Category: Emotional Factors


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:”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: “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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Blame: The concept of living with permanent, even if partial, limitations evokes considerable anxiety in patients. We do not address the alarm that is evoked when it is apparent he/she “will be like this from now on.” In Freudian psychology, the concept of “displacement” was introduced to describe the process by which a patient reduces …

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Nervous:  To determine if a patient has had past psychological problems, there is a simply and inoffensive way of asking …
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Motivators & Occupation Are there some occupations that encourage recovery? For example, if you are an electrician, are …
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Resentment:  The vast majority of patients that are referred to me “in pain and depressed” have notable anger. …
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