Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Disorder vs. Disability

The Diagnostic & Statistics Manual of Mental Disorders lists the known psychological disorders and the symptoms that are necessary for that diagnosis to apply. In the introduction of that manual, it clearly states: __mental disorders may not be wholly relevant to legal judgments_individual responsibility, disability determination and competency._ The most potentially disabling disorders such as …

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Impotent Rage

For many males working in blue collar, labor-intensive positions, their power, strength, stamina and (often) tenuous financial position is the only evidence of their masculine identity. They are angered that this has been _taken away_ by their injury. They are angry with their doctors, angry with their nurse case manager, angry with their adjustor_angry with …

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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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Obsessive-Compulsive Patients

While I have seen cases in which patients fake dangerousness in order to intimidate and/or to inflate the value of their …
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The Angry Patient

Cases deteriorate for 5 simple reasons:1. The patient is not providing all, or even accurate, information.2. The employer …
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recovering

Recovering

Recovering or Retribution We are a retaliatory species, and if someone causes harm to us, or to someone about whom we care, …
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