Category: Emotional Factors

Tertiary

Gain: “The concept of secondary gain is a frequently addressed observation as to the benefits a patient receives from an illness or injury. The term is sometimes used as an indictment of the patient. Since s/he derives gain from the physical complaint, some feel that the complaint is less important and warrants less concern. Tertiary gain …

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Unmet

Unmet Expectations:  “He feels that surgery did not go as planned, that the outcome was poor, yet we have the surgical notes which indicate that it was a successful lumbar fusion. Why the discrepancy?” “There can be a vast difference between OBJECTIVE surgical outcome and the patient’s SUBJECTIVE (emotional) response to that outcome. From an objective …

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Amotivational

Amotivational:”This is an all too familiar dilemma and is best represented by a recent patient: He sustained a non-surgical back injury. Non-surgical, in his case, is defined as `he is too young to embark on a course of repeated surgeries so he must learn to tolerate his pain until surgery becomes mandatory.’ He was performing, …

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Alexithymia

Alexithymia: “A patient and his wife were sitting in front of me. The issue was that he was physically abusing her, but she felt that she would be worse-off without him. I asked him how he felt after he harmed her. He said “I feel bad”. I asked him how he felt before he struck …

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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 of life, a moral compass or a love and respect for mankind. What is required is that you have the basic knowledge of your job, skills to carry out …

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unmedicated

unmedicated

Unmedicated: In the last half of the 20th century, the resistance to directly addressing psychological problems actually …
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exit

Exit

Exit: Life after injury is not ideal, but it is often much like a paid vacation. The 1944 French novel “Huis Clos” …
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relatedness

Relatedness

Relatedness to injury: There are far too many times that when treating an injured worker, I come upon serious health problems …
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