Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Practice

“Please read articles associated with Evidence Based Practice.   It entails “applying the best available research results (evidence) when making decisions about health care. Health care professionals who perform evidence-based practice use research evidence along with clinical expertise and patient preferences.” The weak link in this equation can be “clinical expertise.” Evidence based practice must …

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Amputation

“You should find the articles below of interest in understanding the emotional response to amputation and the gender differences in psychological reactions to loss of body part.  When I was a kid, I had a barber named “Johnny,” and he owned a barbershop that was creatively named:  “Johnny’s Barber Shop.”   Johnny was doing quite …

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Families

“It is more difficult for well-educated middle class people who come from intact families to identify with patients who have had to struggle to survive.  So the first question I ask patients is whether they come from an intact family, and if not, what events conspired to result in their not being reared by biological …

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Purpose

Purpose Soon after asking why something has occurred, the most common follow-up thought is “what purpose does this serve…why do I deserve to suffer…who caused this…and if it was caused by me…what am I supposed to learn from this terrible event. Humans do not cope well with the concept of random events.  If we cannot …

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“Pain Behavior Research” “The self-perception of illness and disability is more correlated with unhealthy coping strategies and depression than it is with the actual physical damage.  This is why we see such a range in pain behaviors among our patients. When we can rule-out malingering, we are left with an awareness that we cannot understand …

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Patient Who Do Not Mobilize

The patient is released by the authorized treating physician_benefits cease_they still do not mobilize. To better understand …
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motivation

Perpetuating Dependency

Patient Dependency THE FAMILY: The family should facilitate recovery, but my experience has been that most often it facilitates …
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anti-depressant

Anti-depressant

“Anti-depressant Medication Authorization”: “We cannot be certain that the cause of a patient’s …
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