There are four potential sources of an abrasive attitude:
a. Someone there or at the insurance company did something to offend him
b. Something is going on in his life/marriage/finances which has him frustrated
c. But quite often such patients are simply angry at their employer
d. Dealing with the injury is overwhelming to the poatient
They see their employer as either the cause of the accident and/or totally unsympathetic for their plight.
The first step would be to have him describe in detail the nature of the accident and then directly ask him _do you feel that someone else is to blame for what happened to you? Could it have been prevented?_
Then ask if he feels that his employer _was truly concerned about this accident and providing prompt medical care._
Ask him if there are any needs not being met (promptness of checks or filling prescriptions or ordering tests).
Finally, ask him _is there something other than the accident which is a problem right now?_
Patients can and do misinterpret, misrepresent and misunderstand much of what is done or told them.