Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Developmental History & Failure to Recover

The developmental history is important to understanding a patient_s pattern of recovery, and it is critical for many reasons:

1. If the patient comes from a family with disabled parent(s), there has been role modeling early in life for acquiescing to the disability role.
2. If the patient_s marriages were unstable, the patient may have continuing instability and inconsistent support, both emotionally and financially
3. If the patient_s developmental history is characterized by poverty, adaptation to the low benefits inherent in workers_ compensation may too readily occur.
4. If the patient did not have a same sex role model who had a specific career or record of productivity, the patient_s expectations for/from a career may be quite low.
5. If the patient was a victim of trauma, abuse, abandonment or neglect, he/she may carry not only the trauma but the resultant distrust into situations that involve authority (Eg. Employers, doctors, insurers, etc).
6. If there was a family history of addictive and/or mood disorder, the patient_s vulnerability for these disorders is increased

_and there are truly numerous other developmental predictors of recovery. The best prediction of future behavior is past behavior. It is not possible to fully manage a case without knowing what developmental history led the patient into the injury situation.

Comments for this post are closed.

Distorted Renditions of Injury

When there is money involved, truthfulness in patient disclosure can become a concern. A study by the Research Council in …
Read Blog Post

Disability or Disorder

The last thirty years have taught me that there is truly only one effective approach, and this applies to surgeons, nurses …
Read Blog Post

painful

Painful Thinking

Painful Thinking “Executive functions” is a global term that is used to describe our cognitive skills: our ability …
Read Blog Post