Category: Patient Behavior

Partial Malingering

A patient can have a valid disorder yet still be malingering (falsifying complaints for purposes of tangible gain). Malingering is not a clinical disorder and it is not a fixed point on a scale.  Partial malingering is under voluntary control. Many in the legal and healthcare arenas believe a person either is, or is not, …

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Quitting

“The Psychology of Quitting” Follow the natural progression of any injury, occupational or home: Pain equates to initial shock and disbelief, rapidly followed by self-assurance derived from the reassurance of others that we will be fine in time. When the pain becomes more than a simple “sprain” and recovery will take days or weeks, we …

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Delusions

The shared delusions: When doing a history and physical, a rudimentary “psych” history is obtained. This is intended to rule out blatant and obvious psychopathology. It tells us very little about the patient. Indeed, our focus is limited to the patient’s chief chief complaint. As an injured worker passes through the paths of occupational medicine …

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Patient Candidacy

Candidacy: A patient may be depressed, phobic, have a traumatic disorder, illness anxiety disorder or a host of other mental or emotional problems. This does not mean that psychological care can help all patients even though they have the same disorder. There are matters of motivation, capacity to verbalize complaints, ability to develop intellectual insight …

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Surveillance

Surveillance as a Disincentive to Recovery “…he’s supposed to be disabled and here he was working in his yard, going for walks and playing ball with his kids…” Dr. Adams replies: Many believe that an injured worker, if truly disabled, cannot work and will not attempt any activity. On the other hand, if any patient …

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satisfaction

Satisfaction

Satisfaction for patient and provider: A survey in 2013 reported that: “An alarming 70% of those surveyed in a recent …
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checkers

Checkers

Checkers vs. Chess: “It may be difficult to trace the origins of healthcare becoming a competitive sport where doctors …
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partial

Partial Malingering

A patient can have a valid disorder yet still be malingering (falsifying complaints for purposes of tangible gain). Malingering …
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