Tag: <span>adams</span>

Psychology of Modified Duty

The Concept of Alternate Duty When you treat an injured worker, you quickly receive from the employer a job description for alternate duty. Too often, the employer is simply describing what the patient did when s/he sustained the back, neck, knee injury…robbery, assault, MVA or workplace violence. Sometimes, the alternative duties are virtually the same …

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Who Should Be Treated?

Before the patient is treated: If formal psychological diagnostic exam reveals that a psychological disorder exists that has resulted from injury or been exacerbated by injury, then the following series of decisions must be made: a. Is the patient sufficiently motivated for change; interested in being treated? b. Is the patient intellectually capable of understanding …

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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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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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Developmental History & Failure to Recover

The developmental history is important to understanding a patient_s pattern of recovery, and it is critical for many reasons: …
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Distrust and Mistrust

An injured worker’s suspicion and doubt over the quality of their care is _the crisis of distrust and mistrust._ After …
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Infliction of Guilt

If those who cause work-related injury experience guilt or remorse, it is rarely expressed to the patient. The role where …
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