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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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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