Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression

Fraud and Deception

There are many critical data in the patient_s developmental and family history that do (should?) appear in a psychological IME.

In order of importance, they are:

Àô Was the patient_s primary role model missing or maladaptive during the developmental period?

Àô Is there a pattern of disability in family members, especially same gender role models?

Àô Was the patient reared in a household in which the source of income was disability payments?

Àô Do same gender role models work in unsatisfying jobs?

Àô Did the family relocate frequently, obviating the formation of peer relationships?

Àô Did the family relocate due to head-of-household inability to generate income?

Àô Was the family income supplemented by settlement of personal injury litigation?

Àô Does the patient have sibs whose physical or mental disorders have adversely influenced their productivity?

Àô Did the patient have a pattern of discipline problems in school?

Àô Did the patient terminate education early due to lack of motivation?

Àô Was the patient_s education adversely influenced by learning disabilities or mental retardation?

Àô Does the patient have a past history of arrest?

Àô Does the patient have a past history of violent acts?

Àô Does patient or 1st degree relatives have history of addictive disorder?

Àô Do the patient or 1st degree relatives have history of mood or anxiety disorder?

Àô Was the patient abused during the developmental period?

Àô Did the patient receive a medical, general or dishonorable military discharge?

Àô Has the patient had dependent children for which the patient has provided no support?

Àô Has the patient had three or more primary relationships ended because of dysfunctional behavior patterns?

Àô Are there primary relationship conflicts which are the true source of concern?

Àô Are the patient_s problems primarily financial?

Àô Do disability benefits approximate the patient_s pre-injury income?

Àô Are there exogenous-to-injury problems which are influencing patient behavior?

Àô Does the patient spend days with one or more disabled friends?

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