Category: The Psychodiagnostic Process

Can of Worms

The concern is often expressed that a psychological exam, performed on an injured worker runs the risk of revealing problems that ordinarily not be address. In fact, the impact of a psychological exam is the opposite of what one would anticipate. It does not expand the scope of a complaint; it focuses it upon the …

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Time Loss

Time Loss It is extremely important to determine to what degree a patient is self-medicating and complicating his/her own recovery process. Time loss impacts the capacity for future goal setting. In the acute (short term) treatment of pain, aggressive pain management can prevent the patient from developing fear and hopelessness regarding the future. However, many …

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Clinical versus Administrative Decisions

Clinical Decisions: There are injured workers who appear to languish in care moving from orthopedic care to pain management to psychological care with no end in sight. The concern is whether we are serving these patients when we tie these significant problems to an injury. The problem can arrise when the clinical problem has been …

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Precious Time Lost

Time Lost: The elimination of all physical causes for a complaint and only then considering the psychological causes is referred to as diagnosis-by-exclusion. We are taught diagnosis-by-inclusion, to examine psychological causation with the same vigor as physical diagnosis, but we rarely do so. If a patient has complaints that are not readily verified, there are …

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harm

Harm

Harm:  There may be an unwritten policy to disallow “psychic” claims. The term “psychic”, by definition, …
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vicegrip

Vice Grip

Vice-Grip: Within workers’ compensation there is continual pressure to address only that which seems immediately and …
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following

Following

Following a psychological report can be laborious. Logically, diagnostic reports should begin with conclusions and recommendations …
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