Category: Disability & The Family

Injury and Intimacy

Injury and intimacy: After injury, with a combination of pain (often mechanical), medication and depression, libido is largely absent and physical contact is avoided. There can be a problem with intimacy in the marriages of injured workers. This may have existed to some extent prior to injury, but it was managed within the marriage/relationship. Then …

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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 and resentment. The retaliatory drive that frequently governs society is often difficult to fully comprehend. Seeking of revenge/justice/restitution is a central component in many societies. The concept of self as victim and the corollary perception that someone else must …

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Intimacy and Recovery

For any lost time injury, the probable impact of changes in the marriage upon the course of rehabilitation needs to be closely investigated. Shortly after injury, they are mobilizing, talking to coworkers and their employers about a speedy return. But depending upon the extent of injury, pessimism then begins to set in, and they increasingly …

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This Ability vs. Disability

The presence a disorder (orthopedic, neurologic or psychologic) is not, in and of itself, a statement of disability. It is a statement of the *potential* severity of limitations. Example, a patient was seen in consultation. The examining psychologist rated the patient as “having 100% PPD to the whole body” (sic) due to the presence of …

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The Marriage of the Injured Worker

With some exception, such as abusive or unfaithful husbands, wives are initially, uniformly supportive after an injury. They move through the stages of shock and disbelief to marked concern and then, if recovery is not imminent, to depressed mood. Many wives of injured workers, however, thereafter become frustrated and angry. The wife either has have …

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hypervigilance

Hypervigilance

Hypervigilance is a symptom. Vigilance is the ability to stay focused upon a task and/or concept for an extended period of …
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contradiction

Contradiction

Contradiction “We read two of your consultation reports last month.  One said that the patient lost 20 pounds which was …
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generalized

Generalized

Generalized Anxiety Anxiety is a milder form of fear, and as you know, fear is an essential emotion that protects us from …
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