Self-deception as a mechanism for the maintenance of drug addiction

  1. José Miguel Martínez-González 1
  2. Raquel Vilar López 1
  3. Elisardo Becoña Iglesias 2
  4. Antonio Verdejo-García 1
  1. 1 Universidad de Granada
    info

    Universidad de Granada

    Granada, España

    ROR https://ror.org/04njjy449

  2. 2 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

Journal:
Psicothema

ISSN: 0214-9915

Year of publication: 2016

Volume: 28

Issue: 1

Pages: 13-19

Type: Article

More publications in: Psicothema

Abstract

Background: This study was aimed at: (i) examining levels of self-deception in substance dependent individuals following addiction treatment, and (ii) examining the association between participants’ levels of self-deception and (a) personality disorders, (b) addiction-related beliefs, (c) duration of abstinence, and (d) estimates of craving. Method: We administered self-report questionnaires of self-deception and mixtification, and core beliefs related to addiction and craving. The sample comprised 79 outpatients who were consecutively recruited at the Centro Provincial de Drogodependencias in Granada: 87.3% were males and the mean age was 37.68 years old. Thirty-four percent of participants were diagnosed with comorbid personality disorders. Results: Results showed that individuals with substance dependence exhibit elevated scores of self-deception, particularly in the domains of active denial, selective amnesia, projection, and confabulation. Individuals with comorbid personality disorders display greater levels of self-deception compared to individuals without dual diagnosis. Conclusions: Moreover, there is a significant association between levels of self-deception and addiction-related beliefs and craving. In addition, there is a negative association between levels of self-deception and duration of abstinence.

Bibliographic References

  • Aguilar, F., Pérez, M., & Sánchez, M. (2003). Evaluación emocional en drogodependientes [Emotional assessmnet in drug addicts]. Sevilla, Spain: Junta de Andalucía.
  • APA (2002). DSM-IV-TR Diagnostic and Statistical Manual of mental disorders, IV Revised Text. Barcelona, Spain: Masson.
  • Beck, A. T., Wright, F. D., Newman, C. F., & Liese, B. S. (1999). Cognitive therapy of drug abuse. Barcelona, Spain: Paidós.
  • Blanco, P., López, B., & Sirvent, C. (February, 2007). Psicopatología del autoengaño en adictos [Psychopathology of self-deception in addicts]. 8º Congreso Virtual de Psiquiatría. Interpsiquis. Retrieved from http://www.psiquiatria.com.
  • Elser, J. (1983). Sour grapes. Cambridge, England: Cambridge University Pres.
  • Fernández-Serrano, M. J., Pérez-García, M., & Verdejo-García, A. (2009). A neuropsychological consequences of alcohol and drug abuse in cold. Journal of Psychopharmacology, 24(9), 1317-1332.
  • Ferrari, J. R., Groh, D. R., Rulka, G., Jason, L. A., & Davis, M. I. (2008). Coming to terms with reality: Predictors of self-deception within substance abuse recovery. Addiction Disorders & Their Treatment, 7(4), 210-218.
  • First, M., Spitzer, R., Gibbon, M., & Williams, J. (1999). User’s guide for the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Madrid, Spain: Masson.
  • López-Ibor, J., Pérez, A., & Rubio, V. (1996). Examen Internacional de los Trastornos de la Personalidad; Módulo DSM-IV [International Review of Personality Disorders; DSM-IV module]. Madrid, Spain: Organización Mundial de la Salud.
  • Martínez-González, J. M., & Verdejo-García A. (2011). Creencias básicas adictivas y craving [Basic addictive beliefs and craving]. Adicciones, 23(1), 339-352.
  • Martínez-González, J. M., & Verdejo-García, A. (2014). Drogodependientes con trastornos de la personalidad. Guía de intervenciones psicológicas [Drug addicts with personality disorders]. Bilbao, Spain. Desclée de Brouwer.
  • Martínez-González, J. M., Verdejo-García, A., & Becoña, E. (2013). Estudio exploratorio del impacto de las creencias nucleares relacionadas con la adicción en el consumo tras la abstinencia [An exploratory study on the impact of nuclear beliefs related to addiction in consumption after withdrawal]. Trastornos Adictivos, 14(4), 105-111.
  • Moral, M., Sirvent, C., & Blanco, P. (February, 2012). Autoengaño en adictos y dependientes emocionales [Self-deception in addicts and emotional dependents]. XIII Congreso Virtual de Psiquiatría. Interpsiquis.com. Retrieved from http://psiquiatria.com.
  • Porcel, M., & González, R. (2005). El engaño y la mentira en los trastornos psicológicos y sus tratamientos [Deception and lie in psychological disorders and their treatments]. Papeles del Psicólogo, 26(92), 109-114.
  • Sirvent, C., Blanco, P., Villa, M., & Rivas, C. (February, 2014). Mixtificación y adicción [Mixtification and addiction]. XV Congreso Virtual de Psiquiatría.Interpsiquis. Retrieved from http://psiquiatria.com.
  • Sirvent, C., Moral, M., Blanco, P., Rivas, C., Quintana, L., & Campomanes, C. (2011). Vivir en el autoengaño [Living in self-deception]. Psicología. com. Retrieved from http//hdl.handle.net/10401/4351.
  • Sirvent, C., Rivas, C., Fernández, C., Blanco, P., Palacios, L., & Delagado, R. (February, 2008). Psicoterapia del engaño [Psychotherapy of deception]. 9º Congreso virtual de Psiquiatría. Interpsiquis. Retrieved from http://psiquiatria.com.
  • Tirapu, Fernández, M., & Verdejo-García, A. (2011). Conciencia y negación en adicciones. In E Pedrero (Coord.), Neurociencia y adicción [Neuroscience and addiction] (pp. 377-394). Valladolid, Spain: Sociedad Española de Toxicomanías.
  • Von Hippel, W., & Trivers, R. (2011). The evolution and psychology of self-deception. Behavioral and Brain Science, 34(1), 1-16.