Category: Pain


Candidate: “When it became mandated that all patients seeking implant trial (whether pump or stimulator) be psychologically evaluated, I was pleased yet surprised. Pleased that there was an awareness that each patient has different psychological capacity to tolerate an implant trial. And I was surprised that anyone noticed that this was true. Between the pain …

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Persistent & Severe: “There are some terms that continue despite their not being accurate descriptors. A “cold” or a “stomach ache” or “a sore back” are such terms. They tell us little about either the source or the extent of the discomfort and suffering. Chronic pain is such a term. We are familiar with pain, and …

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Co-Morbid Patients who are taking prescribed narcotics for their chronic pain are exposed to a system in which the following is true: a. Time spent with the patient is specifically targeted at the site of the pain and not the person who has the pain. b. Although drug testing can determine if the patient is …

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Feeling Their Pain

Feeling the misery of others is a dubious task. Many patients feel that none of their friends, family or prior co-workers appreciate the extent and intensity of their pain. These patients may find themselves placed in chronic pain support groups, just as there are groups for other human conditions from smoking to gambling. However, the question must be asked as to whether support groups enable the patient a new means of feeling, …

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Aspects of Pain

Aspects of injury are two very different but complimentary ways of conceptualizing pain management: The administration of procedures and medications that are intended to reduce the experience of pain Techniques used by the patient to understand and cope with pain. Many injured workers do not understand, and in a dependent fashion, do not attempt to …

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Commitment: “The most common reason for being referred for psychotherapy is to help resolve a conflict. This may be …
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Mis-Management: Many psychological complications arise from case mis-management when clear signs of emerging problems go …
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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 …
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