Category: Patient Behavior

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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“Compromised Honesty“

Honesty and Integrity Patients in any specialty are selective in their history. Patients withhold information for a variety of reasons, but regardless of the reason, patients are rarely full disclosive.  Honesty and integrity become issues of concern. I recall seeing a couple for their pre-marital problems. The problem: He wanted to marry, and she did …

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alexithymia

Alexithymia

Alexithymia: “A patient and his wife were sitting in front of me. The issue was that he was physically abusing her, …
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co-morbid

Co-Morbid

Co-Morbid Patients who are taking prescribed narcotics for their chronic pain are exposed to a system in which the following …
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bad actors

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 …
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