Derebery V J, Tullis W H
J Occup Med. 1983 Nov;25(11):829-35.
Under certain circumstances patients who are receiving compensation for an injury will have a disproportionate disability and delayed recovery because of reinforcers provided by the accident. Successful treatment depends on early recognition that the primary problem is emotional rather than due to concurrent physical problems. A few general rules can be helpful in the diagnosis and treatment of this type of patient. A thorough psychosocial history should be taken, and return to work as soon as possible is essential. With awareness of this process, the physician can work with the company, the therapist, and other consulting physicians to minimize the patient's disability and to maximize recovery.
在某些情况下，因受伤而获得赔偿的患者会因事故带来的强化因素而出现不成比例的残疾和恢复延迟。成功的治疗取决于早期认识到主要问题是心理方面的，而非同时存在的身体问题。一些通用规则有助于这类患者的诊断和治疗。应全面了解患者的心理社会病史，并且尽快让患者重返工作岗位至关重要。了解这一过程后，医生可以与公司、治疗师及其他会诊医生合作，尽量减少患者的残疾程度并最大程度促进康复。
