Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Families

“It is more difficult for well-educated middle class people who come from intact families to identify with patients who have had to struggle to survive.  So the first question I ask patients is whether they come from an intact family, and if not, what events conspired to result in their not being reared by biological …

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Purpose

Purpose Soon after asking why something has occurred, the most common follow-up thought is “what purpose does this serve…why do I deserve to suffer…who caused this…and if it was caused by me…what am I supposed to learn from this terrible event. Humans do not cope well with the concept of random events.  If we cannot …

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“Pain Behavior Research” “The self-perception of illness and disability is more correlated with unhealthy coping strategies and depression than it is with the actual physical damage.  This is why we see such a range in pain behaviors among our patients. When we can rule-out malingering, we are left with an awareness that we cannot understand …

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Fakery

Concerns for Fakery Fakery: The diagnosis of posttraumatic stress disorder (PTSD) is rather straight forward; it is not that difficult to diagnose, but equally true, it is easy to fake.  Malingered PTSD and its detection has been researched for almost two decades.  PTSD and ADD are the two most commonly faked psychological conditions.  But, in …

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Cumulative

Trauma: Soldiers killed in the line of  duty was the foundation for what we now call acute and chronic posttraumatic stress disorder. Combatants (and civilian first responders) bear witness to the potential or actual death of coworkers.  The disorder can also occur among those hearing details of the traumatic events. It can arise in family or …

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11 Things You Should Know

Here are eleven things you should know about depression: 1. It is most often diagnosed incorrectly and thus under-diagnosed. …
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"The Obese Masses"

“Many injured workersare obese. This does not help them as far as their back pain goes. Some are depressed. A worthy …
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Pre-Surgical Preparedness

The psychological examination of pre-surgical patients involves the investigation of the patient’s a. Understandingb. …
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