1	Managing the New Culture of Disability
2	Seminar Structure
3	Who am I? By way of history Professor As defined by this community Shrink in private practice As defined by business and industry Decision-making consultant As defined by my profession Arrogant and narcissistic As defined by my kids Like so totally embarrassing As defined by my dealer, escort service and bookie Whiney and annoying As defined by workers’ compensation The Last Word
4	Employee Risk Management The UPC Code Understand employee behavior Predict employee response to stress/demands Control costs, outcome and impact of employee dysfunction If time permits, Questions & Answers
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6	Seminar Concept Difficulty
7	"What is wrong with an..." What is wrong with an employee? How did they get this way? Why is this our responsibility? When will this be resolved? Where can I get assistance?
8	The Deleterious Impact of Pseudoscience & Psychobabble Recent research on testosterone, creativity, etc The neutralization of male/female roles The lack of individual accountability The seeking of disability status The media “experts” The public is dependent The public is ill-informed The public cannot evaluate credentials The “diseasification” of life’s events
9	Diseaseification: Speculation upon Disabling Disorders in 2008-2012 E.D., A.D.D., P.T.S.D., G.A.D., S.A.D., P.M.D.D., M.D.D H.D.D. Horny Dude Disorder N.N.A.C.D. Nostrils Naturally Attracted to Cocaine Disorder I.S.D. Implant Stress Disorder Implant-desire disorder Implant-envy disorder Implant eye-strain disorder M.L.S.S.D. My Life So Sucks Disorder
10	Simple-But-Invaluable Truths of Life No one except you “feels your pain” Terms like “embrace your inner child” are worse than meaningless Appearing on talk shows -> Wealth = Truth Women are from Newark not Venus …Men get up Uranus
11	What Makes Us Tick: The BioPsychoSocial Model
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13	Neurobiology of Mood “it’s all in your head”
14	Brief Symptom Checklist of the Depressed Employee Employee lost or gained significant weight? Employee complains of specific sleep problems? Employee is irritable? Employee is forgetful, has difficulty concentrating and/or has trouble making decisions? Employee feels guilty and/or worthless? Employee readily becomes tearful? Employee ceases to enjoy hobbies or interests? Employee has had a decrease in libido? There is psychomotor agitation or retardation? Employee expresses thoughts about death?
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16	The Employee R.E.D. Flags Resentment Envy Deservedness
17	Factors Driving Reduced Productivity Misperceptions of personal health/illness/injury Use of health complaints to manipulate Use of health complaints to resolve “life’s” problems Our culture of entitlement
18	Employee Management Myths Employee will work because treating physician says he/she is able Employee complaints are quantifiably measured by lab tests You can coerce an employee back to work Honest employees behave rationally Employees have more problems than doctors
19	Understanding The Psychology of the Worker
20	"Atlanta Medical Psychology" Atlanta Medical Psychology
21	Know Your Statistics 18-22% of general population have symptoms of one or more psychological disorder Lifetime prevalence may approach 25% 80% will never seek care 5% of surgeries may be due to purely psychological symptoms 10% of adult Americans suffer from Personality Disorder These figures are significantly greater for injured workers
22	Amorphous Mental Health Morass Clinical Disorders Personality Disorders Compulsive Dependent Narcissistic Anti-Social Avoidant Paranoid Borderline
23	Family & Societal Factors Contributing to Disability Claims Dependency Family Reinforcement Financial Remuneration Need for Retribution Fear of the Future Educational/Occupational Inadequacy Intellectual Limitations
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25	Facts: All of Life is Psychological Psychological Aspects of Living are not Disorders A Psychological Disorder is not a disability Different is not disabled
26	The Causes of Claims of Psychological Incapacity to Work (A Multiple Choice Exam) Fraud & Deception People are weenies Algaecide Needed in Gene Pool All of the above
27	The Synonyms for “Psychological” as Found in Medical Reports Functional Overlay Conscious Embellishment In excess of objective findings Non-physiologic Indicators Symptom Amplification Inconsistent Effort Secondary Gain Faking/malingering
28	Psychologically Critical Factors Impacting Employees Disability in Family Traumatic Development Educational Background Economic Background Past Litigation Marital History Medical History Occupational History Perceptions of Current Condition
29	Factitious Disorder vs. Malingering Goal is to remain in the patient role Voluntary production of symptoms Symptoms are almost always plausible Is a disorder warranting treatment Goal is tangible gain, chiefly financial. Voluntary production of symptoms Symptoms sometimes bizarre Is not a disorder but simply manipulation
30	Malingering Pure Malingering Partial Malingering Malingering by Assimulation Malingering by Dissimulation Malingering by False-Imputation
31	The Anti-Social Model Employee sees this as an economic opportunity. He may have engaged in similar behaviors in the past He is unrepentant His goal is simply financial and to gain control of those about him
32	Bottomline Over time, some people will appear increasingly dysfunctional These dysfunctions will effect their productivity and those about them You cannot ignore problems out of existence “Elective Dysfunction” is increasingly being called a “disability” Human resource programs are not equipped for the degree of psychopathology that appears in the workplace There will be legal repercussions for not addressing problems when first detected Insure that your company has access to a consulting psychologist, know credentials…
33	"This seminar will leave you..." This seminar will leave you clarified, enthusiastic, and determined You will rush back to your office and implement many plans Quickly, you will find your determination wane You will return to your old patterns of behavior You will then feel an irrepressible urge to e-mail me your credit card numbers including expiration date and the little code thingie.
34	Conclusion & Epilogue
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