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Table 3 Typology of dentist avoidance characteristics

From: Healthcare avoidance: a qualitative study of dental care avoidance in Germany in terms of emergent behaviours and characteristics

  How is the avoidance attitude identified? What are the main reasons for avoidance? Avoidance mechanism
Avoiding the dentist due to distance (A) Targeted displacement and distancing from dental care Personal negligence Avoidance and displacement
Avoiding the dentist due to negligence (subtype A1) Repression of avoidance problems Own lack of motivation and suppression of existing problems in certain stages of life or by treatment processes of a particular stage of life Negligence leads directly to insufficient oral hygiene, which in turn leads to more disruptive dental treatments; this leads to the reinforcement of avoidance and negligence
Repression of confrontation with avoidance attitudes and consequences
Dental avoidance due to neutralization (subtype A2) Use of statements to explain the absence and neutralisation of possible reasons for avoidance Own discussion of multicausal factors Listing of avoidance causes to explain abstinence and distancing oneself from responsibility
Avoiding the dentist due to disappointment (B) Questioning the dentist and his intentions Perceived lack of dental advice and care The difficulty to trust fuels the avoidance mindset
The feeling of being a means to an end Distrust, helplessness, disappointment
feeling that the monetary approach takes precedence over the humanitarian approach
Avoiding the dentist due to shame (C) A deep sense of shame Own shame and concern about condemnation Avoiding confrontation with one's shame by avoidance
Avoiding the dentist due to fear (D) Anxiety attitude up to mental and physical complaints Fear of the dentist and dental treatments Fear outweighs the importance of going to the dentist
Fear of not respecting the fear attitude