Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

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. …

Read more

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. …

Read more

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 …

Read more

Narcissistic Insult

The Narcissistic Insult Concept Narcissism is excessive self-involvement. The patient sees him/herself as being possessed of great talent or achievements and wants recognition for obvious superiority. Such individuals perceive themselves as powerful, brilliant and/or beautiful, and they believe that they are special, unique and want a great deal of admiration. They have a sense of …

Read more

Disability – Looking for Alternatives

Disability Disability becomes a relative term after an examination is made of residual abilities. If we look at those who are disabled, or claim to be disabled, and you separate out those who are validly, clinically, depressed, we find that the depressed patients feel helpless. They believe that there is nothing which they personally can …

Read more

family

Family

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

cynicism

Cynicism

“Cynicism is an attitude or state of mind characterized by a general distrust of others’ apparent motives believing …
Read Blog Post

anti-depressant

Anti-depressant

“Anti-depressant Medication Authorization”: “We cannot be certain that the cause of a patient’s …
Read Blog Post