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. …

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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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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 …

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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 …

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opiate

Opiate

Opiate: In a complex fashion, should a patient decide to take a “drug holiday” and determine if s/he can function without …
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dependent

Dependent

We enter life entirely dependent aside from vegetative functions. We cannot exist on our own, and this characterizes most …
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economic

Economic

Economic. The State lottery systems have shown us that people without a strong economic understanding can be easily separated …
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