University of Minnesota School of Medicine, Minneapolis, MN, USA.
, Plymouth, MN, USA.
Curr Pain Headache Rep. 2021 Apr 6;25(6):39. doi: 10.1007/s11916-021-00954-3.
This review explores the workings of the legal process in posttraumatic headache (PTH) claims by discussing representative court cases, the approaches taken by both plaintiff and defense attorneys in evaluating a client with PTH, and the role of the expert witness. This discussion also examines the question of whether or not litigation prolongs the symptoms of PTH and concussion, looking at the issues of malingering and the psychological effect of litigation.
Litigation prolongs recovery of PTH, primarily not from malingering but rather due to the psychological mindset of the plaintiff as created by the litigation process. Just as the medical community struggles with PTH diagnosis, mechanism, and treatment, the legal system grapples with identifying valid claims for PTH. Psychological support is an important component for PTH recovery to more effectively deal with the psychological impact of litigation and the concept of perceived injustice.
本文通过探讨有代表性的法庭案例、原告和被告律师在评估创伤后头痛（PTH）患者时所采用的方法，以及专家证人的作用，探讨了法律程序在 PTH 索赔中的运作方式。本文还讨论了诉讼是否会延长 PTH 和脑震荡症状这一问题，研究了诈病和诉讼心理影响等问题。
诉讼会延长 PTH 的恢复时间，这主要不是因为诈病，而是因为诉讼过程中原告的心理状态。正如医学界在 PTH 的诊断、发病机制和治疗方面存在困难一样，法律体系也在努力确定有效的 PTH 索赔。心理支持是 PTH 恢复的一个重要组成部分，它可以更有效地应对诉讼的心理影响和被认为不公正的概念。
