Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

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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Resistance to Recovery: Introduction

Resistance to Recovery: IntroductionDespite appropriate and timely care, there are patients who fail to recover. While this failure can, in many cases, be traced to patient noncompliance, there are more often exogenous factors which impede the course of recovery. These are neither simple nor benign factors which exceed the boundaries of cost-contained and effective treatment, …

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needful

Needful

Being needful and being dependent are not the same thing. After meeting the basic needs of life, the next concern is whether …
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medication

Medication

Medication: ”A competent and ethical prescriber must consider two factors at the same time: am I providing pain relief, …
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response

Response

”The common response when first meeting someone is “and what do you do?”  Although the temptation is to reply “well, …
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