Category: The Sociology of Injury

Discarded

Discarded patients: Several years ago, I passed the threshold of having seen 5,000 injured workers. Most of the patients recovered from both their injuries and the emotional consequences of the injury. However, there are a large number of these patients who remain deeply burned into my psyche and will forever be concerning, simply because they …

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The Mill

The Mill: I had a patient with a persistent headache and dizziness. He told his friend, a gastroenterologist, about the symptoms. The friend recommended “a colonoscopy and then maybe a neurologist.” Many are guilty of seeing the world solely through their own perspective, their mill. The breast cancer survivor wants to do charitable work in …

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Money

Money: The patient’s focus upon the financial value of his/her claim adversely impacts psychological progress and should not be a focus of treatment. Here are three ways of conceiving the patient’s interest in the monetary value of an injury, and these, for some patients, are overlapping a. The patient has significant lost income over the …

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COPS

Police: I have consulted to police departments for decades. And the key differences are that police officers see their career choice, role, and stressors as unique to their form of work. Also, they see a specific structure of authority and a level of responsibility that is much less common outside law enforcement. The psychology of …

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Default Decisions

Decisions “A child may say that s/he does not like to read, does not like science or math, and that playing ball is boring. The reality may be that the child has difficulty learning language arts, cannot concentrate sufficiently to perform numerical calculations and/or lacks the coordination for sports. S/he has learned to denigrate and …

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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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