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A common reaction of people with substance use disorders who, when confronted with the existence of those disorders, deny that they have a substance abuse problem and/or have lost control of it. This is a complex reaction that is the product of psychological and physiological factors, especially those concerned with memory and the influence of euphoria produced by the substance of abuse. It is not a deliberate, willful act on the part of the person who is abusing substances but is rather a set of defenses and distortions in thinking caused by the use of substances.

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