Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Blame

Blame: The concept of living with permanent, even if partial, limitations evokes considerable anxiety in patients. We do not address the alarm that is evoked when it is apparent he/she “will be like this from now on.” In Freudian psychology, the concept of “displacement” was introduced to describe the process by which a patient reduces …

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Feeling Their Pain

Feeling the misery of others is a dubious task. Many patients feel that none of their friends, family or prior co-workers appreciate the extent and intensity of their pain. These patients may find themselves placed in chronic pain support groups, just as there are groups for other human conditions from smoking to gambling. However, the question must be asked as to whether support groups enable the patient a new means of feeling, …

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Onset

Sleep Onset and Sleep Maintenance We do know that psychological disorders are comorbid (occur together) with sleep disorders. There is debate as to whether the lack of sleep causes (for example) depression or if, instead, depression creates a brain/behavior pattern that disrupts sleep. In either case, an individual in pain will have difficulty with sleep …

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The Mill

The Mill: I had a patient with a persistent headache and dizziness. He told his friend, a gastroenterologist, about the symptoms. The friend recommended “a colonoscopy and then maybe a neurologist.” Many are guilty of seeing the world solely through their own perspective, their mill. The breast cancer survivor wants to do charitable work in …

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Aspects of Pain

Aspects of injury are two very different but complimentary ways of conceptualizing pain management: The administration of procedures and medications that are intended to reduce the experience of pain Techniques used by the patient to understand and cope with pain. Many injured workers do not understand, and in a dependent fashion, do not attempt to …

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alexithymia

Alexithymia

Alexithymia: “A patient and his wife were sitting in front of me. The issue was that he was physically abusing her, …
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co-morbid

Co-Morbid

Co-Morbid Patients who are taking prescribed narcotics for their chronic pain are exposed to a system in which the following …
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bad actors

Bad Actors

Bad actors: You do not have to be a nice person to be a police officer. You do not have to have self-insight, a good philosophy …
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