Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

The Concept of Pathoplasticity

Pathoplasticity Regardless of what illness or injury we have incurred, no two of us appear to respond the same to almost identical situations. This is the concept of pathoplasticity. When we have the flu, or a sprained ankle, or a bruised knee, we have different levels of alarm, concern, expectancy and different ways of responding, …

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The Concept of Depressed Mood

Depressed Mood Depressive disorders are a complex combination of numerous physical, cognitive and emotional symptoms. It is estimated that ~8% of the general population suffers from depression at any given time. However, depression is not, itself, a disabling condition, and mood is only part of the concern. It is characterized by a series of psychological …

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The causes of procrastination

Procrastination Procrastination is a behavior involving the delaying of actions to a later time. Procrastination is a way of coping with anxiety that is associated with starting or completing any task/decision. Researchers also have three criteria they use to categorize procrastination. To be “procrastination,” it must be counterproductive, needless, and delaying. Importantly, while people procrastinate …

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Who Will Not Return to Work?

Return to Work As well as extent of energy, there are other factors that decrease the probability of return to work: a. Does the individual have a role-modeling adult authority in their past who has lived on disability benefits? b. Has the patient truly a career path or simply worked for sheer financial survival? c. …

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Who Should Be Treated?

Before the patient is treated: If formal psychological diagnostic exam reveals that a psychological disorder exists that has resulted from injury or been exacerbated by injury, then the following series of decisions must be made: a. Is the patient sufficiently motivated for change; interested in being treated? b. Is the patient intellectually capable of understanding …

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alexithymia

Alexithymia

Alexithymia: “A patient and his wife were sitting in front of me. The issue was that he was physically abusing her, …
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co-morbid

Co-Morbid

Co-Morbid Patients who are taking prescribed narcotics for their chronic pain are exposed to a system in which the following …
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bad actors

Bad Actors

Bad actors: You do not have to be a nice person to be a police officer. You do not have to have self-insight, a good philosophy …
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