Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression

The Overlooked Factors

It takes a considerable amount of time to gather all the medical information regarding an injury before we can determine how best to return an individual to work.

Those physical data are, of course, extremely important, but they only establish physical capacity, not the underlying human “will” and motivation.

I designed this very quickly administered diagnostic tool that, among other things, tells me if the patient feels that the injury _ruined my life_, if the patient _deeply resent(s) this injury,” sees it as having been _preventable_ and is now strongly blameful of others.

More importantly, among other information, this tool addresses the role of the job itself in the scheme of the patient_s life. Was the job _solely for the money_ and devoid of any emotional investment?

Administering this before I meet the patient enables me to target the patient_s goal for care in my, or any, office. It also tells me whether there is a stark contrast between being released to return to work versus true intent of doing so. That contrast is very common.

An impressive amount of time is spent finding objective data regarding the true extent of the physical injury. While those physical data are unquestionably important, it is essential to establish what the patient believes about the injury and plans to do as a result of those beliefs.”

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