behaviors.
5) Lack of feedback or ability to reality test.Because of the dysfunction which develops in intimate relationships, the AOD dependent person has no way of reality testing, that is, he/she is given no useful feedback about the reality of AOD use and its real impact on significant others. The usual rule in such families is to avoid intimacy and not talk about the problem.
6) Ignorance of the definition of alcoholism or addiction.Stereotypes of the “typical” alcoholic or addict, myths, even one’s own experience with an alcoholic or addict, can lead to excluding one's own behavior from the definition. E.g., an individual can say: I don't drink every day or in the morning (not physically addicted) I've never had a DWl or legal problem from use I go to work every day I can stop for Lent I don’t crave, or need to, drink or use.
7) Toxic effects of AOD on the brain.Alcohol and other drugs seriously disrupt the normal functioning of the brain, not only causing dysfunction in the action of “feel good” chemicals (neurotransmitters such as dopamine and serotonin) thereby producing craving and withdrawal problems, but also cause dysfunction in the brain’s ability to process, store, and use information.
8) Inconsistency in patterns of AOD use, ability to control use, and consequences from use. The individual may not get drunk every time, may not suffer negatives every time, may be able to quit for a time, etc.
9) Influence of Media and Culture. Society, commercials, ads all depict alcohol as an integral part of life's activities---sports, good times, bad times, sex, etc. For much of society, not drinking is abnormal.
10) Sneaky disease. The loss of control over, and dependence on, drugs and alcohol are insidious in their onset and development.
11) Stigma.Alcoholics and drug addicts are considered by much of society to be weak willed, immoral, irresponsible, and perhaps criminal. Persons who have the disease also tend to have internalized this stigmatized notion of the alcoholic or addict.
12) Professional enablers. Even today, when persons with AOD dependence seek help, they often encounter caregivers (mental health professionals) with little expertise in diagnosing and treating AOD disorders, who address issues causing the AOD use, without seeking abstinence from use as a goal. The addict or alcoholic, therefore, is enabled to continue destructive use while at the same time perhaps believing that he/she is working on the roots of the AOD problem.
This information is taken from
http://www.alcoholdrugsos.com where professional addictions services are available. It takes professional help to aid the addicted person to be able to break through denial and see the problem.