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Minggu, 30 Maret 2014

Reviews About Post-traumatic Neurosis: From Railway Spine to the Whiplash (A Wiley medical publication) (Hardcover)

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While this book is not the last word on post-traumatic neurosis, the previous reviewers seem to have drawn very different points from it. What Trimble seems to say, at some length, is that "neurosis" and "neurotic" are not medical codes for "mad, bad, making it up, mallingering, trying it on, looking for cash etc". I am an orthopaedic surgeon, and have no particular axe to grind. Patients with whiplash often present with symptomatology that cannot be borne out either by examination or investigations. That is not to say that they are not very real, neither am I suggesting that all of these patients are making it up for financial gain. The sooner litigants and their lawyers get out a medical/psychiatric dictionary and look up neurosis, the better. Then we can remove the prejudice that goes with it, and accept that the accident can cause psychological as well as physical trauma, and that both can be very disabling. I think that Trimble makes many of these points, and when talking litigation neurosis (for which there is a great deal of good research), he is clearly seperating it from malingering, which is conscious and deliberate.
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