Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

The Enmeshed Family

Enmeshed Family Creation A distorted perception of the world, society, responsibility and goals can be created and maintained by a family. With injured or ill individuals, the enmeshed family can readily become a subculture which encourages the patient to perceive that he/she is incapable of any productive return to work. The family can encourage the …

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Precious Time Lost

Time Lost: The elimination of all physical causes for a complaint and only then considering the psychological causes is referred to as diagnosis-by-exclusion. We are taught diagnosis-by-inclusion, to examine psychological causation with the same vigor as physical diagnosis, but we rarely do so. If a patient has complaints that are not readily verified, there are …

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Self Medication

It is extremely important to determine to what degree a patient’s self medication and complicates his/her own recovery process In the acute (short term) treatment of pain, aggressive pain management can prevent the patient from developing fear and hopelessness regarding the future and his/her capacity to deal with painful residuals. However, many patients will attempt …

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Clinical versus Administrative Decisions

Clinical Decisions: There are injured workers who appear to languish in care moving from orthopedic care to pain management to psychological care with no end in sight. The concern is whether we are serving these patients when we tie these significant problems to an injury. The problem can arrise when the clinical problem has been …

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U.S. Demographics

In 1997, there were 2.3 million marriages. Sixty percent of Americans were married at that time, 23% had never married, 9% were divorced, and 7% were widowed. Fifteen percent of Americans are single parents, 45% rely upon dual income and only 20% maintain the traditional breadwinner/homemaker roles. Fifty-three percent of couples have no children. The …

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pre-operative

Pre-Operative

pre-operative anxiety” : Becoming anxious prior to surgery is a universal reaction in which the doubts and fears of the …
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holidays

Holidays

Holidays: “…would think that holidays would bring a reprieve from the suffering.” The common initial point of reference …
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naivete

Naivete

Naivete: He refuses MRI and CT scan saying that he would prefer not to know. A patient was referred to me who had completed …
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