Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Hysterical Patients

Hysterical (histrionic) The term hysterical comes from hysterus (implying “wandering uterus”) since the earliest observations of these patients was that their complaints migrated from one site to another. Fix one thing and up crops another. It has been referred to as conversion disorder often concurrent with histrionic personality disorder. Such patients are uncomfortable when they …

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Narcissistic Insult

The Narcissistic Insult Concept Narcissism is excessive self-involvement. The patient sees him/herself as being possessed of great talent or achievements and wants recognition for obvious superiority. Such individuals perceive themselves as powerful, brilliant and/or beautiful, and they believe that they are special, unique and want a great deal of admiration. They have a sense of …

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Disability – Looking for Alternatives

Disability Disability becomes a relative term after an examination is made of residual abilities. If we look at those who are disabled, or claim to be disabled, and you separate out those who are validly, clinically, depressed, we find that the depressed patients feel helpless. They believe that there is nothing which they personally can …

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Hopelessness & Suicide

Hopelessness While most of us will feel helpless at times, and many of us will describe a particular situation as hopeless, fewof us will see our life itself as hopeless. Hopelessness in this context involves several major aspects, among those are: a. Fear of the future b. Negative future expectancy In these cases, the future …

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The Concept of Pathoplasticity

Pathoplasticity Regardless of what illness or injury we have incurred, no two of us appear to respond the same to almost identical situations. This is the concept of pathoplasticity. When we have the flu, or a sprained ankle, or a bruised knee, we have different levels of alarm, concern, expectancy and different ways of responding, …

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Cultural Differences

With America as a cultural melting pot, we have to be prepared for differences in the ways cultures handle psychological …
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Post-Surgical Concerns

Often the problems the patient is encountering were set in motion prior to surgery and sometimes prior to injury. We have …
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Injury as Vengeance

I strongly believe that any lost time injured worker should be referred for evaluation if they are 3-6 months post injury …
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