Many workers terminated their education in order to have access to more money than adolescence usually provides. They then toil at labor intensive, often physically demanding and risky jobs for decades.
Others complete high school only with difficulty and follow the same basic sequence of jobs, moving rapidly in housing construction, warehouse work, production work and/or heavy equipment operation.
In that history, there may be a series of job losses due to conflict with authority. There may well be concurrent difficulties in the current job dealing with supervisors, foremen and coworkers.
Following injury in which there will even be mild restrictions/limitations, there is no true job to which to return. The employer may not want them back, or the employer may not have work within those limitations. Worse still, the employer may have token work available for which the patient is ridiculed by coworkers and resented by the employer.
The patient_s perception of the injury may be less a matter of objective findings and more a matter of the patient_s assessment of future employability. The injury may be seen, by the patient, as an aggression against the employer and coworkers.
While the patient may appear to have decades of employability, the patient may perceive that productive years have ended.
The work history must be combined with intellectual and academic functioning along with feelings of resentment and helplessness. This combined with the patient_s perceptions of future options lets you know to what extent this patient will mobilize for future work. The patient_s future plans can only be known through an assessment of the intricacies of a work history.