Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

The Sociology of Injury

If work is solely for money, then money can replace work. However, when an individual is out of work, his/her role in the family and society changes. Not aggressively returning a patient to productivity is arguably the greatest disservice we can do to them. Most of us spend the first 2+ decades learning how to …

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Disorder vs. Disability

The Diagnostic & Statistics Manual of Mental Disorders lists the known psychological disorders and the symptoms that are necessary for that diagnosis to apply. In the introduction of that manual, it clearly states: __mental disorders may not be wholly relevant to legal judgments_individual responsibility, disability determination and competency._ The most potentially disabling disorders such as …

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Impotent Rage

For many males working in blue collar, labor-intensive positions, their power, strength, stamina and (often) tenuous financial position is the only evidence of their masculine identity. They are angered that this has been _taken away_ by their injury. They are angry with their doctors, angry with their nurse case manager, angry with their adjustor_angry with …

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Alexithymia (ah-lex-eh-thy-mee-uh)

Many individuals (males more than females) cannot express their feelings verbally. They either act them out (destructively) or hold them in (intrapunitive and equally destructive). These people are referred to as _alexithymic._ They are more prone to somatoform (excess focus upon bodily) complaints. They are also more prone to psychosomatic (physical destruction arising from psychological) …

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Defense Mechanisms

Defense mechanisms are (largely) unconscious ways we use to defend ourselves against anxiety. Simply _not thinking_ (repression) about our bad marriage or failing to accept we drink too much (denial) keeps us from becoming upset. Somatization, the act of focusing upon bodily complaints rather than dealing with real life issues, is common among injured workers. …

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Threats of Violence

There are the patients that come to each visit with all xrays, lab reports, MRI results, progress notes, correspondence and …
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pain relief

Pain Relief: The Futile Quest

Relief from Pain: Relief from pain is a biological drive. I do believe that a major task in front of those with chronic pain …
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Psychological not Psychopathological

Is it not a normal response to be depressed by a significant injury? You lose fingers, or injury your back, or have a shoulder …
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