1. Ambivalence - the presence of two opposing ideas, attitudes, or emotions at the same time - The destructive behavior of the obsessive drinking of alcohol may relieve depression and loneliness. But stopping dinking of alcohol may take away the only means the person knows how to deal with depression and loneliness.
2. Fear the effort will be fruitless. In the effort to change, they will feel worst if they fail.
3. Perfectionism: Not being a 100% successful at change would be considered a failure.
4. Status quo: even though there may be pain and unpleasantness - the outcome is familiar and predictable. In contrast, any change is unpredictable and may arouse more pain and difficulties.
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