Certified Addiction Counselor (CAC) Practice

What is a characteristic of the dependent delusional system?

1. Complete awareness of drug dependency

2. Defense mechanisms to cover dependency

3. Clear memory and recall of substance use

4. Severe external consequences of substance abuse

The correct answer is: Defense mechanisms to cover dependency

The characteristic of the dependent delusional system is most accurately described by the use of defense mechanisms to cover dependency. Individuals with dependency issues often create psychological barriers to protect themselves from acknowledging the true extent of their substance use and its impact on their lives. These defense mechanisms may include denial, rationalization, or projection, which serve to shield them from the reality of their addiction and its consequences. By relying on these defense mechanisms, individuals can maintain a distorted view of their substance use, allowing them to cope with their situation without confronting the negative aspects associated with their dependency. This psychological process often makes it difficult for them to seek help or make necessary changes in their behavior, as they may not fully recognize or accept their condition. The other choices reflect aspects or consequences of substance use but do not accurately capture the essence of the dependent delusional system. Complete awareness of drug dependency suggests a level of insight that is typically lacking in individuals in this state. Clear memory and recall of substance use also contradicts the nature of delusional belief systems, which often involve a selective distortion of reality. Severe external consequences of substance abuse might be present in individuals’ lives, yet they are often minimized or rationalized through defense mechanisms rather than acknowledged.