Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Sleeplessness

Depression, Pain, and Sleeplessness A surgeon has two simple questions that can be asked of his patients to determine if the patient has underlying or concurrent psychological problems that are disrupting recovery: 1. “Do you ever wake up between 2am and 4am and are unable to fall back to sleep for reasons other than pain? …

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The Sociology of Injury

If work is solely for money, then money can replace work. However, when an individual is out of work, his/her role in the family and society changes. Not aggressively returning a patient to productivity is arguably the greatest disservice we can do to them. Most of us spend the first 2+ decades learning how to …

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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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psychological status

Psychological Status

Psychological Status: An individual has a health crisis; this may be an illness or injury.   In the Emergency Department, …
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Resistance to Recovery: Resentment of the Cause and Outcome of Disability

“More often than not, lost time injury cases “F.E.S.T.E.R – feat, education, secondary gain, threat, expectancy …
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Processing Medical Visits

Injured workers often have a need to discuss their visits to their physicians. They will telephone those whom they feel serve …
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