Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Impotent Rage

For many males working in blue collar, labor-intensive positions, their power, strength, stamina and (often) tenuous financial position is the only evidence of their masculine identity. They are angered that this has been _taken away_ by their injury. They are angry with their doctors, angry with their nurse case manager, angry with their adjustor_angry with …

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Alexithymia (ah-lex-eh-thy-mee-uh)

Many individuals (males more than females) cannot express their feelings verbally. They either act them out (destructively) or hold them in (intrapunitive and equally destructive). These people are referred to as _alexithymic._ They are more prone to somatoform (excess focus upon bodily) complaints. They are also more prone to psychosomatic (physical destruction arising from psychological) …

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Defense Mechanisms

Defense mechanisms are (largely) unconscious ways we use to defend ourselves against anxiety. Simply _not thinking_ (repression) about our bad marriage or failing to accept we drink too much (denial) keeps us from becoming upset. Somatization, the act of focusing upon bodily complaints rather than dealing with real life issues, is common among injured workers. …

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Single Factor Theory of Return to Work

The single factor that is most problematic in returning an ill or injured worker to productivity is the financial myths that patients carry. They are told that if they get better, they will receive less money. They are told that those who are treating them are only invested in payment for services, not their recovery. …

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Hysterical Patients

Hysterical (histrionic) The term hysterical comes from hysterus (implying “wandering uterus”) since the earliest observations of these patients was that their complaints migrated from one site to another. Fix one thing and up crops another. It has been referred to as conversion disorder often concurrent with histrionic personality disorder. Such patients are uncomfortable when they …

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compliance

Compliance

Compliance: His wife called and said that he has been very depressed. So we scheduled him for an appointment. He has failed …
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commitment

Commitment

Commitment: “The most common reason for being referred for psychotherapy is to help resolve a conflict. This may be …
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mismanagement

Mis-management

Mis-Management: Many psychological complications arise from case mis-management when clear signs of emerging problems go …
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