Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression


Development:  Private patients come to me with truly remarkable past histories.   If you accept that those histories were the development and foundation for adult problems, these problematic childhoods seem obvious. But injured workers are rarely those who would seek psychological care had it not been for their injuries, yet the history of life events among …

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“A shipwreck…she has everything wrong with her…no one documents that this is a major factor in her recovery from injury.” “There are two significant problems as I see it, and they relate to far too many patients, including ourselves: 1. Years ago, if you did not have health insurance, you paid out of pocket. Many …

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Satisfaction for patient and provider: A survey in 2013 reported that: “An alarming 70% of those surveyed in a recent Gallup poll either hate their jobs or are completely disengaged, and not even incentives and extras can extricate them from the working man’s blues.” There has been a trend for some time in which workers stay …

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Checkers vs. Chess: “It may be difficult to trace the origins of healthcare becoming a competitive sport where doctors and patients interchangeably attempt to manipulate each other. It may have begun innocently enough with patients being untruthful about their diet and exercise or doctors being frustrated that they had to jump through hoops to obtain payment from …

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Partial Malingering

A patient can have a valid disorder yet still be malingering (falsifying complaints for purposes of tangible gain). Malingering is not a clinical disorder and it is not a fixed point on a scale.  Partial malingering is under voluntary control. Many in the legal and healthcare arenas believe a person either is, or is not, …

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Traumatic events: As an employer, do you want the employee back in the workforce before s/he has had ample time for treatment, …
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Freedom: It is important to look at the patient’s history of medical compliance. One of the forms patients complete …
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A psychological disorder by definition exists when there is an impairment in social and occupational functioning.  The individual …
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