Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Rage Against Oneself

It was once believed that all depression was nothing more than rage directed against the self. We now know it is, for some, a great deal more complex.

However, when an individual realizes that he/she has not completed an education, has not worked toward a career goal, has placed himself/herself in harm_s way by having to work semi-skilled and potential dangerous jobs, such injured workers often blame themselves.

Since such self-blame is intolerable, they become sullen, withdrawn, irritable and defensive. They are loathe to admit to friends and family that _this is really all of my own making_I should have never put myself in this position_

Instead, they become accusatory, self-righteous, defensive and blameful of others.

The resolution of this is to insure that the patient not become fixed in self-blame and begin to aggressively examine available options.

The one option that is not available to anyone is the capacity to change what has already occurred.

The option that is available is that directed to insure maximum utilization of the future. Few patients initially realize either of these, but can rapidly learn to do so.

Comments for this post are closed.

Preparedness for Chronicity

There are unquestionably cultural patterns that we see emerge among and between patients from various societies. Asians, …
Read Blog Post

Pseudo Р“Posttraumatic Stress Disorders”

A worker lifted a machine part and strained his back at work two weeks ago. His attorney says that he needs care for posttraumatic …
Read Blog Post

Problems vs. Disorders

The majority of injured workers, especially in Georgia, come from _industrial_ jobs which include the construction industry, …
Read Blog Post