“…It is also worthwhile to consider denial as a psychological reaction, which appears at the early stage of the illness (Weinstein & Kahn, 1955). Impaired self-awareness influences the emotional functioning and the process of rehabilitation negatively, especially if the symptoms are persistent (Cocchini, Beschin, & Della Sala, 2002;Venneri & Shanks, 2004). Patients manifest a low level of motivation to engage and to sustain therapeutic work (Domań ska & Zawadzka, 2009;Santos, Caeiro, Ferro, Albuquerque, & Figueira, 2006), resist support and treatment recommendations, develop few compensatory strategies, and set unrealistic aims (Domań ska & Marszałek, 2006;Ownsworth & Clare, 2006;Ownsworth & Fleming, 2005).…”