Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Self Medicating

Diagnosis-by-Exclusion_ and why it would be such a concern?_ If a patient has complaints that are not readily verified, there are three choices: a. Assume the patient is malingering b. Assume other factors are forcing the patient to somatize (emphasize minor physical complaints/sensations) c. Assume that more or repeated diagnostic studies should be ordered The …

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Resistance to Recovery: Expectancy of Treatment Outcome

Along with diagnosis and treatment is the central issue of prognosis for outcome. The patient seeks to know not only the timeframe but the degree of recovery anticipated. The news media has increasingly addressed dramatic organ transplantation and cosmetic surgical procedures. While the education provided by the media is often intended to be cutting edge …

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Resistance to Recovery: Secondary Gain Concerns

Secondary Gain Concerns Perhaps too little concern has been directed toward those instances in which the attention, affection, nurturance and support received by a patient has effectively potentiated their seeking a disability role. Unquestionably for some patients the gains inherent in the patient role are palpable. There is income for work no longer produced. There …

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Resistance to Recovery: Education

Educational Foundation for Understanding the Physical Diagnosis Patient education procedures vary according to age and academic background. The process of educating the patient is also impacted by the academic training, philosophies and standards of the clinicians involved in treatment. The patient may be provided with clinical nosology regarding the disease or condition without clarification sufficient …

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Resistance to Recovery: Fear of Diagnosis

Fear of the Clinical Diagnosis For the acutely ill patient who begins to confront the concept of chronicity of complaints, there are four sources of emerging fear. The patient fears that the diagnostic studies are incomplete, that treatment has been insufficient, that residual complaints will be unmanageable and that the support system upon which they …

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traumatic

Traumatic

Traumatic events: As an employer, do you want the employee back in the workforce before s/he has had ample time for treatment, …
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freedom

Freedom

Freedom: It is important to look at the patient’s history of medical compliance. One of the forms patients complete …
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family

Family

A psychological disorder by definition exists when there is an impairment in social and occupational functioning.  The individual …
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