Category: Emotional Factors

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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Impotent Rage

For many males working in blue collar, labor-intensive positions, their power, strength, stamina and (often) tenuous financial position is the only evidence of their masculine identity. They are angered that this has been _taken away_ by their injury. They are angry with their doctors, angry with their nurse case manager, angry with their adjustor_angry with …

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The causes of procrastination

Procrastination Procrastination is a behavior involving the delaying of actions to a later time. Procrastination is a way of coping with anxiety that is associated with starting or completing any task/decision. Researchers also have three criteria they use to categorize procrastination. To be “procrastination,” it must be counterproductive, needless, and delaying. Importantly, while people procrastinate …

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compliance

Compliance

Compliance: His wife called and said that he has been very depressed. So we scheduled him for an appointment. He has failed …
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commitment

Commitment

Commitment: “The most common reason for being referred for psychotherapy is to help resolve a conflict. This may be …
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mismanagement

Mis-management

Mis-Management: Many psychological complications arise from case mis-management when clear signs of emerging problems go …
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