No gain, no pain

HEAD TRAUMA

If you've suffered a head injury and you're thinking about suing, beware. Winning a lawsuit may be hazardous to your recovery.

"It looks as though once people are awarded compensation, their symptoms get worse rather than remit." reports University of Nebraska psychologist Martin Rohling, Ph.D. He estimates that eliminating, financial compensation--from lawsuits or worker's comp--would reduce physical symptoms from head injuries by 23 percent.

It's not that people complaining of such injuries are exaggerating or faking their condition for the benefit of their bank account, Rohling and psychologist Laurence Binder, Ph.D., emphasize. Rather, the lure of lucre heightens our awareness of physical sensation. We're on the lookout for every ache and twinge--and so we find them.

Summing up evidence from 17 earlier studies, Rohling and Binder offer numerous examples of how compensation and a speedy recovery are often at odds:

o In patients seeking remuneration, delayed-onset symptoms--those that appear some time after the injury--are more common than in folks not seeking damages.

o Head injuries often result in temporary amnesia; the worse the injury, the longer the amnesia. But compensation seekers, on average, suffer from shorter periods of amnesia, suggesting their problems have a psychological component.

o Patients with mild brain injuries who are seeking compensation often do worse on memory tests than severely-injured patients not looking for reparation.

None of this means we should dismantle our current compensation system or prevent injured parties from receiving financial assistance, Rohling says. But if seeking damages interferes with some patients' recovery, he adds, physicians might face a dilemma when mildly injured patients want to sue: "Should we assist them in that--or dissuade them?" In at least some cases, it seems, the latter might best help the healing process.

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Tags: amnesia, binder, compensation, head injuries, head injury, head trauma, lawsuit, lucre, memory tests, physical sensation, psychological component, recovery, speedy recovery, twinge, university of nebraska

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