Category: Emotional Factors

Rage Against Oneself

It was once believed that all depression was nothing more than rage directed against the self. We now know it is, for some, a great deal more complex. However, when an individual realizes that he/she has not completed an education, has not worked toward a career goal, has placed himself/herself in harm_s way by having …

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Free-Floating Fear

Anxiety is a fear that has become diffuse. It is normal to become concerned after an injury, concerned about the discomfort, about one’s career, about finances and about the family. In some cases, the anxiety becomes more of a problem than the injury. The individual becomes so anxious that they cannot understand what they are …

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The Exceptional Patient

Atypical Patient Needs Some would argue that the patient who wants to return to work is the exception. However, the true exception is the highly educated, managerial-executive patient who is unprepared for the nature of the workers-compensation system. Such individuals are not familiar with a health care system in which they have so little input, …

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Defense Mechanisms

Defense mechanisms are (largely) unconscious ways we use to defend ourselves against anxiety. Simply _not thinking_ (repression) about our bad marriage or failing to accept we drink too much (denial) keeps us from becoming upset. Somatization, the act of focusing upon bodily complaints rather than dealing with real life issues, is common among injured workers. …

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Alexithymia (ah-lex-eh-thy-mee-uh)

Many individuals (males more than females) cannot express their feelings verbally. They either act them out (destructively) or hold them in (intrapunitive and equally destructive). These people are referred to as _alexithymic._ They are more prone to somatoform (excess focus upon bodily) complaints. They are also more prone to psychosomatic (physical destruction arising from psychological) …

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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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injury

Injury

Injury: If a wealthy man were to win the Lottery, his spending behavior is unlikely to be significantly altered. He was already …
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tertiary

Tertiary

Gain: “The concept of secondary gain is a frequently addressed observation as to the benefits a patient receives from …
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