Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

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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Anti-Depressants

Many back injured patients become depressed. Some would say that most become depressed. However, very few seek treatment for their depression. Even if they were depressed prior to injury, and, again, there are data to support that pre-existing depression increases the risk of injury, there is a responsibility for treating the exacerbation of the depression …

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The Exceptional Patient

Atypical Patient Needs Some would argue that the patient who wants to return to work is the exception. However, the true exception is the highly educated, managerial-executive patient who is unprepared for the nature of the workers-compensation system. Such individuals are not familiar with a health care system in which they have so little input, …

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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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Building, Maintaining and Benefiting from Sleep

When someone in pain cannot sleep, they often complicate their attempts to fall asleep by practicing what is called _poor …
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jar

Jar

Jar: ┬áThe purpose of licensing laws, and the restriction on the use of specific terms, is intended to protect the public. …
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Disability Role Modeling

1. Are there physical similarities between, for example, those who sustain low back injuries? The answer to this is an unqualified …
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