Category: Emotional Factors

Blame

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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Burn

Burn: I had a patient who was barely 21 at the time of his injury. He was shy, poorly educated and had never dated. He had a minimally skilled production job working with solvents. The solvent sprayer had an old and leaking hose which had spewed solvent upon him. There was an electrical short in …

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Hateful

Hateful patients: It has always been irrational to be forced to treat a patient who is either physically threatening or emotionally abusive. While patients certainly have a right to their emotions, hateful do not have the right to translate them into physical or verbal behavior. There is a commonly held misperception among the lay public …

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Police Officers

I treat police officers and have for three decades. They have some of the most serious and alarming of all physical injuries of all those occurring on the job. Police officers quite often present with a combination of major depressive and post traumatic stress disorders. These diagnoses are most often missed by those treating their …

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Related

Related to injury? I asked a patient how she was coping with pain. She stated that she continued to have significant neck, shoulder and leg pain from her fall. She then added “oh, I might as well tell you, no one else cares…my son has been arrested, my daughter is pregnant, and I am facing …

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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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