Making meaning from disability and chronic pain | Dr. Alex Kwee | MC6 W1a

PAPER SESSION: Workplace Resilience
Room A (Blackcomb)
Alex Kwee, PsyD Assistant Professor, MA in Counselling Psychology Program
Trinity Western University
Making meaning from disability and chronic pain: Challenges and opportunities during occupational rehabilitation
Recognizing that existential issues—questions of identity, meaning and purpose—often emerge following workplace injury, serious illness, or the development of a chronic pain condition, this session examines the challenges and opportunities in addressing these issues when the mandate of the third party payor is strictly return-to-work. The particular challenges are brief treatment course, expected use of cognitive-behavioural therapy (CBT), treatment focused on “compensable injuries” and return-to-work, and third party involvement in treatment. It is not unusual for disability clients who have experienced a permanently life changing condition to raise questions of an “ultimate” nature. As such,
psychotherapy with disability clients can take an existential or even spiritual shape that does not fit conveniently within the dictated parameters of return-to-work treatment. This raises a conflict of interest between fulfilling the mandate of the third party payor, and helping the client to explore the existential questions that s/he raises as a matter of a personal treatment priority.
Presented by a rehabilitation psychologist, this session shows how one may accommodate exploration of life meaning and purpose within a CBT framework. Specifically, it is argued that the empirically-based modalities of Motivational Interviewing (MI) and Acceptance and Commitment Therapy (ACT) have great potential for anchoring return-to-work treatment to client centered questions of overarching meaning frequently provoked by disability. The session will discuss the central tenets of these interventions, their relationship to modern CBT, strategies for incorporation into occupational rehabilitation, as well as their limitations. Case examples will also be provided.

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