Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Relatedness

Relatedness to injury: There are far too many times that when treating an injured worker, I come upon serious health problems that are being ignored. The most obvious are obesity, hypertension and diabetes. Due to a variety of factors including health habits, lack of family concern and financial limitations, early signs of disease are not …

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Injury

Injury: If a wealthy man were to win the Lottery, his spending behavior is unlikely to be significantly altered. He was already in touch with his material and investment needs and was deprived of neither. A sudden influx of lottery money is most often applied to the same rules and limits that he has acquired. …

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Tertiary

Gain: “The concept of secondary gain is a frequently addressed observation as to the benefits a patient receives from an illness or injury. The term is sometimes used as an indictment of the patient. Since s/he derives gain from the physical complaint, some feel that the complaint is less important and warrants less concern. Tertiary gain …

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Unmet

Unmet Expectations:  “He feels that surgery did not go as planned, that the outcome was poor, yet we have the surgical notes which indicate that it was a successful lumbar fusion. Why the discrepancy?” “There can be a vast difference between OBJECTIVE surgical outcome and the patient’s SUBJECTIVE (emotional) response to that outcome. From an objective …

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Harm

Harm:  There may be an unwritten policy to disallow “psychic” claims. The term “psychic”, by definition, means phenomena that are inexplicable by natural laws or relating to the soul or mind. Applying that term to the psychological aftermath of injury has always seemed inapplicable and inappropriate to what is clinically occurring to those in pain. …

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relatedness

Relatedness

Relatedness to injury: There are far too many times that when treating an injured worker, I come upon serious health problems …
Read Blog Post

injury

Injury

Injury: If a wealthy man were to win the Lottery, his spending behavior is unlikely to be significantly altered. He was already …
Read Blog Post

tertiary

Tertiary

Gain: “The concept of secondary gain is a frequently addressed observation as to the benefits a patient receives from …
Read Blog Post