Category: Emotional Factors


“Cynicism is an attitude or state of mind characterized by a general distrust of others’ apparent motives believing that they are selfish in nature and/or displaying that themselves. A cynic may have a general lack of faith or hope in the human race or in individuals with desires, hopes, opinions, or personal tastes that a cynic perceives as unrealistic …

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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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“Transference” We all know stories of adult children of alcoholics and their proneness to date and marry alcoholics themselves. An important and unresolved relationship in childhood becomes transferred onto adults with whom we later interact. Transference is a phenomenon characterized by unconscious redirection of feelings from one person to another. Transference is normal and is only …

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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 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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Financial Advisor I have a patient who was injured >2 years ago. Despite three surgeries, she has not recovered sufficiently …
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Recovering or Retribution We are a retaliatory species, and if someone causes harm to us, or to someone about whom we care, …
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Rx abuse

Rx abuse: We largely rely upon subjective assessments of pain. “How much does it hurt on a 1 to 10 scale?” I …
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