Shopping Cart
Your Cart is Empty
Quantity:
Subtotal
Taxes
Shipping
Total
There was an error with PayPalClick here to try again
CelebrateThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Higher-Land Oc​cupational Therapy, PLLC

My Blog

Blog

Secondary Gains

Posted on April 15, 2019 at 1:36 PM
"Secondary gains" is the term applied to the gains a person obtains through being ill or injured: through defining themselves by their diagnosis. These gains could be monetary, social, or personal. 

On the surface it seems illogical to think that a person could obtain any gain from any diagnosis, and no professional medical provider would automatically assume that any patient would have any gain from a diagnosis. How could someone possibly benefit from never being able to get out of pain after an auto accident, or never be able to heal completely from a surgical procedure? It is rare for the mind to take this direction, and it is almost always on a subconscious level, at least at first, but it happens. Munchausen, and Munchausen by proxy are extreme examples of having secondary gain from a diagnosis. 

What this looks like in the treatment room can be very subtle with most people. as a pain management therapist, I have seen patients use an illness to say "no" for her when she cannot say "no" herself to bosses, family, friends. Her diagnosis now gives her an out from all the business and service; an excuse to care for herself for once. I have seen patients use the diagnosis to punish and manipulate family for not serving her/him. The patient always gets more ill, or more in pain after doing a thing and then complains bitterly that "nobody else" would do it.. "and now just look at me". Patients who get out of work as a result of diagnosis find that others will pay their way, and they no longer really have to work, and the diagnosis is a very good "reason" to not work. 

The most interesting secondary gain I have seen is when a patient actually begins to define him/herself by the diagnosis. Every aspect of this person's life will revolve around the diagnosis. It is the single most intense focus on any social media page, they usurp conversations to divert toward the diagnosis and how any subject involves the diagnosis. Often you will hear them say variations of, "well at least you don't have.... (fill in the blank, I have heard them all.) 

This person will spend their time with me complaining about all the other medical professionals who have not helped them, who would not listen to them, who have fired them, etc. This person will reject any and all suggestions I make with a reason or two why that suggestion cannot work. this patient also makes it his/her mission to educate everyone, including doctors, nurses, therapists, the check out person at the sore... regarding the diagnosis and how much suffering it entails.

When a person has come to define himself/herself by a diagnosis, this entrenched mentality is very difficult to overcome, because none of us wants to lose our identity as such a loss creates quite a bit of internal chaos. The patient actually has the diagnosis, and it really is painful and often debilitating, so identifying and understanding the line between treating the diagnosis and enabling the mental illness becomes very difficult. 


 

Categories: blocks to healing

Post a Comment

Oops!

Oops, you forgot something.

Oops!

The words you entered did not match the given text. Please try again.

87 Comments

Reply d
5:22 AM on May 10, 2019 
d
Reply sdfsd
10:48 AM on May 10, 2019 
sdfsd
Reply australian custom essay writing
10:52 AM on May 10, 2019 
This time Cassie F Patzig has posted his article in a very brilliant way as his unique informational blog impressed me. Couple of previous articles from him are also readable and appreciable.
Reply dissertation writing services us
1:59 AM on May 16, 2019 
d says...
d

I did not really know much about this term, that is until I had read it in this blog of yours. I am really happy that I got to learn a new word, especially since I will be entering the adult world. If you ask me, it is important that we understand just how important it is to be familiar with certain words and terminologies. I hope that you enlighten me with more in the future. I hope that I can share this with my friends as well.
Reply tableclothsfactory
3:37 AM on May 30, 2019 
Secondary Gains
Reply new knee injection treatment
7:59 AM on May 30, 2019 
Good work by the blog writer! such a nice and informative article keep sharing more articles.
Reply Sciatica Pain Frankfort
9:52 AM on May 30, 2019 
Hello admin! This is remarkable article as well as it is valuable for the entire person and I want to say that I would like to write on this subject too. You have an interesting written of this topic.
Reply wholesale eyelashes
2:34 AM on June 4, 2019 
Secondary Gains
Reply wedding stubby holders australia
2:35 AM on June 6, 2019 
Secondary Gains
Reply iphone 8 plus cases
9:24 AM on June 7, 2019 
Secondary Gains
Reply soulja
7:53 AM on June 16, 2019 
Secondary Gains
Reply soulja
2:38 AM on June 17, 2019 
Secondary Gains
Reply cytotoxin
11:50 AM on July 3, 2019 
Secondary Gains
Reply David Smith
8:54 AM on August 21, 2019 
Very good article about the term secondary gains. I am so happy to read this post and carry on it. grass mats for indoors
Reply Lara
10:08 AM on August 21, 2019 
I am glad to read your blog .your way of working is really awesome and cool. Its really informative and cool post. thanks for sharing the nice awesome blog.

epdm rubber roofing kits
Reply Simy
10:42 AM on August 21, 2019 
Great inspiring blog. I am truly impressed your work and like your writing skills. Thanks for nicely sharing
heavy duty tarps
Reply Robert
11:17 AM on August 21, 2019 
Your blog is really informative me and cool. your blog is really informative me and cool. your blog is really cool and great. thanks for sharing the nice and cool post.
Tarpaulin for sale in uk
Reply Jack Harry
11:50 AM on August 21, 2019 
This article is very nice as well as very informative. I have known very important things over here. I want to thank you for this informative read. Thanks and carry on sharing it.
Low cost tarpaulin covers available
Reply Tinky
12:22 PM on August 21, 2019 
I am glad to read your blog its really cool and good. I am impress to read your blog
camping tarp shelter
Reply Jeff
5:15 AM on August 22, 2019 
wow its amazing. i like your post. you are using the very attractive image in your thumbnail. I hope it will be a good story. Keep up the good work.i like your website.best quality rubber flooring
0