Maladaptive Denial of Severe Pain and Acute Orthopedic Injuries in a Patient With a Schizoaffective Disorder
| Autor: | Curtis A McKnight, Jason P. Caplan, George P. Prigatano, Megan Andrews |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
orthopedic injury media_common.quotation_subject lcsh:BF1-990 Schizoaffective disorder Case Report behavioral disciplines and activities 050105 experimental psychology 03 medical and health sciences 0302 clinical medicine Denial mental disorders medicine Severe pain Psychology 0501 psychology and cognitive sciences denial of illness questionnaire Psychiatry General Psychology Acute pain media_common Psychological Denial Surgical care 05 social sciences medicine.disease schizoaffective disorder humanities maladaptive denial lcsh:Psychology Orthopedic surgery Severity level severe pain 030217 neurology & neurosurgery |
| Zdroj: | Frontiers in Psychology Frontiers in Psychology, Vol 11 (2020) |
| ISSN: | 1664-1078 |
| Popis: | Persistent denial of severe and acute pain following orthopedic injuries has not been previously reported. We present a case of a 24-year-old woman with a history of schizoaffective disorder who suffered severe pain secondary to acute orthopedic injuries who insisted, "I am fine! There is nothing wrong with me." Her maladaptive denial resulted in an initial refusal of necessary medical/surgical care, but she eventually accepted the necessary treatments despite her persistent belief she did not need such care. Her verbalizations and behaviors were characterized by active avoidance and angry reactions when a consulting psychiatrist spoke to her regarding her clinical condition. A modified version of the Conscious Avoidance subscale of the Denial of Illness Questionnaire was useful in measuring the severity level of her denial. This case report suggests that the behavioral features of psychological denial appear different from those associated impaired self-awareness secondary to an underlying brain disorder. |
| Databáze: | OpenAIRE |
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