Injured and Silenced: Working with Workers' Compensation Claimants and Their Families

It is not uncommon for rehabilitation and workers' compensation systems to treat the injured worker as either a passive victim or a mischievous malingerer. Much ofthe literatureregardingrehabilitation ofpeople with chronic pain and soft tissue injury speaks of paralysis and powerlessness as if the injured person is a piece offlotsam buffeted about by the socialforces of WorkCare (and other compensation systems), the employer and the medical legal systems. This paper will review the pertinent literature and demonstrate the lack ofobjective supportfor a ‘blame-thevictim’ attitude. The importance of the injured person playing an active role in his/her rehabilitation will be emphasised through a systematic analysis ofthe impact ofthe WorkCare scheme on the injured worker and their treatment. In this light, a systems based approach to therapy with injured workers and their families will be outlined.