Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Alexithymia (ah-lex-eh-thy-mee-uh)

Many individuals (males more than females) cannot express their feelings verbally. They either act them out (destructively) or hold them in (intrapunitive and equally destructive). These people are referred to as _alexithymic._ They are more prone to somatoform (excess focus upon bodily) complaints. They are also more prone to psychosomatic (physical destruction arising from psychological) …

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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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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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