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Disability and Impairment in Medicolegal Settings: Pain Disability Controversies

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Handbook of Musculoskeletal Pain and Disability Disorders in the Workplace

Part of the book series: Handbooks in Health, Work, and Disability ((SHHDW))

Abstract

In both research and practice, the relationship between disability and impairment is a significant and often controversial player. Forming an effective research and clinical methodology foundation has been hampered by the complexities of the conceptualization and relationship issues of these concepts. A common complex disability encountered in medicolegal settings, pain disability, will be presented. Discussion extends to its diagnostic controversy, disability determination, and motivational issues including malingering and economy of primary, secondary, and tertiary gains and losses. This chapter intends to address these critical issues and suggest effective solutions, in particular, the biopsychosocial framework for conceptualizing pain disabilities and improved evidentiary support for validity, reliability, and fairness of methodological approaches in research and medicolegal practice pertaining high-stakes pain impairment and disability determinations.

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Authors and Affiliations

  1. Counselling Psychology Program, Department of Educational & Counselling Psychology, and Special Education, UBC, 2125 Main Mall, Vancouver, BC, Canada, V6T 1Z4

    Izabela Z. Schultz Ph.D, R.Psych, A.B.P.P, A.B.V.E

  2. Counselling Psychology Program, Department of Educational & Counselling Psychology, and Special Education, UBC, Vancouver, BC, Canada

    Catherine M. Chlebak M.A., R.C.C.

Authors
  1. Izabela Z. Schultz Ph.D, R.Psych, A.B.P.P, A.B.V.E
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  2. Catherine M. Chlebak M.A., R.C.C.
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Correspondence to Catherine M. Chlebak M.A., R.C.C. .

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Editors and Affiliations

  1. Department of Psychology, University of Texas at Arlington, Arlington, Texas, USA

    Robert J. Gatchel

  2. Dept of Educational and Counseling Psychology, University of British Columbia, Vancouver, British Columbia, Canada

    Izabela Z. Schultz

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Schultz, I.Z., Chlebak, C.M. (2014). Disability and Impairment in Medicolegal Settings: Pain Disability Controversies. In: Gatchel, R., Schultz, I. (eds) Handbook of Musculoskeletal Pain and Disability Disorders in the Workplace. Handbooks in Health, Work, and Disability. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0612-3_14

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